The Rate of Compensatory Sweating and Clinical Outcomes of Selective Thoracoscopic Sympathectomy (Ramicotomy) in Patients with Primary Palmar Hyperhidrosis

Background: Primary hyperhidrosis is a sympathetic disorder characterized by prolonged and uncontrollable sweating. It associated with emotional stress or psychological causes that preferably affects the axillae, palms, feet, face. Video-assisted thoracoscopic surgery currently globally recognized treatment for primary palmar (PH). However, compensatory sweating (CS) most prominent long-term adverse effect of sympathectomy. Objectives: Here, we aim to perform selective ramicotomy patients evaluate clinical outcomes satisfaction, as well on frequency, location, severity Methods: In this single-arm trial study, 24 sympathectomies were carried out 12 who candidates bilateral sympathectomy (ramicotomy) at Imam Khomeini Hospital. The patients’ demographic information was interviewed followed up using telephone questionnaires in health center one week after surgery. Then, rates sweating, failure recurrence retrospectively analyzed. Results: No significant differences observed between age, gender, weight, BMI, rates. Notwithstanding, there statistically difference height (P = 0.016). Compensatory occurred 66.7% patients; 50% mild, 16.7% moderate, no intolerable recurrence. incidence lower back. rate satisfaction 94.5 ± 7.8%. Conclusions: Selective an effective surgical procedure very high level precision satisfaction. This technique hence should be considered method choice hyperhidrosis.