According to Extent of Sympathectomy, Compensatory Hyperhidrosis in Essential Hyperhidrosis.
- Author:
Doo Yun LEE
1
;
Yong Han YOON
;
Hae Kyoon KIM
;
Jung Sin KANG
;
Kyo Joon LEE
;
Hwa Gyun SHIN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of medicine, Yongdong.
- Publication Type:Original Article
- Keywords:
Hyperhidrosis;
Complication
- MeSH:
Humans;
Hyperhidrosis*;
Incidence;
Korea;
Respiratory Center;
Seoul;
Sweat;
Sweating;
Sympathectomy*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(2):175-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Since 1992, we developed the technique for video endoscopic sympathectomy to treat palmar hyperhidrosis. It was soon proven to be a simple and effective therapy for essential hyperhidrosis. Compensatory hyperhidrosis, however, is the main cause of patient dissatisfaction after video-assisted thoracoscopic sympathectomy. According to many authors, initial satisfaction rate was high(94-98%), but it was declined with time (66%) due to mainly to embarrassing side effects. MATERIAL AND METHOD: From January 1992 to February 1998, the thoracoscopic T2 sympathicotomy, T2 sympathectomy and T2-4 sympathectomy were performed in 315 patients suffering from Essential hyperhidrosis in the Department of Thoracic and Cardiovascular Surgery in the Respiratory Center of Yongdong Severance Hospital Seoul, Korea. Eighty-nine patients underwent T2 sympathicotomy, and Eighty-eight patients underwent division T2 sympathectomy. RESULT: All of the treated patients obtained satisfactory alleviation of essential hyperhidrosis. The global rate of compensatory sweating were ; 64.0% in T2 sympathicotomy, 73.8% in T2 sympathectomy and 87.8% in T2-4 sympathectomy. The rate of embarrassing or disabling compensatory sweating was significantly higher in T2 sympathicotomy 15.7%(14/89) and in T2 sympathectomy 32.8%(28/88) than in T2-4 sympathectomy 58.0%(80/138) with significancy in statistic analysis(p<0.05). Video- assisted thoracoscopic sympathectomy is an effective minimally invasive and effective procedure. CONCLUSION: We suggest that the incidence and degree of compensatory hyperhidrosis was closely related to the extent of thoracic sympathectomy.
