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KMID : 0364020080410010089
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 1 p.89 ~ p.94
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Clinical Outcomes of Thoracic Sympathicotomy for Palmar Hyperhidrosis
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Lee Jang-Hoon
Lee Jung-Cheul
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Abstract
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Background : Thoracoscopic R3 sympathicotomy can effectively treat palmar hyperhidrosis. Here, we evaluated post-operative outcomes of patients receiving a thoracoscopic R3 sympathicotomy due to palmar hyperhidrosis.
Materials & Methods : From January 2001 to December 2006, 225 patients were treated with a R3 sympathicotomy, and follow up was completed for 200 patients, with an average follow up period of 51.7 (11∼80) months. We measured postoperative hand sweating according to four grades; dry (grade 1), proper (grade 2), light sweating (grade 3), heavy sweating (grade 4) and evaluated patient satisfaction using 4 grades: very good (grade 0), good (grade1), regular (grade 2), and deficient (grade 3).
Results : There were no differences in clinical parameters between the compensatory sweating group and the non-compensatory sweating group. There was a 83.5% compensatory sweating rate. The degree of compensatory sweating related to the patient’s body mass index and was influenced by the season, environmental temperature, and emotional stress.
Conclusion : The satisfaction rate was 61.5%, and the degree of satisfaction related to the development of compensatory sweating. Therefore, reducing compensatory sweating would increase patient satisfaction with R3 sympathicotomies. (Korean J Thorac Cardiovasc Surg 2008;41:89-94)
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KEYWORD
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Hyperhidrosis, Compensatory hyperhidrosis, , Sympathicotomy
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