The result of compensatory sweating after surgical treatment for essential hyperhidrosis had problems in objectivity and validity because it mainly depended on the subjective symptoms of patients. Therefore, we tried to evaluate more precisely and objectively, the distribution and degree of compensatory sweating by D.I.T.I.(Digital Infrared Thermographic Imaging) with subjective symptoms.
Humans ; Hyperhidrosis ; Sweat* ; Sweating*

BACKGROUND: Although variable surgical methods of sympathetic nerve for palmar hyperhidrosis are curative and safe therapeutic options, they have some limitations such as compensatory sweating and anhidrosis of hand in long term satisfaction rate. MATERIAL AND METHOD: Therefore, we tried to decrease severity of compensatory sweating and prevent excessive dryness of hand through selective division of rami communicantes of thoracic sympathetic ganglia distributed to the hands(ramicotomy). RESULT: In postoperative results, about half of the patients maintained humidity of hands and most of them showed no more than mild degree of compensatory sweating. CONCLUSION: Therefore, ramicotomy of thoracic sympathetic ganglia can be recommended as selective and physiologic surgical method for palmar hyperhidrosis.
Ganglia, Sympathetic* ; Hand ; Humans ; Humidity ; Hyperhidrosis* ; Hypohidrosis ; Sweat ; Sweating