PURPOSE
Removal of parts of the sympathetic chain controlling the function of sudoriferous glands (and hence, perspiration) in the targeted area.
THE PROCEDURE UNDER SURGERYY
-Incision is on the flank
- retroperitoneal access
THE PROCEDURE UNDER COELIOSCOPY : lumbar sympathectomy using coelioscopy
- mini-Incision on the flank
- retroperitoneal access
- Insertion of the first trocar ans raccording to video monitor (coelioscopy)
- Delivery of up to 14mm HG of carbon dioxide.
- Insertion of 2 more trocars : one for scissors/coagulation, the other to insert a dissecting tool/bipolar coagulation
- Cutting the sympathetic chain under video control.
THE PROCEDURE UNDER COELIOSCOPY AND ROBOT
ANESTHESIA
The procedure requires general anesthesia but without the need of selective intubation to avoid any morbidity caused by Carlens endotracheal tubes.
AFTER THE PROCEDURE
Patients are free to go the next day.
Any leave of absence from work or school lasts 2 to 5 days