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Related Experiment Videos

Upper dorsal sympathectomy for palmar hyperhidrosis.

A Bass, S Inovrotzlavski, R Adar

    Israel Journal of Medical Sciences
    |February 1, 1983
    PubMed
    Summary

    Bilateral upper dorsal sympathectomy (BUDS) effectively treats severe palmar hyperhidrosis (HH), with a 98% immediate success rate. While some compensatory sweating occurs, patient satisfaction remains high, making BUDS a recommended option for carefully selected individuals.

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    Area of Science:

    • Thoracic Surgery
    • Dermatology
    • Surgical Outcomes

    Background:

    • Palmar hyperhidrosis (HH) significantly impacts quality of life.
    • Surgical sympathectomy is a treatment option for severe HH.
    • Long-term outcomes of bilateral upper dorsal sympathectomy (BUDS) require further evaluation.

    Purpose of the Study:

    • To report the treatment results of 133 patients undergoing BUDS for palmar HH.
    • To analyze early and late sequelae, recurrence rates, and patient satisfaction.
    • To compare outcomes between different follow-up durations.

    Main Methods:

    • Retrospective analysis of 133 patients who underwent BUDS for palmar HH.
    • Patients divided into two groups based on follow-up duration (Group 1: 5-10 years, Group 2: 1-4 years).
    • Assessment of immediate success, complications, sequelae, recurrence, and patient satisfaction.

    Main Results:

    • Immediate success rate was 98%.
    • Late recurrence of HH was observed in 5.3% of patients.
    • One-third experienced troublesome compensatory HH; severe Horner's syndrome in one patient.
    • Patient satisfaction was generally good, with only 10 patients regretting the procedure.

    Conclusions:

    • BUDS demonstrates high efficacy and patient satisfaction for severe palmar HH.
    • Long-term recurrence and compensatory sweating are manageable risks.
    • BUDS is considered the optimal solution for properly selected patients with severe palmar HH.

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