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Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases
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[Hyperhidrosis: treatment, results, problems].

I Ya Motus1,2, A V Bazhenov1

  • 1Ural Research Institute for Phthisiopulmonology, Ekaterinburg, Russia.

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|July 16, 2021
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Summary

Thoracic sympathectomy effectively treats hyperhidrosis, with high patient satisfaction. However, compensatory sweating is a common side effect that cannot be predicted or prevented.

Keywords:
hyperhidrosisresultsthoracic sympathectomyvideothoracoscopy

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Area of Science:

  • Surgical Procedures
  • Thoracic Surgery
  • Hyperhidrosis Treatment

Background:

  • Hyperhidrosis is a condition characterized by excessive sweating.
  • Thoracic sympathectomy is a surgical option for managing hyperhidrosis.

Purpose of the Study:

  • To analyze the outcomes of thoracic sympathectomy for treating hyperhidrosis.
  • To evaluate the effectiveness and complications of the procedure.

Main Methods:

  • Video-assisted thoracic bilateral sympathectomy was performed on 166 patients (15-51 years old).
  • Sympathetic chain transection levels varied based on hyperhidrosis type (palmar, axillary, or palmar-axillary).

Main Results:

  • The surgery demonstrated high effectiveness, with hyperhidrosis symptoms resolving early in all patients.
  • Long-term follow-up in 47 patients showed a 93.6% satisfaction rate.
  • Compensatory sweating occurred in 55.3% of patients, being more frequent in axillary and palmar-axillary hyperhidrosis cases.

Conclusions:

  • Thoracic sympathectomy is an effective treatment for hyperhidrosis.
  • Compensatory sweating is the primary adverse outcome, unpredictable and unpreventable.
  • Informing patients about potential compensatory sweating is crucial.