Related Experiment Video
Updated: Apr 18, 2026
03:59
Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
Published on: January 10, 2019
7.9K
Unilateral Sympathectomy for Primary Palmar Hyperhidrosis.
Hassan Ravari1, Ataollah Rajabnejad1
1Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
The Thoracic and Cardiovascular Surgeon
|January 21, 2015
Summary
Unilateral video-assisted thoracic sympathectomy effectively resolves dominant hand palmar hyperhidrosis. While many experience dryness on the opposite hand, a small percentage may require further surgery due to compensatory sweating.
Area of Science:
- Thoracic surgery
- Minimally invasive procedures
- Hyperhidrosis management
Background:
- Primary palmar hyperhidrosis significantly impacts adolescent quality of life.
- Surgical intervention is considered for severe cases.
- Video-assisted thoracic sympathectomy (VATS) is a treatment option.
Purpose of the Study:
- To evaluate the effectiveness of unilateral VATS for the dominant hand in primary palmar hyperhidrosis.
- To assess symptom resolution, complications, and recurrence rates.
- To analyze the need for contralateral sympathectomy and occurrence of compensatory hyperhidrosis.
Main Methods:
- A prospective study of 52 patients with primary palmar hyperhidrosis.
- Unilateral VATS targeting the dominant hand was performed.
- Outcomes including symptom relief, complications, and compensatory sweating were monitored for 6-42 months.
Main Results:
- Complete resolution of palmar hyperhidrosis in the operated dominant hand was achieved in all patients.
- Significant improvement or complete dryness was observed in the contralateral hand in 46.15% of patients.
- Compensatory hyperhidrosis occurred in 25% after unilateral surgery, primarily on the trunk.
Conclusions:
- Unilateral dominant side VATS is an effective, safe, and minimally invasive treatment for primary palmar hyperhidrosis.
- A low rate of contralateral sympathectomy is eventually required.
- Patient selection and management of compensatory hyperhidrosis are important considerations.
