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Corresponding Author

Mustafa Alaulddin Mohammed Al-Bayati

Document Type

Original Article

Abstract

Background: Primary palmar hyperhidrosis is a medical condition characterized by excessive sweating, primarily but not exclusively on the palms. Frequently, it exerts a negative impact on the social interactions, educational pursuits, and professional endeavors of patients, potentially leading to varied degrees of psychological distress. Palmoplantar hyperhidrosis is a prevalent medical disorder characterized by excessive sweat secretion from the eccrine glands in the palms and soles.

Aim and objective: To evaluate the effectiveness of T3 versus T3 and T4 thoracoscopic sympathectomy in treating simultaneous palmar and plantar hyperhidrosis cases.

Patients and Methods: We conducted this study on 20 patients diagnosed with primary palmar and plantar hyperhidrosis. The General Surgery Department at Al-Azhar University selected these patients. The purpose of the study was to compare the outcomes of two different surgical procedures. In particular, 10 patients underwent T3 of the sympathetic chain (group A), while the remaining 10 underwent T3 and T4 of the sympathetic chain (group B).

Results: There were no statistically significant differences seen among the study groups in terms of age, sex, BMI, chest tube insertion, satisfaction, bradycardia, post-operative compensatory perspiration, and post-operative dryness of hand and foot.

Conclusion: Our investigation's findings confirm that sympathectomy performed at the T3 or T3+T4 levels offers effective and sustainable treatment for palmar and plantar hyperhidrosis.

Keywords

Thoracoscopic Sympathectomy; Concurrent Palmar; Plantar Hyperhidrosis

Subject Area

General Surgery

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