Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis

Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis; a Pilot Study

Evaluation of staged endoscopic thoracoscopic sympathicotomy in treatment of palmo-axillo-plantar hyperhidrosis

This is a pilot study that investigates the efficacy of video-assisted endoscopic sympathicotomy from the level of T3 to T12 on combined palmar and plantar hyperhidrosis.

Ablation of ascending sympathetic fibers would help alleviating both types of hyperhidrosis in a single setting.

Inclusion Criteria:

• patients with combined palmo-axillo-plantar hyperhidrosis of ASA grade I and II

Exclusion Criteria:

• Patients under 16 years.
• Patients with bradycardia (heart rate <80 beats per minute).
• Patients with concomitant lung pathology, frozen mediastinum, pleural effusion, or history of intercostal tube insertion.
• Patients with cardiac problems with ejection fraction less than 60%.
• Patient suffering from isolated palmo-axillary hyperhidrosis not associated with plantar hyperhidrosis.
• Patients suffering from craniofacial hyperhidrosis, either isolated or combined with other areas of hyperhidrosis.