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.
Key words
hyperhidrosis - thoracoscopy/VATS - mediastinum (incl. mediastinoscopy)
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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
