Endoscopic expanded sympathotomy for the treatment of extremely severe compensatory hyperhidrosis: A case report
- VernacularTitle:胸腔镜下扩大胸交感神经切断术治疗极重度代偿性多汗一例
- Author:
Yuanrong TU
1
;
Quan DU
1
;
Jianfeng CHEN
1
;
Min LIN
1
;
Zhi FENG
1
Author Information
1. 1. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, P. R. China 2.Department of Thoracic Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350212, P. R. China
- Publication Type:Journal Article
- Keywords:
Palmar hyperhidrosis;
compensatory hyperhidrosis;
expanded sympathotomy;
thoracoscopy;
case report
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(07):1071-1073
- CountryChina
- Language:Chinese
-
Abstract:
Compensatory hyperhidrosis (CH) is a severe side effect that occurs after endoscopic thoracic sympathotomy (ETS) for the treatment of palmar hyperhidrosis. CH significantly interferes with daily activities such as work, study, and social interactions, leading to a substantial decrease in the quality of life for patients. Preventing and treating CH are currently important and challenging issues in minimally invasive surgery for palmar hyperhidrosis. In this report, we presented a 29-year-old male patient who experienced severe CH for 8 years following ETS. The patient underwent staged unilateral endoscopic expanded sympathotomy (ES) at our hospital on December 11, 2023 and January 3, 2024, targeting the R4-R10 levels. After a 3-month follow-up, the patient experienced significant improvement in clinical symptoms and quality of life, with no recurrence of palmar hyperhidrosis or other complications. The treatment outcome was satisfactory.
