A case report of rare primary hyperhidrosis undergoing VATS Bilateral thoracic sympathectomy Anesthesia Considerations

Abstract

Sympathectomy and its variations have been performed in thoracic surgery for more than 100 years. However, its indications have undergone profound modifications in this period. Currently, primary hyperhidrosis is, by far the main indication for thoracic sympathectomy and this procedure is usually carried out thoracoscopically with excellent results. However, until today, hyperhidrosis is a part of thoracic surgery still surrounded by controversy, persisting as an open field over which some confusion still resides regarding its pathophysiology, terms definitions and operative approaches. The aim of this article is to provide Anesthetic management of a case with primary hyperhidrosis under General anesthesia.

Keywords: Sympathectomy, hyperhidrosis, video-assisted thoracic surgery, sympathetic nervous system, sweating