Abstract
Palmar hyperhidrosis is a common problem which leads to embarrassment, frustration, social withdrawal, and low self-esteem. This can be treated either medically with transient effect or open surgery with a single large incision to a minimally invasive surgery with tri-, then bi-, and lastly uniportal VATS with permanent effect. We studied 60 patients aged 11 to 25 years who underwent thoracic biportal VATS sympathectomy for palmar hyperhidrosis between September 2017 and September 2018 in Kafrelsheikh University hospital; they were subdivided into two groups, group A with drain group (30 patient, 13 males and 17 females) and group B without drain group (16 males and 14 females). We noticed that in group B, postoperative pain was less, hospital stay was less, and has better cosmetic results, and this group was more economic. There is no difference between both groups but we preferred without drain method as it is more economic, less postoperative pain and less hospital stay and better cosmetic results. A further study with more number of populations is recommended to confirm the results.
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References
Leung AK, Chan PY, Choi CK (1999) Hyperhidrosis. Int J Dermat 38:561–567
Vazquez-Lopez MS, Relgosa RP Palmar hyperhidrosis in a 13-year old boy: treatment with botulinum toxin A. Clin Pediatr 44:549–551
John RM, Daniel F (2018) Hyperhidrosis: management options. Am Fam Physician 97:729–734
Nawrocki S, Cha J (2019) The etiology, diagnosis and management of hyperhidrosis: a comprehensive review. Part II. Therapeutic options. J Am Acad Dermatol. https://doi.org/10.1016/j.jaad.2018.11.066
Johnson JP, Obasi C, Hahn MS, Glatleider P (1999) Endoscopic thoracic sympathectomy. J Neurosurg 91:90–97
Mohsen I, Cecilia M, Claudio A et al Bilateral single-port sympathectomy: long-term results and quality of life. Hindawi Publishing Corporation. BioMed Res Int 2013:348017 6 pages
José RM, Paulo K, Carolina B et al (2018) Upper extremity sympathectomy. J Vis Surg 4:180
Yehia Z, Mohamed R, Emad M, et al (2018) Video-assisted thoracoscopic bilateral sympathectomy for primary hyperhidrosis in Zagazig University Hospitals. Z.U.M.J.Vol. 24; No.2
Kopelman D, Hashmonai M (2003) Upper thoracic sympathetic surgery Open surgical techniques. Clin Auton Res 13(1):10–15
Patrick PH, Oren NG, Kathy JK et al (2002) Biportal thoracoscopic sympathectomy: surgical techniques and clinical results for the treatment of hyperhidrosis. Neurosurgery 50(2)
Georgios PG, Marius B, Viacheslav B et al (2004) Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach. Interact Cardiovasc Thorac Surg 3:437–441
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Elmallah, M., Abdelaal, M., Elfeky, W. et al. Video-Assisted Thoracoscopic Sympathectomy Without Drain. Indian J Surg 83, 424–427 (2021). https://doi.org/10.1007/s12262-020-02348-y
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DOI: https://doi.org/10.1007/s12262-020-02348-y