title: Results of thoracoscopic sympathectomy for 96 cases of palmar hyperhidrosis.
abstract: From August 1996 to August 1997, we performed thoracoscopic sympathectomy for 96 cases of palmer hyperhidrosis. The patients' ages were from 22 to 58 years old (mean age: 28; gender ratio: male/female: 3/2). Most of them were students, workers or clerks. The patients were divided in two series: in 61 patients, the sympathetic chain before the 2nd to 4th ribs was removed in the lateral approach with a 3 hole procedure. In 35 patients, the 2nd portion of the sympathetic chain was destroyed (by electric cauter) in the posterior approach with a 2 hole procedure. The results were almost the same in the first series (all cases have a fair benefit), but in the second series, some advantages may be useful for therapy, i.e no need to turn the patients, severe compensation sweating is minimized (from 4% ==> 0%) and the amount of holes is reduced.
authors.affiliation: Binh Dan Hospital, 371 Dien Bien Phu St, 3rd District, Ho Chi Minh City, Vietnam.
authors.forename: V
authors.initials: V
authors.lastname: Tan
authors.forename: H
authors.initials: H
authors.lastname: Nam
mesh_terms: D000320:Adrenergic Fibers; D000328:Adult; D004724:Endoscopy; D005260:Female; D006225:Hand / Q000294:innervation; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D016896:Treatment Outcome