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[Palmar hyperhidrosis in childhood: thoracoscopic sympathectomy]
R Beltrà Picó1, C Hernández Castelló, F González López
1Servicio de Cirugía Pediátrica, Hospital Universitario Materno Infantil de Canarias, Las Palmas de Gran Canaria. raimundobeltra@gmail.com
Insights
Endoscopic thoracic sympathicolysis effectively treats palmar hyperhidrosis in children, significantly improving quality of life. This safe and quick surgical procedure resulted in high patient satisfaction with no major complications.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Dermatology
Context:
- Palmar hyperhidrosis, or excessive hand sweating, significantly impacts children's quality of life.
- Social and physical activities are negatively affected by the condition.
- Childhood onset of palmar hyperhidrosis can lead to feelings of rejection.
Purpose:
- To evaluate the efficacy and safety of thoracoscopic sympathicolysis for treating palmar hyperhidrosis in pediatric patients.
- To assess patient satisfaction following surgical intervention for excessive hand sweating.
Summary:
- A review of 48 children who underwent thoracoscopic sympathicolysis for palmar hyperhidrosis was conducted.
- The procedure is characterized by its ease of performance, short operating time, and proven safety.
- All 48 patients reported complete satisfaction with the surgical outcomes, with no significant complications or adverse effects observed.
Impact:
- Endoscopic thoracic sympathicolysis is a recommended treatment for pediatric palmar hyperhidrosis.
- The procedure leads to a significant improvement in the quality of life for affected children.
- High patient satisfaction rates underscore the effectiveness of this surgical approach.
Background:
Excessive hand sweating, known as palmar hyperhidrosis, is a disabling disorder that starts during the childhood, and can have a strong negative impact on the quality of life of affected children, as they feel rejected by others due to their permanently damp hands, suffering during school activities, contact sports and daily games.
Material And Methods:
Thoracoscopic sympathicolysis is easy to perform and has proven to be safe, with a short operating time. A review was performed on 48 children who underwent surgical treatment of palmar hyperhidrosis and answered a follow-up questionnaire to evaluate their level of satisfaction.
Results:
Considering the final surgical results, the 48 patients were completely satisfied with the outcome of the operation. Significant complications or adverse effects were not detected.
Conclusions:
The primary palmar hyperhidrosis is a pathology that entails an important reduction in the quality of life of those who suffer it. With the results of this technique in hand, we recommend the endoscopic thoracic sympathicolysis procedure for the treatment of this pathology in paediatrics. The level of patient satisfaction was high.
