Controlling the hyperhidrosis with sympathetic nervous amputation

Controlling the hyperhidrosis with sympathetic nervous amputation


　The surgical operation which cuts off the nerve which stimulates the sweat gland of the skin, was shown in the research whose it is new to be useful in hyperhidrosis remedy.

　The hyperhidrosis patient who is troubled to the excessive sweat says that approximately 100,000,000 9,700 ten thousand people who hit to 3% of worldwide population it exists. You can see the sweat of the usual 3~4 time quantity, the palm and the armpit (side) under, condition appears mainly in the face and the foot etc. Accurate cause is not recognized, but it is assumed that it occurs due to the fact that the nerve which stimulates the sweat gland operates excess. In cure, section and the medicine medical therapy due to orally, other than the [bototsukusu] injection and ion introduction etc, when you cannot see the effect with this kind of remedy, there are also choices, surgical operation.

　The american Barrow [baro] nervous study laboratory (BNI, Arizonan state) in the latest research by the team, lapse 300 of hyperhidrosis patients who receive the pleural cavity Kiyouka sympathetic nervous excision technique both sides was inspected. Being something where, this operation inserts the small-sized fiber camera and the operation instrument from the small incision section of 3 places, cuts off the nerve which becomes cause of the multi sweats, quite invasive characteristic is low. As for the inside 129 people of the subject as for the palm and 11 people as for the armpit and 160 people it was the patient where both of the palm and the armpit you can see the excessive sweat.

　By this operation, the hyperhidrosis of the palm was settled with 99.3% of the patients, the hyperhidrosis of the armpit was settled with 61%. As a complication, 2 examples of the arrhythmia and 1 examples of the melancholia after the technique, the pneumothorax after the technique (the sick condition where the air accumulates in the pleural cavity) it could recognize 9 examples, these inside 5 examples required [dorenaji] by the pleural cavity tube. For pleurum adhesion the patient who preventively requires pleural cavity [dorenaji] was 4 examples.

　In addition, besides the fact that the chest, it could recognize in another region the compensation characteristic hyperhidrosis which such as back and leg the multi sweats occur as 16 examples, mistaking as 7 examples, you could see the [horuneru] syndrome due to damaging the nerve. In [horuneru] syndrome, the sweat and the eyelid of the face (the eyelid) you can see hanging down and the pupil reduction etc the side which is the nervous damage. Furthermore, as 6 examples intercostal (the [ro] [tsu] can) intercostal by the damage of the nerve it was recognized neuralgia.

　This research the American cranial nerve surgical academic society which is held with Washington D.C. (AANS) was announced with annual meeting.