Unilateral Sequential Versus Bilateral Simultaneous Endoscopic Thoracic Sympathectomy

2819 WordsMar 31, 201512 Pages
Title: Unilateral sequential versus bilateral simultaneous endoscopic thoracic sympathectomy for palmar hyperhidrosis: a randomized clinical study. By: Tamer Youssef (MD), Assistant professor of General and Endocrine Surgery, Mansoura Faculty of Medicine, Mansoura, Egypt. Mosad Soliman (MD), Professor of Vascular Surgery, Mansoura Faculty of Medicine, Mansoura, Egypt. Mansoura Faculty of Medicine Mansoura University, Mansoura, Egypt Running title: Sequential ETS for palmar hyperhidrosis Number of tables: 2 Number of figures: 2 ADRESS FOR CORRESPONDANCE: Tamer Youssef Assistant Professor of General and Endocrine Surgery Mansoura University Hospital, Mansoura, EGYPT. Address: Gomhoria st., Mansoura, Egypt. E-mail: tamyousif@yahoo.com Mobile: 002/ 01223926974 Clinic Telephone: 002/ 050/ 2304344 FAX: 002/ 050/ 226701 Abstract Background: Although endoscopic thoracic sympathectomy (ETS) offers permanent cure of palmar hyperhidrosis (PH), compensatory hyperhidrosis (CH) often complicates the procedure. We analyzed the outcomes of 2-months interval unilateral sequential sympathectomy (S-ETS) in comparison with bilateral simultaneous sympathectomy (B-ETS) notably regarding compensatory and associated planter hyperhidrosis in treating patients with PH. Methods: Four hundred and seven patients with intractable palmar hyperhidrosis were randomly assigned into two groups: B-ETS group (204 patients), and S-ETS group (203 patients). Results: Three hundred

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