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1. Wolosker N, Ishy A, Yazbek G, Campos JR, Kauffman P, Puech-Leão P, Jatene FB: Objective evaluation of plantar hyperhidrosis after sympathectomy. Clinics (Sao Paulo); 2013;68(3):311-5
MedlinePlus Health Information. consumer health - Foot Injuries and Disorders.

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Objective evaluation of plantar hyperhidrosis after sympathectomy.
  • OBJECTIVE: The aim of the present study was to prospectively, randomly, blindly, and objectively investigate how surgery affects plantar sudoresis in patients with palmar and plantar hyperhidrosis over a one-year period using a sudorometer (VapoMeter).
  • METHODS: From February 2007 to May 2009, 40 consecutive patients with combined palmar hyperhidrosis and plantar hyperhidrosis underwent video-assisted thoracic sympathectomy at the T3 or T4 ganglion level (15 women and 25 men, with a mean age of 25 years).
  • RESULTS: Immediately after the operation and during the one-year follow-up, all of the patients were free from palmar hyperhidrosis episodes.
  • Compensatory hyperhidrosis of varying degrees was observed in 35 (87.5%) patients after one year.
  • Only two (2.5%) patients suffered from severe compensatory hyperhidrosis.
  • There was a large initial improvement in plantar hyperhidrosis in 46.25% of the cases, followed by a progressive regression of that improvement, such that only 30% continued to show this improvement after one year.
  • The proportion of patients whose condition worsened increased progressively (from 21.25% to 47.50%), and the proportion of stable patients decreased (32.5% to 22.50%).
  • This was not related to resection level; however, a lower intensity of plantar hyperhidrosis prior to sympathectomy correlated with worse evolution.
  • CONCLUSION: Patients with palmar hyperhidrosis and plantar hyperhidrosis who underwent video-assisted thoracic sympathectomy to treat their palmar hyperhidrosis exhibited good initial improvement in plantar hyperhidrosis, which then decreased to lesser degrees of improvement over a one-year period following the surgery.
  • For this reason, video-assisted thoracic sympathectomy should not be performed when only plantar hyperhidrosis is present.
  • [MeSH-major] Foot Diseases / surgery. Hand. Hyperhidrosis / surgery. Sympathectomy / methods. Thoracic Surgery, Video-Assisted / methods
  • [MeSH-minor] Adolescent. Adult. Analysis of Variance. Chi-Square Distribution. Female. Ganglia, Autonomic / surgery. Humans. Male. Recurrence. Time Factors. Treatment Outcome. Young Adult

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  • [Cites] Surg Neurol. 1999 Nov;52(5):453-7 [10595764.001]
  • [Cites] Surg Laparosc Endosc Percutan Tech. 2002 Aug;12(4):255-67 [12193821.001]
  • [Cites] Ann Thorac Surg. 2003 Sep;76(3):886-91 [12963223.001]
  • [Cites] Clin Auton Res. 2003 Dec;13 Suppl 1:I31-5 [14673670.001]
  • [Cites] J Am Coll Surg. 1994 Jul;179(1):59-64 [8019726.001]
  • [Cites] Ann Acad Med Singapore. 1996 Sep;25(5):673-8 [8924003.001]
  • [Cites] Skin Res Technol. 2005 Feb;11(1):61-9 [15691261.001]
  • [Cites] Br J Dermatol. 2005 Feb;152(2):329-33 [15727647.001]
  • [Cites] Arch Surg. 2005 Jul;140(7):676-80; discussion 680 [16027333.001]
  • [Cites] J Vasc Surg. 2005 Aug;42(2):281-5 [16102627.001]
  • [Cites] J Vasc Surg. 2007 Jan;45(1):130-3 [17210397.001]
  • [Cites] J Laparoendosc Adv Surg Tech A. 2006 Dec;16(6):598-603 [17243877.001]
  • [Cites] Clin Auton Res. 2007 Jun;17(3):172-6 [17565429.001]
  • [Cites] J Laparoendosc Adv Surg Tech A. 2008 Feb;18(1):102-6 [18266585.001]
  • [Cites] Clinics (Sao Paulo). 2008 Apr;63(2):189-96 [18438572.001]
  • [Cites] J Diabetes Complications. 2008 Jul-Aug;22(4):278-83 [18413213.001]
  • [Cites] Clin Neurol Neurosurg. 2008 Jul;110(7):691-5 [18485585.001]
  • [Cites] Clinics (Sao Paulo). 2008 Dec;63(6):771-4 [19060999.001]
  • [Cites] Ann Thorac Surg. 2009 Jan;87(1):267-74; discussion 274-5 [19101310.001]
  • [Cites] Eur J Cardiothorac Surg. 2009 Mar;35(3):398-402 [19162498.001]
  • [Cites] Clinics (Sao Paulo). 2009;64(8):743-9 [19690657.001]
  • [Cites] J Dermatol. 2009 Dec;36(12):628-31 [19958445.001]
  • [Cites] J Vasc Surg. 2010 May;51(5):1190-4 [20299178.001]
  • [Cites] Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):545-8 [21233258.001]
  • (PMID = 23644849.001).
  • [ISSN] 1980-5322
  • [Journal-full-title] Clinics (São Paulo, Brazil)
  • [ISO-abbreviation] Clinics (Sao Paulo)
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] Brazil
  • [Other-IDs] NLM/ PMC3611758
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