Endoscopic trans-thoracic sympathectomy in the treatment of primary palmar hyperhidrosis : results and complications

Abstract EN

Purpose: To evaluate the results of treatment of primary palmar hyperhidrosis by using endoscopic transthoracic sympathectomy with particular reference to the complications, the immediate and long term effectiveness, of treatment, and patient satisfaction with the endoscopic results.

Methods: Twerity patients with, bilateral primary hyperhidrosis were treated 'by endoscopic transthoracic sympathectomy on both sides.

When the stellate ganglion is uniquely identified by a pad of fat covering it above the head of the first rib.

A diathermy hook used to confirm identification by palpating the sympathetic chain and rolling the nerves over the ribs.

The 2nd, 3rd• and 4th ganglia were cut and preserved for histopathological examination.

Results: All patients were relieved of their symptoms except the left side of a female patient (aged 26 years and treated by open surgical method).

Compensatory hyperhidrosis was the only significant side effect and reported in sixty five perçut.

There was no mortality or major complications.

Conclusions: Endoscopic transthoracic sympadiectomy is safe-easy, reliable and effective way in the treatment of patients with primary palmar hyperhidrosis.