Intercostal Nerve Reconstruction for Severe Compensatory Hyperhidrosis: The Gebitekin Technique

GEBİTEKİN C., MELEK H., Cetinkaya G., ÖZER E., YENTÜRK E., SEVİNÇ T. E. , ...More

ANNALS OF THORACIC SURGERY, vol.111, no.6, 2021 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 111 Issue: 6
  • Publication Date: 2021
  • Doi Number: 10.1016/j.athoracsur.2020.11.067
  • Journal Indexes: Science Citation Index Expanded, Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database


Compensatory sweating (CS) is the most common and disabling complication of endoscopic thoracic sympathectomy and represents an unmet clinical challenge. Our surgical hypothesis is to generate a parallel pathway to the damaged part of the sympathetic nerve, similar to the Kuntz nerve, by reconstructing the 2 healthy intercostal nerves, thus treating CS. Here, we present a novel videothoracoscopic technique involving bilateral intercostal nerve reconstruction in patients with severe CS after endoscopic thoracic sympathectomy.