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KMID : 0377220000250020088
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Medical Journal of Chosun Univercity
2000 Volume.25 No. 2 p.88 ~ p.92
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Microinvasive Video-assisted Thoracoscopic Sympathicotomy for Primary Palmar Hyperhidrosis
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Kim Bo-Young
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Abstract
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Background : Although video-assisted thoracoscopic surgery for palmar hyperhidrosis is now widely accepted as the approach of choice, the optimal technique has remained a subject of controversy. We have used 2-mm dual port video-assisted thoracoscopic Sympathicotomy for primary palmar hyperhidrosis. This study evaluates the short-term results of the technique.
Methods : A retrospective review was carried out of 45 patients, 20 men and 25 women, with a mean age of 24.2 years. In the period from April 1998 to August 1999, 90 consecutive video-assisted Sympathicotomy for primary palmar hyperhidrosis either in isolation (n=56) or in combination with axillary and plantar hyperhidrosis (n=34) was performed. The mean follow-up period was 11.3 months. Attention was focused on patient’ s satisfaction, complications and morbidity.
Results : Dry limbs were immediately achieved in all patients after surgery. There was no operative mortality and one case of transient Horner’ s syndrome was developed. Eight of 20 with plantar hyperhidrosis showed simultaneous improvement. The overall mean satisfaction rate was 92±2 percent with a median 93 percent improvement using a visual linear analogue scale from 0 (poor) to 100 percent (excellent). Only two patients were dissatisfied with the operative results due to compensatory hyperhidrosis (CH), which occurred in 25 patients and improved 20 patients within the follow-up period.
Conclusions: The video-assisted thoracoscopic sympathicotomy with 2mm endoscope is a speedy and safe way of controlling hyperhidrosis with excellent cosmetic result while minimizing complication.
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KEYWORD
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Hyperhydrosis, sympathicotomy, video-assisted thoracoscopic surgery
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