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Surgical management of palmar hyperhidrosis
J Riolo1, C A Gumucio, A E Young
1Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Mo. 63110.
Southern Medical Journal
|October 1, 1990
Summary
This study explores surgical treatment for hyperhidrosis, a condition causing excessive sweating. The dorsal thoracic approach effectively interrupts sympathetic nerves, offering a permanent solution for severe palmar hyperhidrosis.
Area of Science:
- Medical research
- Surgical techniques
- Dermatology
Background:
- Hyperhidrosis is a pathological condition causing excessive sweating.
- Associated factors include CNS/endocrine disturbances, obesity, and specific genetic predispositions.
- Non-operative treatments for hyperhidrosis are often ineffective or have side effects.
Purpose of the Study:
- To present surgical experience with the dorsal thoracic approach for severe palmar hyperhidrosis.
- To review the efficacy of various sympathetic chain interruption methods.
- To discuss potential side effects of surgical intervention for hyperhidrosis.
Main Methods:
- The study focuses on the dorsal thoracic approach for interrupting sympathetic innervation.
- Surgical correction involves dividing the sympathetic chain between T-2 and T-3 ganglia.
- The procedure includes removal of the T2-3 segment and corresponding spinal nerves.
Main Results:
- Surgical intervention provides effective and permanent control of hyperhidrosis.
- The dorsal thoracic approach is presented as a viable surgical option.
- Efficacy of various surgical approaches and potential side effects are reviewed.
Conclusions:
- Surgical interruption of the sympathetic chain offers a definitive treatment for severe palmar hyperhidrosis.
- The dorsal thoracic approach is an effective method for achieving this.
- Further review of surgical efficacy and side effects is warranted.