Sympathectomy in the treatment of palmar and axillary hyperhidrosis: What type?

Antonio Tancredi, Carlo Del Naja, Andrea Fontana, Roberto Scaramuzzi, Antonello Cuttitta

Research output: Contribution to journalArticle

Abstract

Objectives: Comparison between bilaterally thoracoscopic sympathectomy-T2/T3 and bilaterally thoracoscopic sympathectomy- T2 in our experience of treatment of primitive hyperhidrosis. Methods: From March 2007 to March 2009, 18 patients affected by focal palmar hyperhidrosis or associated palmar and axillary hyperhidrosis underwent bilateral thoracoscopic sympathectomy in our clinic. Of those, 7 patients underwent a bilateral thoracoscopic sympathectomy with excision of ganglia T2 and T3 (TS-T2/T3) while 11 patients underwent a bilateral thoracoscopic sympathectomy with excision of ganglion T2 alone (TS-T2). We evaluated the following endpoints: the resolution of the main problem, the onset of compensatory hyperidrosis (CH) and its grade (absent, hyper-perspiration, wet, dripping), the CH impact on postoperative quality of life (absent, noise, debilitation, relationship problems) and the patients' satisfaction about intervention (excellent, good, sufficient, poor). Results: We found the statistical evidence of a worse postoperative quality of life (QOL) among those who underwent TS-T2/T3 than among those underwent TS-T2 (Fisher exact test p-value= 0.045). Conclusions: We maintain that TS-T2 is more suitable than TS-T2/T3 for the treatment of primitive palmar hyperhidrosis or associated palmar and axillary hyperhidrosis because it may favourite a better patient's postoperative QOL and it is a safer intervention with shorter duration.

Original languageEnglish
Pages (from-to)251-255
Number of pages5
JournalSurgical Chronicles
Volume17
Issue number4
Publication statusPublished - Oct 2012

Keywords

  • Compensatory sweating
  • Hyperhidrosis
  • Thoracoscopic sympathectomy

ASJC Scopus subject areas

  • Surgery

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    Tancredi, A., Del Naja, C., Fontana, A., Scaramuzzi, R., & Cuttitta, A. (2012). Sympathectomy in the treatment of palmar and axillary hyperhidrosis: What type? Surgical Chronicles, 17(4), 251-255.