Thoracoscopic (upper thoracic) sympathectomy for primary palmar hyperhidrosis in children
Rashid, H.I.; Osman, H.S.; McIrvine, A.J.
International Journal of Clinical Practice 52(8): 537-538
1998
ISSN/ISBN: 1368-5031 PMID: 10622050 Document Number: 488978
Primary palmar hyperhidrosis is a disabling disorder that starts in childhood and causes physical and psychological inconvenience. Conservative treatment is not effective in severe cases. Thoracoscopic sympathectomy is the treatment of choice. It is a safe minimally invasive procedure with good results. There are few reports in the UK regarding surgical treatment in children. Post-operative compensatory hyperhidrosis of the trunk and thighs occurs in up to 50% of cases. We report on three cases involving six procedures.