Sympathotomy instead of sympathectomy for palmar XXXX : minimizing postoperative compensatory @entity1119 .

@entity1 @entity260 @entity1119 @entity2004 @entity4820
OBJECTIVE: To determine whether anatomical modification of sympathectomy diminishes severe postoperative compensatory @entity1119 . @entity1 AND METHODS: From January 1, 2000, to June 1, 2001, we prospectively studied 10 consecutive @entity1 with primary palmar @entity1119 , aged 14 to 42 years. Medical therapy had failed in all @entity1 . A preoperative and postoperative evaluation and thermoregulatory sweat testing were conducted in all @entity1 . All @entity1 underwent sympathotomy (bilateral simple disconnection) of the second thoracic ganglion input into the brachial plexus, and no sympathetic ganglia were violated. RESULTS: In the 10 @entity1 , all 20 upper extremities improved postoperatively: 11 (55%) had near-complete cessation of palmar sweating, 8 (40%) had marked reduction in sweating, and 1 (5%) had delayed onset but full sweating at the end of the thermoregulatory sweat test. No intraoperative complications of @entity2004 or @entity4820 occurred. Importantly, there were no moderate or severe @entity260 . CONCLUSION: Sympathotomy to disconnect T2 ganglion input into the brachial plexus produces excellent results in the treatment of primary palmar @entity1119 and may lower the severity of @entity260 . Long-term durability of the procedure requires further follow-up.
