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Turkish Journal of Medical Sciences

Single port thoracoscopic sympathectomy for primary palmar hyperhidrosis in adolescence

Nesimi GÜNAL1, Berkant ÖZPOLAT1, Yasemin DERE GÜNAL2, Koray DURAL1

1Department of Thoracic Surgery, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey
2Department of Pediatric Surgery, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey

Abstract: Hyperhidrosis is defined as excessive sweating beyond the physiologic needs of a person. Palmar hyperhidrosis in the adolescent period may have an impact on school work and may cause psychological problems. In this study we aim to increase awareness of this disregarded problem. Materials and methods: We explicated the early outcomes of 7 consecutive adolescents, where single port video-assisted thoracoscopic sympathectomy was performed for primary palmar hyperhidrosis. Patients were evaluated for symptom resolution, which was defined as complete dryness, patient satisfaction, operative complications, and compensatory sweating. Results: In total 13 thoracoscopic procedures were done in 7 adolescents, consisting of 4 girls and 3 boys (median age = 16 years). Thoracoscopic sympathectomy achieved immediate complete dryness and all were very satisfied with the outcome of the procedure. Compensatory sweating was defined as mild by 4 (57%) patients. Conclusion: Thoracoscopic sympathectomy is safe and effective for the treatment of primary palmar hyperhidrosis in the adolescent period without any major side effects.

Key words: Hyperhidrosis, video-assisted thoracoscopic surgery, sympathectomy


Turk J Med Sci 2014; 44(1): 79-83.
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Other articles published in the same issue: Turk J Med Sci,vol.44,iss.1.