Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis.
10.3349/ymj.2018.59.2.345
- Author:
Hee Suk JUNG
1
;
Doo Yun LEE
;
Joon Suk PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea. dylee4831@chamc.co.kr
- Publication Type:Case Report
- Keywords:
Hyperhidrosis;
nerve transfer;
sympathetic nerve;
thoracoscopy
- MeSH:
Adult;
Female;
Humans;
Hyperhidrosis/*surgery;
Male;
Recurrence;
Thermography;
Thoracoscopy;
Treatment Outcome
- From:Yonsei Medical Journal
2018;59(2):345-348
- CountryRepublic of Korea
- Language:English
-
Abstract:
Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.
