title: [Palmar hyperhidrosis in childhood: thoracoscopic sympathectomy].
abstract: BACKGROUND
  Excessive hand sweating, known as palmar hyperhidrosis, is a disabling disorder that starts during the childhood, and can have a strong negative impact on the quality of life of affected children, as they feel rejected by others due to their permanently damp hands, suffering during school activities, contact sports and daily games.
  
  
  METHODS
  Thoracoscopic sympathicolysis is easy to perform and has proven to be safe, with a short operating time. A review was performed on 48 children who underwent surgical treatment of palmar hyperhidrosis and answered a follow-up questionnaire to evaluate their level of satisfaction.
  
  
  RESULTS
  Considering the final surgical results, the 48 patients were completely satisfied with the outcome of the operation. Significant complications or adverse effects were not detected.
  
  
  CONCLUSIONS
  The primary palmar hyperhidrosis is a pathology that entails an important reduction in the quality of life of those who suffer it. With the results of this technique in hand, we recommend the endoscopic thoracic sympathicolysis procedure for the treatment of this pathology in paediatrics. The level of patient satisfaction was high.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Universitario Materno Infantil de Canarias, Las Palmas de Gran Canaria. raimundobeltra@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Beltrà Picó
authors.forename: C
authors.initials: C
authors.lastname: Hernández Castelló
authors.forename: F
authors.initials: F
authors.lastname: González López
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006229:Hand Dermatoses / Q000601:surgery*; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy