title: Is T3 and T6 sympathetic clipping more effective in primary palmoplantar hyperhydrosis?
abstract: OBJECTIVE
  Our aim was to establish a standardized approach for patients with palmoplantar and axillary hyperhidrosis and to compare patient satisfaction and complication rates for two different operations.
  
  
  METHODS
  Between 2008 and 2010, 30 patients underwent conventional T3/4 clipping (group A), and 30 underwent only T3 and T6 clipping (group B). Both groups were compared with regard to compensatory sweating (CS), complications, patient satisfaction and recovery of plantar hyperhidrosis.
  
  
  RESULTS
  The CS rate was 60 % in group A and 47 % in group B. CS was significantly less in group B compared to group A ( P ≤ 0.001). The plantar hyperhidrosis recovery rate was higher in group B (n = 19) compared to group A (n = 13), but the difference was not statistically significant ( P ≥ 0.299). Patient satisfaction rate was 93.3 % in group A and 96.6 % in group B.
  
  
  CONCLUSIONS
  Our study showed that T3/6 clipping was as effective as T3/4 clipping for palmar and axillary hyperhidrosis. Our results revealed that this technique is more effective than T3/4 sympathectomy to treat plantar hyperhidrosis.
authors.affiliation: Department of Thoracic Surgery, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey. araufg@yahoo.com
authors.forename: R
authors.initials: R
authors.lastname: Gorur
authors.forename: N
authors.initials: N
authors.lastname: Yiyit
authors.forename: A
authors.initials: A
authors.lastname: Yildizhan
authors.forename: F
authors.initials: F
authors.lastname: Candas
authors.forename: H
authors.initials: H
authors.lastname: Turut
authors.forename: H
authors.initials: H
authors.lastname: Sen
authors.forename: T
authors.initials: T
authors.lastname: Isitmangil
mesh_terms: D005260:Female; D005728:Ganglia, Sympathetic / Q000601:surgery*; D006801:Humans; D006945:Hyperhidrosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013546:Sweating; D013562:Sympathectomy / Q000009:adverse effects / Q000379:methods*; D013904:Thoracic Vertebrae; D013906:Thoracoscopy / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D055815:Young Adult