caa a22 4500 463158040 CHVBK 20180406164740.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s10286-007-0420-5 doi (NATIONALLICENCE)springer-10.1007/s10286-007-0420-5 Evaluation of plantar hyperhidrosis in patients undergoing video-assisted thoracoscopic sympathectomy [Elektronische Daten] [Nelson Wolosker, Guilherme Yazbek, José Milanez de Campos, Paulo Kauffman, Augusto Ishy, Pedro Puech-Leão] Background: Sympathectomy is the treatment of choice for primary hyperhidrosis. One curious occurrence that is difficult to explain from an anatomophysiological point of view in cases of video-assisted thoracoscopic sympathectomy (VATS) for the treatment of palmar hyperhidrosis (PH) is the observed improvement in plantar hyperhidrosis (PLH). Nevertheless, current reports on VATS rarely describe the effect on PLH or just give superficial data. The aim of this study was to prospectively investigate, how surgery affects PLH in patients with PH and PLH over one-year period. Methods: From May 2003 to January 2004, 70 consecutive patients with combined PH and PLH underwent VATS at the T2, T3, or T4 ganglion level (47 women and 23 men, with mean age of 23 years). Results: Immediately after the operation, all the patients said they were free from PH episodes, except for two patients (2.8%) who suffered from continued PH. Compensatory hyperhidrosis (CH) of various degrees was observed in 58 (90.6%) patients after one year. Only 13 (20.3%) suffered from severe CH. There was a great initial improvement in PLH in 50% of the cases, followed by progressive regression, such that only 23.4% still presented that improvement after one year. The number of cases without overall improvement increased progressively (from 17.1% to 37.5%) and the numbers with slight improvement remained stable (32.9-39.1%). Of the 24 patients with no improvement after one year, 6 patients graded plantar sweating worse. Conclusion: Patients with PH and PLH who undergo VATS to treat their PH present a good initial improvement in PLH that reduces to a lower level of improvement after the one-year period. Springer, 2007 sweating nationallicence hyperhidrosis nationallicence autonomic nerve block nationallicence autonomic ganglia nationallicence autonomic nervous system nationallicence treatment nationallicence Wolosker Nelson Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Yazbek Guilherme Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Milanez de Campos José Division of Thoracic Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Kauffman Paulo Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Ishy Augusto Division of Thoracic Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Puech-Leão Pedro Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut https://doi.org/10.1007/s10286-007-0420-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10286-007-0420-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wolosker Nelson Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Yazbek Guilherme Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Milanez de Campos José Division of Thoracic Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Kauffman Paulo Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Ishy Augusto Division of Thoracic Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Puech-Leão Pedro Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer