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Related Experiment Videos

[Endoscopic thoracic sympathectomy for isolated axillary hyperhidrosis].

D Gossot1, D Debrosse, D Grunenwald

  • 1Département de Chirurgie Thoracique, Institut Mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris. dominique-gossot@imm.fr

Annales De Dermatologie Et De Venereologie
|February 15, 2001
PubMed
Summary

Endoscopic thoracic sympathectomy can effectively treat isolated axillary hyperhidrosis, but compensatory sweating and patient dissatisfaction are common. This procedure should be considered only after other treatments have failed.

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Area of Science:

  • Medical procedures
  • Surgery
  • Thoracic surgery

Context:

  • Endoscopic thoracic sympathectomy (ETS) is a standard treatment for palmar hyperhidrosis.
  • Its efficacy and outcomes for isolated axillary hyperhidrosis remain subjects of discussion.
  • Previous treatments for axillary hyperhidrosis, including local agents and iontophoresis, were ineffective for the study cohort.

Purpose:

  • To evaluate the outcomes of endoscopic thoracic sympathectomy (ETS) for isolated axillary hyperhidrosis.
  • To assess the efficacy, complications, and patient satisfaction following ETS in this specific patient group.

Summary:

  • A study of 23 patients with isolated axillary hyperhidrosis who underwent bilateral ETS, extended to T5.
  • Ninety-five percent achieved cure of axillary hyperhidrosis, but 100% experienced compensatory sweating, with 11 patients reporting distressing side effects (hand dryness).

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  • Overall satisfaction was 84%, but 16% regretted the procedure due to side effects.

    • Impact:

    • ETS offers a high cure rate for axillary hyperhidrosis but is associated with significant compensatory sweating and potential dissatisfaction.
    • The findings suggest that ETS for axillary hyperhidrosis should be a last resort treatment option.
    • This study contributes to understanding the risk-benefit profile of ETS for axillary hyperhidrosis.