Thorac Cardiovasc Surg 2011; 59(6): 357-359
DOI: 10.1055/s-0031-1280007
Original Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Is T3 and T6 Sympathetic Clipping More Effective in Primary Palmoplantar Hyperhydrosis?

R. Gorur1 , N. Yiyit1 , A. Yildizhan1 , F. Candas1 , H. Turut2 , H. Sen3 , T. Isitmangil1
  • 1Department of Thoracic Surgery, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey
  • 2Department of Thoracic Surgery, Rize Teaching Hospital, Istanbul, Turkey
  • 3Department of Anesthesiology, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey
Further Information

Publication History

received February 9, 2011 resubmitted April 25, 2011

accepted April 27, 2011

Publication Date:
15 July 2011 (online)

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. Materials and 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.

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Dr. Rauf Gorur, MD

Department of Thoracic Surgery
GATA Haydarpasa Teaching Hospital

34668 Uskudar, Istanbul

Turkey

Phone: +90 53 26 80 28 16

Fax: +90 21 63 25 72 57

Email: araufg@yahoo.com