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Video-assisted thoracoscopic T2 sympathectomy for hyperhidrosis palmaris
1Department of Surgery, Taichung Veterans General Hospital, Taiwan, Republic of China.
Journal of the American College of Surgeons
|July 1, 1994
Summary
Video-assisted thoracoscopic T2 sympathectomy effectively treats palmar hyperhidrosis, offering high success rates and minimal recurrence. This minimally invasive approach also shows promise for treating concomitant foot hyperhidrosis.
Area of Science:
- Minimally Invasive Surgery
- Thoracic Surgery
- Dermatological Surgery
Background:
- Palmar hyperhidrosis is a debilitating condition impacting social and functional well-being.
- Thoracic sympathectomy targeting the T2 ganglion is a traditional treatment for palmar hyperhidrosis.
Purpose of the Study:
- To evaluate the efficacy and safety of video-assisted thoracoscopic T2 sympathectomy for essential palmar hyperhidrosis.
- To document anesthetic techniques and hand surface temperature changes during the procedure.
Main Methods:
- Eighty patients with essential palmar hyperhidrosis underwent video-assisted thoracoscopic T2 sympathectomy.
- Procedures were performed between January 1991 and December 1992.
- Surgical outcomes and postoperative complications were recorded, with a mean follow-up of 14.5 months.
Main Results:
- Excellent or good results were achieved in 97.5% of patients (88.1% excellent, 9.4% good).
- Complications included prolonged air leakage, hemothorax, wound infections, and facial anhidrosis.
- No recurrences were noted; 64.3% of patients with concomitant hyperhidrosis pedum experienced resolution.
Conclusions:
- Video-assisted thoracoscopic sympathectomy is an effective, safe, and efficient treatment for palmar hyperhidrosis.
- The magnified view enhances surgical precision and is beneficial for training.
- The technique demonstrates potential for treating associated hyperhidrosis pedum.