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Endoscopic thoracic sympathectomy for primary palmar hyperhidrosis: intermediate term results
S Erak1, K Sieunarine, M Goodman
1Department of Vascular Surgery, Royal Perth Hospital, Western Australia, Australia.
The Australian and New Zealand Journal of Surgery
|February 5, 1999
Summary
Endoscopic thoracic sympathectomy (ETS) effectively treats primary palmar hyperhidrosis. This safe procedure offers high patient satisfaction, with improved cosmetic outcomes and manageable complications.
Area of Science:
- Thoracic surgery
- Minimally invasive procedures
- Dermatological surgery
Background:
- Primary palmar hyperhidrosis is a condition causing excessive sweating in the palms.
- Endoscopic thoracic sympathectomy (ETS) is a surgical option for managing hyperhidrosis.
Purpose of the Study:
- To evaluate the efficacy and safety of ETS for primary palmar hyperhidrosis.
- To assess patient satisfaction and complication rates associated with ETS.
Main Methods:
- Retrospective study analyzing data from 71 patients undergoing 126 sympathectomies.
- Data collected via hospital records and telephone interviews.
Main Results:
- Satisfactory results reported in 93% of patients.
- Compensatory hyperhidrosis occurred in 64%, primarily on the trunk and feet.
- Pneumothorax noted in 17.5% but rarely required intervention.
- Patient dissatisfaction with cosmetic appearance decreased significantly with newer techniques.
Conclusions:
- ETS is a safe and effective treatment for primary palmar hyperhidrosis.
- Technological advancements in ETS have enhanced patient satisfaction.
- High patient satisfaction rates (90% would repeat the procedure) underscore the treatment's success.