title: Single port thoracoscopic sympathectomy for primary palmar hyperhidrosis in adolescence.
abstract: OBJECTIVE
  Hyperhidrosis is defined as excessive sweating beyond the physiologic needs of a person. Palmar hyperhidrosis in the adolescent period may have an impact on school work and may cause psychological problems. In this study we aim to increase awareness of this disregarded problem.
  
  
  METHODS
  We explicated the early outcomes of 7 consecutive adolescents, where single port video-assisted thoracoscopic sympathectomy was performed for primary palmar hyperhidrosis. Patients were evaluated for symptom resolution, which was defined as complete dryness, patient satisfaction, operative complications, and compensatory sweating.
  
  
  RESULTS
  In total 13 thoracoscopic procedures were done in 7 adolescents, consisting of 4 girls and 3 boys (median age = 16 years). Thoracoscopic sympathectomy achieved immediate complete dryness and all were very satisfied with the outcome of the procedure. Compensatory sweating was defined as mild by 4 (57%) patients.
  
  
  CONCLUSIONS
  Thoracoscopic sympathectomy is safe and effective for the treatment of primary palmar hyperhidrosis in the adolescent period without any major side effects.
authors.affiliation: Department of Thoracic Surgery, Kırıkkale University, Turkey.
authors.forename: Nesimi
authors.initials: N
authors.lastname: Günal
authors.forename: Berkant
authors.initials: B
authors.lastname: Ozpolat
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Dere Günal
authors.forename: Koray
authors.initials: K
authors.lastname: Dural
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D013562:Sympathectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*