OBJECTIVE The most unpleasant consequence of upper thoracic sympathectomy is compensatory sweating (CS). De-pending on the series, the incidence of CS ranges from 24% to 85%. The aim of this study was to determine the relation between CS and the following factors: distribution of hyperhidrosis, procedure performed (unilateral, synchronic bilateral, or sequential bilateral), and number of sympat...

BACKGROUND & OBJECTIVES Hyperhidrosis is a pathologic condition of excessive sweating in amounts greater than physiologic needs. Endoscopic thoracic sympathectomy (ETS) is a globally accepted treatment modality for primary palmar and axillary hyperhidrosis. ETS also has distinctive effects on the heart, circulatory and respiratory systems. In this study early effects of ETS on electrocardiograp...

OBJECTIVE To evaluate the effect of intracutaneous injections of botulinum toxin type A on excessive focal hyperhidrosis. DESIGN Therapeutic before-and-after trial over 4 months. SETTING Neurological and dermatological university departments. PATIENTS Eleven patients with excessive axillary, palmar, or plantar hyperhidrosis fulfilling the following criteria: (1) local and systemic drug th...

BACKGROUND AND OBJECTIVES Primary hyperhidrosis is characterized by excessive sweating in a defined region of the body. It should not be considered a purely cosmetic problem as it has a significant impact on the social and professional relationships of affected individuals. The aim of this study was to determine the clinical profile of patients with primary hyperhidrosis and assess the results ...

OBJECTIVE To determine the location of hyperhidrosis, the accompanying signs and symptoms, and patient anxiety assessed on 2 scales and standardized psychometric instruments. PATIENTS AND METHODS A prospective study of patients with hyperhidrosis was carried out between September 1, 2001 and June 30, 2003 with a self-administered preoperative questionnaire. The variables studied included the ...

1 Dumont P, Denoyer A, Robin P. Long-term results of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg 2004; 78:1801–7. 2 Gossot D, Galetta D, Pascal A et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 2003; 75:1075–9. 3 Chang Y-T, Li H-P, Lee J-Y et al. Treatment of palmar hyperhidrosis: T4 Level compared with T3 and T2. An...

We read with interest the article entitled `Needlescopic video-assisted thoracic surgery for palmar hyperhidrosis' by Yim et al. [1]. Based on our extensive experience in the treatment of palmar hyperhidrosis (PH) with thoracoscopic sympathectomy, we would like to comment on several important points. Thoracoscopic sympathectomy was reported by Kux in 1977 as a primitive keyhole vision technique...