Is sympathectomy at T4 level better than at T3 level for treating palmar hyperhidrosis?
PURPOSE: We compared the results from a video-assisted thoracoscopic sympathectomy (VTS) at the T4 denervation level with those from a VTS at the T3 level for the treatment of palmar hyperhydrosis (PH). METHODS: Seventy patients with PH were prospectively followed for VTS at the T3 or T4 denervation levels for 6 months. The end points of this study were: absence of PH, compensatory hyperhydrosis (CH), and quality-of-life assessment. RESULTS: Sixty-seven patients reported a complete resolution of PH after surgery. One failure occurred in the T3 group and 2 in the T4 group. When anhydrosis was obtained, we noticed totally dry hands in 26 patients in the T3 group and 6 patients in the T4 group. The other 27 patients in the T4 group and 8 in the T3 group maintained a small level of sweating and were also considered to be therapeutic successes. At 6 months, 25 patients in the T4 group had some degree of CH (71.42%) and all patients in the T3 group (100%), though the T4 group had a lower deg
Related Questions
- Is ETS surgery as effective in treating plantar hyperhidrosis (of the feet) as it is for palmar hyperhydrosis (of the hand)?
- Are there any risks involved in having a sympathectomy to treat Essential Palmar Hyperhidrosis?
- Is sympathectomy at T4 level better than at T3 level for treating palmar hyperhidrosis?
