LUMBAR SYMPATHECTOMY

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 same day.

Any leave of absence from work or school lasts 2 days