Single-port sympathectomy for palmar hyperhidrosis with Vasoview Hemopro 2 endoscopic vein harvesting device

Abstract

Video-assisted thoracic surgery (VATS) sympathectomy is a well-accepted and definitive treatment for primary palmar hyperhidrosis, with a high success rate and low recurrence. The 3-port VATS approach typically uses 5to 10-mm instruments or needlescopic 3-mm instruments. The Vasoview Hemopro 2 (MAQUET Medical Systems, Wayne, NJ) endoscopic vein harvesting device has a 7-mm highdefinition thoracoscope, a parallel working channel for the Hemopro 2 dissector and automatic shut-off heat-sensing technology, a built-in CO2 gas insufflation channel, and a retractable lens-cleansing system all encompassed into one instrument, allowing simple single-port VATS procedures (Figure 1). The potential advantages are increased patient acceptance, minimal access trauma, reduced postoperative discomfort, and increased aesthetics. We present an innovative technique of VATS sympathectomy for palmar hyperhidrosis using the single-port Vasoview Hemopro 2 device.