- agrandamiento de las mamas en unos centimetros en el 2,4% de los operados de simpatectomia. Tuvieron q comprarse sujetadores de una talla mayor
- no tienen ni idea de a que se debe este efecto secundario

http://ves.sagepub.com/cgi/content/abstract/20/1/50

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Vascular and Endovascular Surgery, Vol. 20, No. 1, 50-54 (1986)
DOI: 10.1177/153857448602000109
 1986 SAGE Publications

Enlargement of the BreastA New Side Effect of Transaxillary Cervical Sympathectomy: Case Report
Itamar Kott 
Department of Surgery "B", Beilinson Medical Center, Petah Tikva, Israel 

Eli Hauptman 

Department of Surgery "B", Beilinson Medical Center, Petah Tikva, Israel 

Avigdor Zelkovsky 

Department of Surgery "B", Beilinson Medical Center, Petah Tikva, Israel 

Raphael Reiss 

Department of Surgery "B", Beilinson Medical Center, Petah Tikva, Israel 

The phenomenon of hyperhidrosis is a pathological state caused by unknown stimulus of the sympathetic nervous system. When a variety of conservative treatments have failed, surgery which involves the removal of some ganglia of the cervical sympathetic chain, is the treatment of choice. In the last four years we operated on 253 patients for palmar hyperhidrosis using the transaxillary approach only. 

Recently, a new side effect of surgery has come to our attention. This phe nomenon is enlargement of the breast on the operated side. Our series show seven cases (2.4%) of women operated for palmar hyperhidrosis who mani fested this phenomenon, two of them bilaterally. The enlargement of the breast was found usually by the second follow-up visit after operation when, in most cases, the patient mentioned it. 

Examination of the breast revealed enlargement of a few centimeters which in several patients required a change to a larger brassiere size. In both of our patients who underwent bilateral surgery, the breasts enlarged until they were equal in size. The women then did not complain further. In our article we de scribe the cases of two young women with this phenomenon for which we still do not have a clear explanation of the phenomenon, but report our assumption only. 

