Clinical Outcomes of Uniportal Versus Multiportal Endoscopic Thoracic Sympathectomy in Patients With Severe Palmar and Axillary Hyperhidrosis

Aim: Palmar and axillary hyperhidrosis is caused by overstimulation of the sympathetic nervous system that control sweat glands. This study compares clinical consequences uniportal multiportal thoracic endoscopic sympathectomy (ETS), in cases severe palmar hyperhidrosis.Methods: In this retrospective study, forty-one patients who were diagnosed as primary analyzed. These underwent ETS between 2015 2020 at our surgery clinic. They divided into two groups, 24 (58.5%) 17 (41.5%). compared terms length hospital stay, initial complications possible recurrences after three months. Descriptive statistics used to evaluate stratified continuous variables.Results: There was no significant difference moderate pain groups. a groups 3 days or more hospitalization. related rate such ptosis, Horner syndrome, increased duration recurrence months surgery. Some mild side effects disappeared spontaneously 6-month follow-up.Conclusion: The results showed thoracoscopic (EST) are very effective, safe minimally invasive methods for treatment hyperhidrosis. Compared approach, EST causes less postoperative surgical duration.