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Endoscopic lumbar sympathectomy for plantar hyperhidrosis.
R Rieger1, S Pedevilla, S Pöchlauer
1Department of Surgery, Landeskrankenhaus Gmunden, Miller von Aichholzstrasse 49, 4810 Gmunden, Austria. Roman.Rieger@gespag.at
The British Journal of Surgery
|November 18, 2009
Summary
Endoscopic lumbar sympathectomy effectively treated severe plantar hyperhidrosis in 97% of patients. This procedure demonstrated high patient satisfaction and a favorable safety profile for managing excessive sweating.
Area of Science:
- Surgical innovation in treating hyperhidrosis.
- Minimally invasive thoracic surgery techniques.
Background:
- Plantar hyperhidrosis significantly impacts quality of life.
- Limited effective treatment options for severe cases.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic lumbar sympathectomy.
- Assess clinical outcomes, including morbidity and patient satisfaction.
Main Methods:
- 178 endoscopic resections of the lumbar sympathetic trunk performed on 90 patients.
- Mean follow-up of 24 months.
- Clinical results and complication rates were systematically evaluated.
Main Results:
- 97% of patients achieved elimination of hyperhidrosis.
- High patient satisfaction (96%) and willingness to repeat the procedure (92%).
- Common side effects included compensatory sweating (44%) and neuralgia (42%).
Conclusions:
- Endoscopic lumbar sympathectomy is a safe and effective treatment for severe plantar hyperhidrosis.
- Offers significant improvement in symptoms and patient satisfaction.
