eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2020
vol. 15
 
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abstract:
Original paper

A retrospective cohort study of T3 versus T4 thoracoscopic sympathectomy for primary palmar hyperhidrosis and primary palmar hyperhidrosis with axillary and plantar sweating

Hongya Xie
1
,
Tao Lu
2
,
Yimeng Zhu
1
,
Donglin Zhu
1
,
Tengteng Wei
1
,
Guangda Yuan
1
,
Yong Yang
1
,
Xiaoqiang Liu
1

1.
Department of Thoracic Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou City, Jiangsu Province, China
2.
Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China
Videosurgery Miniinv 2020; 15 (3): 488–495
Online publish date: 2019/11/11
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Introduction
Thoracoscopic sympathectomy (TS) has been proven to be a safe and effective treatment for primary palmar hyperhidrosis (PH). However, the complications include compensatory hyperhidrosis (CH), and over-dry hands may occur in some patients after TS.

Aim
To compare the therapeutic effect of T3 and T4 TS on primary PH and primary PH with axillary and plantar sweating.

Material and methods
We retrospectively analyzed 100 patients with PH who had undergone T3 (group A, n = 49) or T4 (group B, n = 51) TS in our department, with at least 1 year of postoperative follow-up.

Results
At discharge, no major complications or deaths occurred in either group. The condition of sweaty hands was fully improved in 44 of 49 patients in group A and all patients in group B, with a significant difference (p = 0.031). After 12 months of follow-up, 18 (36.7%) patients in group A and 4 (7.8%) patients in group B developed CH, 16 (48.5%) patients in group A and 24 (77.4%) patients in group B had improved axillary sweating, with a significant difference (p < 0.05). The satisfaction rate of group B was significantly higher than that of group A (p < 0.01).

Conclusions
Both T3 and T4 TS were safe and effective treatments for PH patients, but the incidence of CH in T4 TS was lower than that in T3 TS. T3 TS may be more suitable for patients with severe PH, while T4 TS had a better therapeutic effect on PH patients with axillary sweating.

keywords:

palmar hyperhidrosis, thoracoscopic sympathectomy, compensatory hyperhidrosis, axillary sweating, plantar sweating

  
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