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Yonsei Med J. 2018 Mar;59(2):345-348. doi: 10.3349/ymj.2018.59.2.345.

Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis.

Author information

1
Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
2
Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea. dylee4831@chamc.co.kr.

Abstract

Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.

KEYWORDS:

Hyperhidrosis; nerve transfer; sympathetic nerve; thoracoscopy

PMID:
29436207
PMCID:
PMC5823841
DOI:
10.3349/ymj.2018.59.2.345
[Indexed for MEDLINE]
Free PMC Article

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