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1. Prasad A, Ali M, Kaul S: Endoscopic thoracic sympathectomy for primary palmar hyperidrosis. Surg Endosc; 2010 Aug;24(8):1952-7

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Endoscopic thoracic sympathectomy for primary palmar hyperidrosis.
  • BACKGROUND: Primary hyperhidrosis is a disorder that is characterized by excessive sweating in disproportion to that required for thermoregulation.
  • In most cases, this is aggravated by emotional factors and by heat.
  • Hyperhidrosis can be seen in the palms of the hands, armpits, soles of the feet and face.
  • The principal characteristic of this disease is the intense discomfort of patients, which affects their social and professional life.
  • Treatment modalities include topical application of aluminum chloride, iontophoresis, anticholinergics, botulinum toxin injection, liposuction, excision of sweat glands, and thoracic sympathectomy.
  • METHODS: Between January 1998 and August 2007, a prospective study of endoscopic thoracic sympathectomies for palmar hyperhidrosis was undertaken based on case histories and a prospective pre- and postoperative questionnaire survey.
  • The sample comprised of 322 patients with a mean age of 24 years.
  • At Apollo Hospital, New Delhi, India, bilateral video-assisted thoracoscopic T3 level sympathectomies were performed in all cases.
  • RESULTS: All patients had immediate cessation of palmar hyperhidrosis.
  • The mean postoperative stay was 1.1 days.
  • A questionnaire was completed based on their response to a telephone conversation or e-mail.
  • A paired t test and Wilcoxon test was performed on these data and it showed significant improvement in quality of life.
  • Compensatory sweating was found to be the most troublesome side effect for all patients.
  • It was seen in 63% of the patients.
  • This is similar to other reports of compensatory sweating; however, the figure decreases to 29% if we disregard the percentage of patients who reported only mild compensatory sweating.
  • CONCLUSION: In view of the low morbidity and zero mortality rate of this surgical technique, we recommend it as a method of treatment for palmar hyperhidrosis.
  • Thoracic sympathectomy eliminates palmar hyperhidrosis with minimal recurrence (1% in our series) and produces a high rate of patient satisfaction.
  • [MeSH-major] Hyperhidrosis / surgery. Sympathectomy / methods. Thoracoscopy
  • [MeSH-minor] Adolescent. Adult. Female. Hand. Humans. Male. Patient Satisfaction. Prospective Studies. Quality of Life. Young Adult

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  • (PMID = 20112111.001).
  • [ISSN] 1432-2218
  • [Journal-full-title] Surgical endoscopy
  • [ISO-abbreviation] Surg Endosc
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
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