JOCS

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Index
Letter to the Editor
Efficacy of thoracic sympathectomy in the treatment of hyperhidrosis and management of compensatory sweating
Thoracic sympathectomy is a widely recognized surgical intervention for treating hyperhidrosis, a condition characterized by excessive sweating that significantly impairs patients' quality of life. Despite its efficacy, this procedure often leads to compensatory sweating (CS), which remains a substantial challenge in patient management. This letter reviews recent studies addressing both the benefits of thoracic sympathectomy and the ongoing efforts to manage CS. Advances such as laser speckle flowgraphy for identifying and targeting sympathetic nerves, comparisons between robotic and video-assisted thoracic sympathectomy, and investigations into different levels of sympathetic chain resection provide new insights into optimizing treatment outcomes. While these developments offer promising strategies for reducing CS and enhancing patient satisfaction, further research is required to establish their long-term effectiveness.


1. Yamamoto H, Okada M. The management of compensatory sweatingafter thoracic sympathectomy. J Thorac Cardiovasc Surg. 2019;158(5):1481-1488.
2. Ravendran K, Babu B, Madouros N, Panagiotopoulos N. Roboticsympathectomy for hyperhidrosis. Cureus. 2023;15(1):e33885.
3. Huang L, Jiang H, Wei D, Xue Q, Ding Q, Hu R. A comparative studyof thoracoscopic sympathectomy for the treatment of hand sweating. JThorac Dis. 2019;11(8):3336-3340.
4. Loizzi D, Mongiello D, Bevilacqua MT, et al. Surgical managementof compensatory sweating: a systematic review. Front Surg. 2023;10:1160827.
5. Hamilton NN, Tedde ML, Wolosker N, et al. A prospective controlledrandomized multicenter study to evaluate the severity of compensatorysweating after one-stage bilateral thoracic sympathectomy versusunilateral thoracic sympathectomy in the dominant side. Contemp ClinTrials Commun. 2020;19:100618.
Volume 2, Issue 3, 2024
Page : 70-71
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