Yonsei Med J.  2018 Mar;59(2):345-348. 10.3349/ymj.2018.59.2.345.

Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis

• Jung HS
• Lee DY
• Park JS

• KMID: 2418802
• DOI: http://doi.org/10.3349/ymj.2018.59.2.345

Abstract

Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.

Keyword

Hyperhidrosis; nerve transfer; sympathetic nerve; thoracoscopy

MeSH Terms

Adult
Female
Humans
Hyperhidrosis/*surgery
Male
Recurrence
Thermography
Thoracoscopy
Treatment Outcome

Figure

• 

  Fig. 1 Thoracoscopic image of harvesting extended lower sympathetic nerve (A) and reconstructed sympathetic nerve using in-situ sympathetic nerve graft (B).

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  Fig. 2 Infrared thermographic image achieved before sympathetic reconstruction surgery (A) and after postoperative 3 days (B).

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