Intercostal Nerve Reconstruction for Severe Compensatory Hyperhidrosis: The Gebitekin Technique

Compensatory sweating (CS) is the most common and disabling complication of endoscopic thoracic sympathectomy and represents an unmet clinical challenge. Our surgical hypothesis is to generate a parallel pathway to the damaged part of the sympathetic nerve, similar to the Kuntz nerve, by reconstruct...

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Published inThe Annals of thoracic surgery Vol. 111; no. 6; pp. e443 - e446
Main Authors Gebitekin, Cengiz, Melek, Huseyin, Cetinkaya, Gamze, Ozer, Erhan, Yenturk, Eylem, Sevinç, Tolga Evrim, Bayram, Ahmet Sami
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2021
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Summary:Compensatory sweating (CS) is the most common and disabling complication of endoscopic thoracic sympathectomy and represents an unmet clinical challenge. Our surgical hypothesis is to generate a parallel pathway to the damaged part of the sympathetic nerve, similar to the Kuntz nerve, by reconstructing the 2 healthy intercostal nerves, thus treating CS. Here, we present a novel videothoracoscopic technique involving bilateral intercostal nerve reconstruction in patients with severe CS after endoscopic thoracic sympathectomy.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2020.11.067