• H J Chen, D Y Shih, and S T Fung.
• Department of Surgery, Chang Gung Medical College, Kaohsiung, Taiwan, Republic of China.
• Arch Surg Chicago. 1994 Jun 1; 129 (6): 630-3.

ObjectiveTransthoracic endoscopic electrocauterization of the sympathetic chain for palmar hyperhidrosis is presented.DesignA retrospective study of 180 patients during a 2-year period was carried out. The duration of follow-up was from 2 to 12 months.SettingGeneral community, referral center, and hospitalized care.PatientsThis study was carried out in 180 patients (116 female and 64 male). The age distribution was between 13 and 43 years (mean age, 21.6 years). They complained of palmar hyperhidrosis without other underlying diseases.InterventionsOne-stage bilateral surgery except for three patients with unilateral pleural adhesions.Main Outcome MeasuresPatients were interviewed 1 week after surgery and then they were contacted by a questionnaire about improvement of hyperhidrosis and complications.ResultsThis procedure shows a success rate in 98% of the patients. No pneumothorax requiring a chest tube drainage and no Horner's syndrome were recorded. The most common side effect was compensatory sweating in 70% of these patients.ConclusionThis procedure is effective, simple, and requires only an overnight study. It is recommended as the method of choice for surgical treatment of upper extremity hyperhidrosis.

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