LIMITED T-4 SYMPATHICOTOMY FOR PRIMARY PALMAR HYPERHIDROSIS (MANSOURA UNIVERSITY HOSPITAL EXPERIENCE) | ||||
| The Egyptian Journal of Surgery | ||||
| Article 3, Volume 30, Issue 3, July 2011, Page 104-110 PDF (531.04 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2011.367355 | ||||
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| Authors | ||||
| Hosam Roshdy* ; Khaled El Alfy | ||||
| General & Vascular Surgery Department, Faculty of Medicine, Mansoura University, Egypt | ||||
| Abstract | ||||
| Aim: Hyperhidrosis is excessive sweating beyond physiologic needs resulting in profuse sweating of the palms, axillae, feet, and face. Endoscopic transthoracic sympathicotomy is a popular surgical technique to treat primary hyperhidrosis; the aim of this study is to assess the effectiveness of limited T4 sympathicotomy for alleviating palmar hyperhidrosis and preventing compensatory hyperhidrosis. Methods: This study was conducted in General and Vascular Surgery Unit at Mansoura University Hospital in the period from February 2008 to January 2011 on 78 patients. All patients complained of palmar hyperhidrosis, 15 of them complained also from axillary hyperhidrosis, T4 sympathicotomy by diathermy was done to all patients (T5 sympathicotomy was also done with T4 in patients suffering from axillary hyperhidrosis). Results: One hundred and fifty six sympathicotomies were consecutively done in 78 patients. The mean age was (22.6±5.2 years) and there were 48 females and 30 males. 24 patients (30.8%) had family history of hyperhidrosis. Mean operative time was (35±7 minutes). No recurrence, no compensatory hyperhidrosis were observed in all patients .minor Complications were occurred in three patients (Pneumothorax in one patient and segmental atelectasis in two patients). All patients are satisfied with the operation. In addition, an improvement in the quality of life was seen starting from the first postoperative evaluation and maintained until the end of the follow up. Conclusion: Limited T4 blockade is an easy, safe and effective treatment for patients with primary palmar hyperhidrosis without postoperative reflex sweating. | ||||
| Keywords | ||||
| Hyperhidrosis; sympathicotomy; Reflex sweating; Sympathetic block | ||||
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