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Thoracoscopic sympathectomy
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== Technique == * First port 3rd IC space, mid-axillary line * Further port 5th IC space * Confirm lung down * Identify ganglion just lateral to neck of rib, near azygos ** Usually highest rib you see is the second ** Need to avoid operating on T1 ganglion * Start at level of third rib * Divide nerve under vision with diathermy * Position inferior cut end below rib to avoid later regeneration
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