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Related Experiment Videos

Telford's operation for primary palmar hyperhidrosis.

D Gyftokostas1, C Koutsoumbelis, E Daskalakis

  • 1Unit of Peripheral Vascular Surgery, 401 Army Hospital, Athens, Greece.

Angiology
|April 1, 1992
PubMed
Summary

Bilateral upper dorsal sympathectomy effectively treated palmar hyperhidrosis, improving digital circulation and blood flow. This surgical approach demonstrated significant, lasting clinical success with no recurrence in patients.

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Area of Science:

  • Thoracic surgery
  • Vascular surgery
  • Dermatology

Background:

  • Palmar hyperhidrosis is a condition causing excessive sweating in the hands.
  • Surgical sympathectomy is a treatment option for severe hyperhidrosis.
  • The supraclavicular approach for upper dorsal sympathectomy is a specific surgical technique.

Purpose of the Study:

  • To evaluate the effectiveness of bilateral upper dorsal sympathectomy via the supraclavicular approach for palmar hyperhidrosis.
  • To objectively assess the impact of this sympathectomy on digital circulation.
  • To compare clinical outcomes and physiological changes with control subjects.

Main Methods:

  • Bilateral upper dorsal sympathectomy performed on 42 patients with palmar hyperhidrosis.
  • Objective evaluation of digital circulation in 16 patients (32 extremities) post-operation.

Related Experiment Videos

  • Comparison of preoperative, postoperative, and control subject data for finger temperature, digital systolic pressure, digital blood flow, and 99mTc clearance time.

    • Main Results:

    • Significant increases in mean finger temperature (6.9°C) and digital systolic pressure (36 mmHg) post-operation.
    • Significant increase in digital blood flow and a ~60% decrease in 99mTc clearance time.
    • Statistically significant differences between preoperative, postoperative, and control values.
    • Satisfactory clinical results with no recurrence after a mean 32-month follow-up.
    • 14 patients experienced a permanent decrease in plantar hyperhidrosis.

    Conclusions:

    • Bilateral upper dorsal sympathectomy via the supraclavicular approach is an effective treatment for palmar hyperhidrosis.
    • The procedure leads to significant improvements in digital circulation.
    • Telford's operation offers advantages over alternative upper extremity sympathetic denervation methods.