Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis
Primary hyperhidrosis is a disorder in which there is an excessive amount of sweating more than required for the body’s thermoregulation. It is due to excessive function of the sudomotor sweat control system in the absence of a sweating trigger. We had a 25-year-old engineer, who presented with c...
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doaj-e6020f578ac5485db6a9f19469c2a3212020-11-25T03:51:41ZengNESONNepal Journal of Neuroscience1813-19481813-19562020-04-01171596210.3126/njn.v17i1.2834728347Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosisRupesh Chakradhar0Amit Thapa1Kathmandu Medical College Teaching Hospital (KMCTH), Sinamangal, Kathmandu, NepalKathmandu Medical College Teaching Hospital (KMCTH), Sinamangal, Kathmandu, NepalPrimary hyperhidrosis is a disorder in which there is an excessive amount of sweating more than required for the body’s thermoregulation. It is due to excessive function of the sudomotor sweat control system in the absence of a sweating trigger. We had a 25-year-old engineer, who presented with complaints of profuse sweating in both his palms, feet and axillae for more than 10 years. He had distressing symptoms disabling his daily activities and causing negative impact in his social, professional, recreational and quality of life. He took medical treatments including topical agents, anticholinergics, iontophoresis and even botulinum toxin injection. All these not only failed to give relief but only aggravated his disappointment. Endoscopic thoracic bilateral sympathectomy was performed from T2 to T4 level. Drastic improvement was seen in immediate post-operative period. Pre-operative palmar temperature of 90° Fahrenheit increased to 96.5° Fahrenheit in immediate post-operative period. His post-operative period was uneventful and was discharged on the second postoperative day. On follow-up after 30 days, the patient was asymptomatic, fully satisfied with the surgery and without any complications. Endoscopic thoracic sympathectomy is a safe, effective, fast and minimally invasive surgical modality of treatment for primary hyperhidrosis.https://www.nepjol.info/index.php/NJN/article/view/28347endoscopic thoracic sympathectomyprimary hyperhidrosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rupesh Chakradhar Amit Thapa |
spellingShingle |
Rupesh Chakradhar Amit Thapa Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis Nepal Journal of Neuroscience endoscopic thoracic sympathectomy primary hyperhidrosis |
author_facet |
Rupesh Chakradhar Amit Thapa |
author_sort |
Rupesh Chakradhar |
title |
Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis |
title_short |
Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis |
title_full |
Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis |
title_fullStr |
Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis |
title_full_unstemmed |
Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis |
title_sort |
endoscopic thoracic sympathectomy for primary palmar hyperhidrosis |
publisher |
NESON |
series |
Nepal Journal of Neuroscience |
issn |
1813-1948 1813-1956 |
publishDate |
2020-04-01 |
description |
Primary hyperhidrosis is a disorder in which there is an excessive amount of sweating more than required for the body’s thermoregulation. It is due to excessive function of the sudomotor sweat control system in the absence of a sweating trigger.
We had a 25-year-old engineer, who presented with complaints of profuse sweating in both his palms, feet and axillae for more than 10 years. He had distressing symptoms disabling his daily activities and causing negative impact in his social, professional, recreational and quality of life. He took medical treatments including topical agents, anticholinergics, iontophoresis and even botulinum toxin injection. All these not only failed to give relief but only aggravated his disappointment.
Endoscopic thoracic bilateral sympathectomy was performed from T2 to T4 level. Drastic improvement was seen in immediate post-operative period. Pre-operative palmar temperature of 90° Fahrenheit increased to 96.5° Fahrenheit in immediate post-operative period. His post-operative period was uneventful and was discharged on the second postoperative day. On follow-up after 30 days, the patient was asymptomatic, fully satisfied with the surgery and without any complications.
Endoscopic thoracic sympathectomy is a safe, effective, fast and minimally invasive surgical modality of treatment for primary hyperhidrosis. |
topic |
endoscopic thoracic sympathectomy primary hyperhidrosis |
url |
https://www.nepjol.info/index.php/NJN/article/view/28347 |
work_keys_str_mv |
AT rupeshchakradhar endoscopicthoracicsympathectomyforprimarypalmarhyperhidrosis AT amitthapa endoscopicthoracicsympathectomyforprimarypalmarhyperhidrosis |
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