Extended Versus Limited Thoracoscopic Sympathectomy: Its Impact on Palmar and Plantar Hyperhidrosis

Mansoura University

Status: Completed

Conditions: Hyperhidrosis Due to Autonomic Dysregulation (Disorder)

Treatments: Procedure: thoracoscopic sympathectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06219655

R.18.12.368.R1

Details and patient eligibility

About

Conclusions: In the context of palmar and plantar hyperhidrosis, extended thoracoscopic sympathectomy seemed to be preferred over limited thoracoscopic sympathectomy due to better overall outcomes and minimal time for hospital stays and Compensatory hyperhidrosis.

Full description

ABSTRACT Objective: The aim was to carefully evaluate and compare the results of extended sympathectomy versus T3, T4, and T5 resection in cases of palmer, axillary, and planter hyperhidrosis as regards decreased sweating and recurrence rates.

Methods: This was a randomized controlled prospective trial conducted at the Department of Vascular Surgery Mansoura University Hospitals on a total of 120 patients with hyperhidrosis who were divided into two groups; group 1 who had undergone limited sympathectomy and group 2 who had undergone extended sympathectomy.

Enrollment: 120 patients

Sex: All

Ages: 6 to 24 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of hyperhydrosis
• Able to take drugs
• Palmer and planter hyperhydrosis
• Age from 6-24 years
• Interfere with daily activities

Exclusion criteria

• Not fit for surgery
• Thyroid disease
• age less than 6 years
• Chest or cardiac problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Extended symathectomy

Active Comparator group

Treatment:

Procedure: thoracoscopic sympathectomy

limited sympathectomy

Active Comparator group

Treatment:

Procedure: thoracoscopic sympathectomy