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Related Experiment Videos

Thoracoscopic sympathectomy for palmaris hyperhidrosis.

Brent D Matthews1, Hong T Bui, Kristi L Harold

  • 1Department of General Surgery, Carolinas Medical Center, Charlotte, NC 28232-2861, USA. Brent.Matthews@carolinashealthcare.org

Southern Medical Journal
|March 28, 2003
PubMed
Summary

Thoracoscopic sympathectomy is a safe and effective treatment for palmaris hyperhidrosis, with most patients satisfied despite compensatory sweating. This procedure offers a good outcome for excessive hand sweating.

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Area of Science:

  • Thoracic surgery
  • Neurosurgery
  • Dermatology

Background:

  • Palmaris hyperhidrosis is a sympathetic nervous system disorder causing excessive hand sweating.
  • Effective treatment options are crucial for improving patient quality of life.

Purpose of the Study:

  • To evaluate the safety, efficacy, and outcomes of thoracoscopic sympathectomy for palmaris hyperhidrosis.
  • To assess patient satisfaction and complication rates following the procedure.

Main Methods:

  • Retrospective review of 18 patients undergoing bilateral thoracoscopic sympathectomy.
  • Sympathetic chain resection from T2-T4 ganglia, with T5 in one case.
  • Data collection on operative details, complications, and follow-up outcomes.

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Main Results:

  • Mean age 34 years; no thoracotomy conversions.
  • Average operative time 112 minutes, blood loss 50 ml, hospital stay 1.2 days.
  • 56% experienced compensatory sweating; 89% were satisfied with outcomes.

Conclusions:

  • Thoracoscopic sympathectomy is a safe and effective treatment for palmaris hyperhidrosis.
  • Compensatory sweating is common but generally tolerable.
  • Most patients report high satisfaction with short-term results.