Background: Hyperhidrosis is unnecessary sweating afar the body needs for cooling down the body temperature.It affects nearly 2-3% of the population with equal gender predominance.Both medical and surgical interventions have been utilized to treat primary hyperhidrosis.Over 80% of patients with palmar hyperhidrosis (PH) also experience plantar hyperhidrosis (PLH).An interesting observation in surgically treated patients with PH is that PLH symptoms tend to decrease after undergoing Video-assisted thoracoscopic surgery (VATS).
Objectives: The aim of the redken shades eq 07m driftwood present study was to evaluate the efficacy, safety and drawbacks of VATS sympathectomy at thoracic levels (R2-3) versus (R2-4) on PLH associated with primary PH.Patients and methods: this single center, parallel randomized controlled study involved 72 eligible patients presented with primary palmoplantar hyperhidrosis, where 36 patients underwent VATS sympathectomy at thoracic levels R2-3 (Group A) versus other 36 patients at thoracic level R2-4 (Group B).Both groups underwent read more bilateral two-port tubeless VATS sympathectomy with the use of electrocautery under general anesthesia in semi-fowler position.Results: Following surgery, both groups showed improvement in PLH, but group B had a significantly higher incidence of improvement compared to group A.In group A, 77.
7% of patients were satisfied, while in group B, 88.8% of patients reported satisfaction.Conclusion: VATS sympathectomy is the preferred treatment for effectively curing PH.There is a significant correlation between VATS sympathectomy performed at the R2 to R4 levels and the alleviation of PLH.