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Comparative Study
Influence of T3 or T4 sympathicotomy for palmar hyperhidrosis.
- Won Oak Kim, Hae Keum Kil, Kyung Bong Yoon, Duck Me Yoon, and Jung Soo Lee.
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea. wokim@yuhs.ac
- Am. J. Surg. 2010 Feb 1; 199 (2): 166-9.
BackgroundThis retrospective study aimed to compare the efficacy of video-assisted thoracoscopic sympathicotomy at the T3 or T4 level in the treatment of palmar hyperhidrosis.MethodsPatients were operated on for palmar hyperhidrosis from April 2004 to December 2007, and classified as the T3 (n = 56) or T4 (n = 63) sympathicotomy group.ResultsThe rate of dryness and compensatory hyperhidrosis (CH) was significantly lower in the T4 sympathicotomy group than the T3 group (P < .01). Satisfaction rate, recurrence, and improvement of plantar sweating were of no statistical significance in either group.ConclusionsAlthough both sympathicotomies were effective, safe, and minimally invasive methods for the treatment of palmar hyperhidrosis, T4 appeared to be a more optimal technique with less CH.Copyright 2010 Elsevier Inc. All rights reserved.
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