Evaluation of Needlescopic Sympathectomy for Management of Primary Palmar Hyperhidrosis in Children and Adolescents | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 6, June 2025, Pages 179-183 PDF (306.54 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aimj.2025.446627 | ||
| Authors | ||
| Ahmed Yahya Saad; Mohamed Ahmed Abdel Aziz; Ibrahim Ahmed Ismail Gamaan; Youssef Mohamed Ahmed | ||
| Pediatric Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Primary palmar hyperhidrosis (PPH) is a distressing disorder defined by profuse sweating due to sympathetic nervous system overactivity of unidentified etiology. Needlescopic sympathectomy offers a minimally invasive technique for treating PPH in children and adolescents. Objective: This study assesses the safety, efficacy, and cosmetic outcomes of Needlescopic sympathectomy in pediatric and adolescent patients with PPH. Methods: A prospective study was conducted on 30 patients diagnosed with PPH at Al-Azhar University Hospitals between August 2023 and August 2024. All patients underwent bilateral Needlescopic sympathectomy at the R3-R4 level. Preoperative and postoperative assessments included intraoperative complications, compensatory sweating, and quality of life (QOL) scores. Results: The mean patient age was 11.88 ± 1.9 years, with an average symptom onset at 6.33 ± 1.12 years; all of them had impairment of daily activities. The mean operative time was 41.7 ± 5.35 minutes, and hospital stay averaged 1.3 ± 0.4 days. Intraoperative complications included minimal bleeding in five patients (16.6%), surgical emphysema in two patients (6.6%), and Pneumothorax requiring chest tube insertion in four patients (13.3%). Compensatory sweating postoperatively at one month was mild in three patients (10%) and moderate in one patient (3%), and at six months, four patients had mild CS (13%) with no recurrence observed. QOL scores improved significantly, from 73.2 ± 4.8 preoperatively to 24.7 ± 5.4 postoperatively. Conclusion: Needlescopic sympathectomy is a safe, efficient, and cosmetically favorable procedure for managing PPH in pediatric and adolescent patients, offering significant improvement in quality of life. | ||
| Keywords | ||
| Palmar hyperhidrosis; thoracoscopic sympathectomy; Video-assisted thoracic surgery; Compensatory hyperhidrosis; Needlescopic sympathectomy | ||
|
Statistics Article View: 3 PDF Download: 2 |
||
