Loureiro M, de Lemos AN, Salvalaggio PRO, Alwazzan M. Minilaparoscopic lumbar sympathectomy with 3 mm instruments for plantar hyperhidrosis.
J Vasc Bras 2020;
19:e20190072. [PMID:
34178057 PMCID:
PMC8202175 DOI:
10.1590/1677-5449.180072]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Severe palmoplantar hyperhidrosis affects about 1.5-2.8% of the general population.
Plantar hyperhidrosis (PHH) is related to foot odor, cold feet, skin lesions and
infections, and even instability when walking. Endoscopic Lumbar Sympathectomy (ELS)
is the treatment of choice for this condition. However, few surgeons have used this
technique over the past 20 years because of its technical difficulty. Two and 3 mm
instruments, rather than the standard 5 mm instruments, have been used to improve the
results of several standard laparoscopic procedures. Use of these minilaparoscopic
instruments to perform ELS so far has not yet been published. We describe a technique
for ELS using minilaparocopic instruments, which we have used for our last 70 cases
and has become our standard technique. The aim of this study is to demonstrate the
feasibility of this technique and its advantages compared to the conventional
technique.
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