Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis—the combined paediatric, adolescents and adult experience
2003
Objective:
To present our experience, over the past 4 years, of thoracoscopic upper thoracic sympathectomy in patients with primary palmar hyperhidrosis.
Design:
Retrospective study.
Setting:
University hospital, Israel.
Subjects:
402 thoracoscopic upper thoracic sympathectomies in 223 patients over a period of 4 years.
Interventions:
Thoracoscopic ablation of ganglia and severing of the sympathetic chain at the level of T2 and T3. 142 patients underwent bilateral simultaneous sympathectomy, 37 had bilateral non-simultaneous sympathectomy and 44 had unilateral sympathectomy.
Results:
220 patients (98.7%) had an uneventful postoperative course and were discharged the following day. Three patients with residual pneumothorax required intercostal drainage and were discharged on the third postoperative day. 219 patients (98.2%) were completely satisfied, having immediate and permanent relief of palmar sweating. Four patients were dissatisfied.
Conclusion:
The thoracoscopic approach to the upper thoracic sympathectomy is at present the procedure of choice. Early operation for severe palmar hyperhidrosis is indicated to save a child many years of frustration and discomfort. Copyright © 1998 Taylor and Francis Ltd.
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