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Related Experiment Video

Updated: Mar 28, 2026

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
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Sympathectomy for Palmar Hyperhidrosis.

Cumhur Murat Tulay1

  • 1Department of Thoracic Surgery, Sanlıurfa Teaching and Research Hospital, Sanlıurfa, Turkey.

The Indian Journal of Surgery
|January 6, 2016
PubMed
Summary

Video-assisted thoracoscopic sympathectomy effectively treats palmar hyperhidrosis, improving symptoms in 95% of patients. This surgical approach addresses emotional and work-related issues associated with excessive hand sweating.

Keywords:
HyperhidrosisSympathetic chainThoracal sympathectomyVideo-assisted thoracoscopic sympathectomy (VATS)

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Area of Science:

  • Thoracic surgery
  • Dermatology
  • Surgical oncology

Background:

  • Palmar hyperhidrosis significantly impacts patients' emotional well-being and professional lives.
  • Previous treatments like local therapies and psychotherapy offer limited efficacy for severe cases.
  • Video-assisted thoracoscopic sympathectomy (VATS) is a primary surgical option for palmar hyperhidrosis.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of video-assisted thoracoscopic sympathectomy for treating palmar hyperhidrosis.
  • To analyze patient data from bilateral thoracoscopic sympathectomies.
  • To assess symptom improvement and potential side effects post-surgery.

Main Methods:

  • Retrospective analysis of 120 bilateral thoracoscopic sympathectomies in 60 patients.
  • Procedure performed under general anesthesia using a single-lumen endotracheal tube.
  • Sympathetic chain resection between the second and fourth ribs, with intercostal nerve blocks and thoracoscopic monitoring.

Main Results:

  • Symptomatic improvement observed in 95% of patients.
  • Mild compensatory sweating reported in 20% of patients.
  • Excessive dryness of hands noted in 10% of patients.

Conclusions:

  • Video-assisted thoracoscopic sympathectomy is a highly effective treatment for palmar hyperhidrosis.
  • The procedure demonstrates a high success rate with manageable side effects.
  • VATS offers a significant improvement in quality of life for individuals suffering from palmar hyperhidrosis.