Injection of hot saline into the thoracic sympathetic ganglia for treatment of palmar hyperhydrosis
- Author:
Xuan Thuong Nguyen
- Publication Type:Journal Article
- Keywords:
hyperhydrosis
- MeSH:
Ganglia, Sympathetic;
Sympathectomy
- From:Journal of Vietnamese Medicine
1999;232(1):188-193
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
More than 300 patients with palmar hyperhydrosis had been treated by classical upper thoracic sympathectomy at the Department of Neurosurgery in Viet Duc hospital. From 5/1977 to 1/1999, 600 patients were treated by a new technique: a bilateral percutaneous injection of boiling saline into the paravertebral areas containing the upper sympathetic ganglia. An objective reliable criterion of the success of the procedure is arterial criterion of the success of the procedure is arterial vasodilatation in the upper limb, evidenced by pre and postoperative DOPPLER effects and accompanied by dryness of the hands. Good results were obtained in 71% of the patients, bad results in 18% and relapse in 11%. Two major complications were Horner’s syndrome and compensatory hyperhydrosis. The results show that non-surgical sympathectomy has nearly the same results than that of open sympathectomy, with the advantages of greater simplicity and lower cost.
