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Endoscopic extraperitoneal lumbar sympathectomy for plantar hyperhidrosis: case report
1Division of Neurosurgery, Department of Surgery, Medical School and Hospital, National Taiwan University, 7 Chung-Shan South Road, Taipei 100, Taiwan, R.O.C.
Summary
Endoscopic lumbar sympathectomy effectively treated plantar hyperhidrosis in a young woman, resulting in warm, dry feet. This minimally invasive approach yielded outcomes comparable to open surgery.
Area of Science:
- Neurosurgery
- Vascular Surgery
Background:
- Plantar hyperhidrosis is excessive sweating of the feet.
- Lumbar sympathectomy is a surgical procedure to treat hyperhidrosis.
Observation:
- A 23-year-old female patient presented with severe plantar hyperhidrosis.
- A right-sided endoscopic retroperitoneal lumbar sympathectomy was performed.
Findings:
- Post-operatively, the patient experienced increased right foot temperature and relief from hyperhidrosis.
- Both feet remained warm and dry during follow-up, despite unilateral sympathectomy.
Implications:
- Endoscopic lumbar sympathectomy offers a minimally invasive alternative for hyperhidrosis treatment.
- The procedure demonstrates potential for bilateral effects with unilateral application.
