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Hyperhidrosis and its surgical treatment.

J Gruszkiewicz, Y Doron, J N Guilburd

Acta Neurochirurgica

|January 1, 1986

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High thoracic sympathectomy effectively treats primary palmar hyperhidrosis with minimal, temporary complications. This surgical approach is the preferred treatment for essential idiopathic hyperhidrosis.

Area of Science:

Thoracic Surgery
Dermatology
Medical Procedures

Background:

Primary palmar hyperhidrosis is a condition causing excessive sweating in the palms.
Various treatments exist, but their efficacy and complication rates vary.
Surgical intervention is considered for severe or refractory cases.

Purpose of the Study:

To report the surgical outcomes and complications of high thoracic sympathectomy for primary palmar hyperhidrosis.
To review and compare different treatment modalities for hyperhidrosis.

Main Methods:

The study involved 111 high thoracic sympathectomies performed on 60 patients with primary palmar hyperhidrosis.
Detailed analysis of surgical results and postoperative complications was conducted.

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Main Results:

The surgical intervention demonstrated positive results in managing palmar hyperhidrosis.
Complications were infrequent and generally transient, with no mortality reported in the series.

Conclusions:

High thoracic sympathectomy is a safe and effective treatment for primary palmar hyperhidrosis.
Surgical intervention is recommended as the primary treatment of choice for essential idiopathic hyperhidrosis.