RESULTS OF ENDOSCOPIC THORACIC SYMPATHECTOMY DUE TO PALMAR HYPERHIDROSIS AT THAI NGUYEN NATIONAL HOSPITAL

Phú Hải Nguyễn, Quang Nhật Lô

Main Article Content

Abstract

Research objectives: 1. To describe some clinical characteristics of patients with palmar hyperhidrosis underwent endoscopic thoracic sympathectomy at Thai Nguyen National Hospital. 2. Evalution results of endoscopic thoracic sympathectomy due to palmar hyperdrosis at Thai Nguyen National Hospital. Subjects and Methods: A cross-sectional description of 61 patients underwent thoracic sympathectomy due to palmar hyperhidrosis from 2021 to 2025. Results: The age under 28 was the highest percentage, in 88.5%. The male – to – female ratio was 50.8% and 49.2%. Occupations are mainly pupils and students, accounted for 72.8%.  77% patients had not received prior treatment and 23% had received medical treatment. The most common degree of sweating was grade II (according to Krasna). The mean of surgery time was 5 to 10 minutes per side. There were 2 patients with pneumothorax after surgery. Three months after surgical intervention, an intensification of compensatory sweating was observed in 54.1% at back and 4.9% at chest and abdomen. Conclusion: Endoscopic thoracic sympathectomy is an effective and safe treatment for patients with palmar hyperhidrosis, especially in young people.

Article Details

References

Parashar, K., Adlam, T. & Potts, G. The Impact of Hyperhidrosis on Quality of Life: A Review of the Literature. Am J Clin Dermatol 24, 187–198 (2023).
2. Romero, F. R., Haddad, G. R., Miot, H. A. & Cataneo, D. C. Palmar hyperhidrosis: clinical, pathophysiological, diagnostic and therapeutic aspects. An Bras Dermatol 91, 716–725 (2016).
3. Gregoriou, S., Sidiropoulou, P., Kontochristopoulos, G. & Rigopoulos, D. Management Strategies Of Palmar Hyperhidrosis: Challenges And Solutions. Clin Cosmet Investig Dermatol 12, 733–744 (2019).
4. Fujimoto, T. Pathophysiology and Treatment of Hyperhidrosis. Curr Probl Dermatol 51, 86–93 (2016).
5. Nguyễn T. T. T. & Nguyễn T. T. Đặc điểm lâm sàng bệnh nhân tăng tiết mồ hôi tay chân và kết quả thuốc hb trong điều trị. VMJ 513, (2022).
6. Việt L. Q. Cắt hạch giao cảm ngực qua nội soi, phẫu thuật ít xâm lấn trong điều trị chứng tăng tiết mồ hôi tay. TCYHTPHCM 8, 446–446 (2004).
7. Vinh T. H. Nghiên cứu ứng dụng phương pháp đốt hạch giao cảm ngực qua nội soi để điều trị chứng ra nhiều mồ hôi tay và nách. http://luanan.nlv.gov.vn/luanan?a=d&d=TTbGWOTCimBu2009 (2009).
8. Abusailik, M. A. et al. Primary Hyperhidrosis: Prevalence, Severity, and Impact on Quality of Life among Jordanian Patients. Indian J Dermatol 66, 573 (2021).
9. Trần M. B. L., Hồ T. B., Nguyễn X. Q., Lê Q. Đ. & Trần T. V. Chất lượng cuộc sống và các phương pháp đánh giá ở bệnh nhân tăng tiết mồ hôi tay. VMJ 512, (2022).
10. Schmidt, J., Bechara, F. G., Altmeyer, P. & Zirngibl, H. Endoscopic Thoracic Sympathectomy for Severe Hyperhidrosis: Impact of Restrictive Denervation on Compensatory Sweating. The Annals of Thoracic Surgery 81, 1048–1055 (2006).