Intra-arterial thrombolytic therapy in the management of acute and chronic limb ischaemia

✍ Scribed by R. J. Lonsdale; R. B. Galland

• Publisher: John Wiley and Sons
• Year: 1991
• Tongue: English
• Weight: 121 KB
• Volume: 78
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800780844

✦ Synopsis

Correspondence

axillary symptoms. In our experience of this condition, 11 of 13 patients (85 per cent) complained of palmar sweating. As palmar hyperhidrosis is curable only by sympathectomy, it follows that surgery is the appropriate modality of treatment for the majority of referrals. Indeed, we have found endoscopic sympathectomy to be equally effective in the management of axillary hyperhidrosis.

It is interesting to note that after we had performed a staged procedure, all patients were keen to proceed to the contralateral operation. These data contrast with Sternberg's findings that 23-27 per cent of patients having a successful unilateral open procedure would not consider having the other side treated because of the postoperative pain2.

We concur with Messrs Moran and Brady that upper thoracic sympathectomy is the appropriate management of palmar hyperhidrosis, but would further suggest that the endoscopic method is the surgical procedure of choice in both axillary and palmar hyperhidrosis.