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| Format: | Recurso digital |
| Language: | English |
| Published: |
Zenodo
2023
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| Online Access: | https://doi.org/10.5281/zenodo.19770067 |
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Table of Contents:
- <div class="main_entry"> <h2 class="label">Abstract</h2> <p><strong>Background</strong>: Palmar hyperhidrosis is a disorder of excessive eccrine gland activity affecting the palms with an estimated prevalence of approximately 2.8%. Endoscopic thoracic sympathectomy (ETS) remains the definitive therapeutic intervention for refractory palmar hyperhidrosis, performed either through multi-level interruption of the sympathetic chain (T2–T5) or targeted single-level division at T3 or T4, the latter demonstrating a reduced incidence of postoperative complications.</p> <p><strong>Methods</strong>: This multicentric study employed a descriptive design with both prospective and retrospective components and was conducted between (June 2021) to (June 2023). A total of 45 patients with primary palmar hyperhidrosis underwent endoscopic thoracoscopic sympathectomy (ETS). Patients were followed for a mean duration of 6 months and were assessed for improvement in palmar sweating, postoperative pain, the occurrence of postoperative complications, and overall quality of life.</p> <p><strong>Results</strong>: All patients showed an improvement for their 1ry palmar hyperhidrosis, with a significant difference in favor of the single-level cut. Compensatory hyperhidrosis was recorded in all cases of group A (100%) and in 6 cases of group B (40%) and 1 case of group C (6.7%). 2 (13.3%) cases of group B and 6 (40%) cases in group C showed recurrence of 1ry palmar hyperhidrosis, but less severe than the original condition. Patients’ satisfaction with improvement in quality of life was recorded starting from the first postoperative evaluation, but without a difference between the 3 groups.</p> <p><strong>Conclusion</strong>: Both techniques were effective for handling palmar hyperhidrosis with a high grade of patients’ satisfaction. Single-level division carries more advantages in the form of less incidence of post-operative pain, short operative time, with fewer incidences of post-operative complications.</p> </div> <div class="entry_details"> <div class="item galleys"> </div> </div>