Influence of T3 or T4 sympathicotomy for palmar hyperhidrosis

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Authors: Won Oak Kim ; Hae Keum Kil ; Kyung Bong Yoon ; Duck Me Yoon ; Jung Soo Lee

MeSH: Adolescent ; Adult ; Electrocoagulation/methods ; Female ; Hand* ; Humans ; Hyperhidrosis/surgery* ; Male ; Patient Satisfaction ; Postoperative Complications ; Retrospective Studies ; Sympathectomy/adverse effects ; Sympathectomy/methods* ; Thoracic Surgery, Video-Assisted/methods ; Thoracic Vertebrae

Keywords: Hyperhidrosis ; Sympathicotomy ; Thoracic surgery ; Video-assisted thoracoscopic surgery

Abstract: BACKGROUND: This retrospective study aimed to compare the efficacy of video-assisted thoracoscopic sympathicotomy at the T3 or T4 level in the treatment of palmar hyperhidrosis.

METHODS: Patients were operated on for palmar hyperhidrosis from April 2004 to December 2007, and classified as the T3 (n = 56) or T4 (n = 63) sympathicotomy group.

RESULTS: The rate of dryness and compensatory hyperhidrosis (CH) was significantly lower in the T4 sympathicotomy group than the T3 group (P < .01). Satisfaction rate, recurrence, and improvement of plantar sweating were of no statistical significance in either group.

CONCLUSIONS: Although both sympathicotomies were effective, safe, and minimally invasive methods for the treatment of palmar hyperhidrosis, T4 appeared to be a more optimal technique with less CH

Full Text: http://www.sciencedirect.com/science/article/pii/S000296100900097X

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

Yonsei Authors: Kil, Hae Keum(길혜금)
Kim, Won Oak(김원옥)
Yoon, Kyoung Bong(윤경봉) https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)

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