Compensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experience

2007 ◽  
Vol 11 (3) ◽  
pp. 98-101 ◽  
Author(s):  
Albert Chi-Yan Chan ◽  
Albert Chi-Wai Ting ◽  
Pei Ho ◽  
Jensen Tung-Chung Poon ◽  
Stephen Wing-Keung Cheng
Keyword(s):  
Compensatory Sweating ◽  
Thoracoscopic Sympathectomy ◽  
Primary Hyperhidrosis

scholarly journals Videothoracoscopic sympathectomy - a standard treatment for primary hyperhidrosis at the Clinic of Thoracic Surgery in Sremska Kamenica / Videotorakoskopska simpatektomija – standarna hirurška metoda za lečenje primarne hiperhidroze na Klinici za grudnu hirurgiju u Sremskoj Kamenici

2010 ◽  
Vol 2 (3) ◽  
pp. 85-94
Author(s):  
Ivan Kuhajda ◽  
Miloš Koledin ◽  
Dejan Đurić ◽  
Milorad Bijelović ◽  
Mišel Milošević ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Conservative Therapy ◽  
Standard Treatment ◽  
Long Term Results ◽  
Compensatory Sweating ◽  
Thoracoscopic Sympathectomy ◽  
Perioperative Morbidity ◽  
Primary Hyperhidrosis ◽  
Epidemiological Characteristics

AbstractPrimary hyperhidrosis affects approximately 3% of the world’s population, particularly young female adults. It is defined as excessive, profuse sweating of the palms, soles, armpits and face. Conservative treament includes diverse modalities, however, surgical treatment has shown the best long-term results. The objective of this study was to assess some disease-specific epidemiological characteristics in a pre-selected group of patients seeking surgical therapy, as well as outcomes of thoracoscopic sympathectomy. The severity and impact of hypehidrosis was assessed, using Hyperhidrosis Disease Severity Scale (HDSS: patients rate the serverity of symptoms on a scale from 1 to 4). Thoracoscopic sympathectomy was performed using a double lumen endotracheal tube, via bilateral 5 mm dual port videothoracoscopic camera 0°, and an endoscopic ultrasound activated harmonic scalpel. The sympathetic chain was resected on both sides at the level of the second and the third thoracic ganglion (T2 and T3), using an ultrasound knife. The extirpated chain was also at the level T3-T4 and sent forex temporeanalysis.There were 162 patients undergoing thoracoscopic sympathectomy: 39.51% were males and 60.49% females; at presentation their mean age (± SD) was 30.5 (±8.3), range 16 - 58 years. Axillary hyperhidrosis occurs later than palmar-axillary-plantar (p<0.05). A total of 35.18% of the evaluated patients were able to name at least one member of their families who also suffered from hyperhidrosis. The most commonly affected area was palmar-axillary-plantar (30.25%). Fifty patients (30.86%) received conservative therapy before surgery. The most commonly used conservative therapy modalities included different kinds of ointments/tinctures (11.73%), botox (8.02%) and iontophoresis (2.47%). Prior to surgery, 91.36% of patients reported severe sweating (HDSS score 3 or 4). The highest mean score was given for a combination of facial-palmar-axillaryplantar hyperhidrosis (3.80±0.24). All surgeries were successfully performed, with no complications, or perioperative morbidity. The mean hospital stay was 1.28±0.68 days long. After surgery, 93.21% of patients reported mild or moderate hyperhidrosis (HDSS score 1 or 2). Compensatory sweating (lower part of the back, and abdomen) was reported by 34.57% of patients after the surgery. All patients had a 6-months long follow-up: a significant improvement in quality of life was reported by 84.56% of patients (Yates corrected c2 (1) = 228.42; p=0.0000)); due to compensatory sweating, only 4.94% and 1.85% of patients reported bad and very bad quality of life, respectively.In conclusion, nowadays videothoracoscopic sympathectomy is a standard treatment for primary hyperhidrosis with a high success rate.

scholarly journals The Rate of Compensatory Sweating and Clinical Outcomes of Selective Thoracoscopic Sympathectomy (Ramicotomy) in Patients with Primary Palmar Hyperhidrosis

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Karamollah Toolabi ◽  
Siavash Khaki ◽  
Ehsan Sadeghian ◽  
Narges Lamsehchi ◽  
Fezzeh Elyasinia
Keyword(s):  
Clinical Outcomes ◽  
Palmar Hyperhidrosis ◽  
Compensatory Sweating ◽  
Thoracoscopic Sympathectomy ◽  
Lower Back ◽  
Term Adverse Effect ◽  
Significant Difference ◽  
Primary Hyperhidrosis ◽  
High Level

Background: Primary hyperhidrosis is a sympathetic disorder characterized by prolonged and uncontrollable sweating. It is associated with emotional stress or psychological causes that preferably affects the axillae, palms, feet, and face. Video-assisted thoracoscopic sympathetic surgery is currently a globally recognized treatment for primary palmar hyperhidrosis (PH). However, compensatory sweating (CS) is the most prominent long-term adverse effect of thoracoscopic sympathectomy. Objectives: Here, we aim to perform selective sympathetic ramicotomy for primary palmar hyperhidrosis patients and evaluate the clinical outcomes of satisfaction, as well as the effect on the frequency, location, and severity of compensatory sweating. Methods: In this single-arm trial study, 24 sympathectomies were carried out on 12 patients with primary palmar hyperhidrosis who were candidates for bilateral thoracoscopic selective sympathectomy (ramicotomy) at Imam Khomeini Hospital. The patients’ demographic information was interviewed and followed up using telephone questionnaires in the health center one week after surgery. Then, the rates of compensatory sweating, satisfaction, and failure or recurrence were retrospectively analyzed. Results: No significant differences were observed between age, gender, weight, BMI, and compensatory sweating rates. Notwithstanding, there was a statistically significant difference in the severity of compensatory sweating with patients’ height (P = 0.016). Compensatory sweating occurred in 66.7% of the patients; 50% of the patients were mild, 16.7% of the patients were moderate, and there was no intolerable compensatory sweating or recurrence. The most incidence of compensatory sweating was on the lower back. The rate of satisfaction was 94.5 ± 7.8%. Conclusions: Selective thoracoscopic sympathectomy (ramicotomy) is an effective surgical procedure with a very high level of precision and satisfaction. This technique hence should be considered the method of choice for the treatment of primary palmar hyperhidrosis.

Thoracoscopic Sympathectomy for Hyperhidrosis

Neurosurgery ◽  
2010 ◽  
Vol 67 (3) ◽  
pp. 652-657 ◽  
Author(s):  
Scott D. Wait ◽  
Brendan D. Killory ◽  
Gregory P. Lekovic ◽  
Francisco A. Ponce ◽  
Kathy J. Kenny ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Well Being ◽  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Compensatory Sweating ◽  
Horner's Syndrome ◽  
Thoracoscopic Sympathectomy ◽  
Safe Treatment ◽  
Female Patients

Abstract BACKGROUND Hyperhidrosis (HH) profoundly affects a patient's well-being. OBJECTIVE We report indications and outcomes of 322 patients treated for HH via thoracoscopic sympathectomy or sympathotomy at the Barrow Neurological Institute. METHODS A prospectively maintained database of all patients who underwent sympathectomy or sympathotomy between 1996 and 2008 was examined. Additional follow-up was obtained in clinic, by phone, or by written questionnaire. RESULTS A total of 322 patients (218 female patients) had thoracoscopic treatment (mean age 27.6 years; range, 10–60 years). Mean follow-up was 8 months. Presentations included HH of the palms (43 patients, 13.4%), axillae (13 patients, 4.0%), craniofacial region (4 patients, 1.2%), or some combination (262 patients, 81.4%). Sympathectomy and sympathotomy were equally effective in relieving HH. Palmar HH resolved in 99.7% of patients. Axillary or craniofacial HH resolved or improved in 89.1% and 100% of cases, respectively. Hospital stay averaged 0.5 days. Ablating the sympathetic chain at T5 increased the incidence of severe compensatory sweating (P = .0078). Sympathectomy was associated with a significantly higher incidence of Horner's syndrome compared with sympathotomy (5% vs 0.9%, P = .0319). Patients reported satisfaction and willingness to undergo the procedure again in 98.1% of cases. CONCLUSION Thoracoscopic sympathectomy is effective and safe treatment for severe palmar, axillary, and craniofacial HH. Ablating the T5 ganglion tends to increase the severity of compensatory sweating. Sympathectomy led to a higher incidence of ipsilateral Horner's syndrome compared with sympathotomy.

Compensatory Sweating after Thoracoscopic Sympathectomy for Primary Focal Hyperhidrosis In Children: Are there Patient-Related Risk Factors?

2021 ◽  
Author(s):  
Catarina Carvalho ◽  
Ana Sofia Marinho ◽  
Joana Barbosa-Sequeira ◽  
Mário Rui Correia ◽  
José Banquart-Leitão ◽  
...  
Keyword(s):  
Risk Factors ◽  
Compensatory Sweating ◽  
Thoracoscopic Sympathectomy ◽  
Related Risk ◽  
Focal Hyperhidrosis

Plantar hyperhidrosis associated with primary palmar hyperhidrosis: Outcome following video-assisted thoracoscopic sympathectomy

2021 ◽  
pp. 021849232199650
Author(s):  
Walid Salah Abu Arab ◽  
Moustafa Mohamed Elhamami
Keyword(s):  
Visual Analogue Scale ◽  
Scale Score ◽  
Visual Analogue Scale Score ◽  
Analogue Scale ◽  
Palmar Hyperhidrosis ◽  
Compensatory Sweating ◽  
Compensatory Hyperhidrosis ◽  
Thoracoscopic Sympathectomy ◽  
Video Assisted ◽  
Surgery Department

Introduction Primary palmar hyperhidrosis is an abnormal over-sweating of palms. It is usually associated with plantar hyperhidrosis. Video-assisted thoracoscopic sympathectomy is the treatment of choice for palmar hyperhidrosis; however, it may affect plantar hyperhidrosis. Objectives The aim of this study was to evaluate the effect of thoracoscopic sympathectomy on plantar hyperhidrosis. Methods This prospective study included patients who presented to the Cardiothoracic Surgery Department with primary palmo-planter hyperhidrosis and received thoracoscopic sympathectomy between January 2014 and December 2018. Preoperatively, patients scored subjectively the degree of palmar and plantar hyperhidrosis on Visual Analogue Scale. Following surgery, scoring was performed at three intervals: 7, 30, and 180 days. Presence of compensatory sweating and its scoring was obtained at the same intervals. Complications and patient satisfaction were recorded. Results A total of 518 patients were included. Complication rate, excluding compensatory hyperhidrosis, was 2.7%. Preoperative Visual Analogue Scale score for palmar hyperhidrosis was 9.9 ± 3.8 that following thoracoscopic sympathectomy decreased to 0.041 ± 0.2 on the seventh postoperative day. Further decrease to 0.3 ± 0.16 was noted on the 30th day and 180th day postoperatively. Preoperative Visual Analogue Scale score for plantar hyperhidrosis was 9.54 ± 0.66 that following sympathectomy decreased to 2.27 ± 1.67 on the seventh postoperative day. However, slight insignificant increase was noted to become 2.73 ± 1.65 on the 30th day and 6th month postoperatively. Compensatory hyperhidrosis was recorded in 3.9% of patients at 6th month postoperatively. Conclusion Palmar hyperhidrosis is usually associated with plantar hyperhidrosis. Thoracoscopic sympathectomy is an effective and safe treatment for palmar hyperhidrosis. It may completely or partially cure plantar hyperhidrosis.

R3 versus R4 Thoracoscopic Sympathectomy for Severe Palmar Hyperhidrosis

2017 ◽  
Vol 65 (06) ◽  
pp. 491-496 ◽  
Author(s):  
Yiping Wei ◽  
Han Jiang ◽  
Jianjun Xu ◽  
Dongliang Yu ◽  
Wenxiong Zhang
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Palmar Hyperhidrosis ◽  
Satisfaction Level ◽  
Compensatory Sweating ◽  
Group 14 ◽  
Perioperative Mortality ◽  
Thoracoscopic Sympathectomy ◽  
Gustatory Sweating

Background Thoracoscopic sympathectomy (TS) was the preferred surgical treatment for palmar hyperhidrosis (PH), but postoperative complications such as compensatory sweating (CS) were common. This study was projected to compare R3 versus R4 TS for treating severe PH. Methods From April 2009 and March 2015, 106 consecutive patients with severe PH underwent bilateral R3 (n = 62) or R4 (n = 44) TS at The Second Affiliated Hospital of Nanchang University. The patients were followed up to evaluate symptom resolution, postoperative complications, satisfaction level, and severity of CS. Results The 106 patients underwent 212 sympathecotomies and were cured with no severe complications or perioperative mortality. The incidence of minor side effects (such as pneumothorax, gustatory sweating, moist hands, and bradycardia) was similar in both groups. More patients had overdry hands in the R3 group than in the R4 group (6/62 vs. 0/44; p = 0.040). More CS occurred in the R3 group as compared with the R4 group (42/62 vs. 23/44; p = 0.156). The incidence of moderate-to-severe CS was higher in the R3 group than in the R4 group (14/62 vs. 4/40; p = 0.045). Most patients were satisfied with the results, except for three (5.84%) in the R3 group and one (2.27%) in the R4 group. Conclusion PH can be effectively treated by either R3 or R4 TS, with high rates of patient satisfaction. R4 sympathectomy appears to be associated with less severe CS and should be the choice of denervation level.

Sign in / Sign up

Export Citation Format

Share Document