Unilateral Sequential Versus Bilateral Simultaneous Sympathectomy for Palmar Hyperhidrosis: a Study of 407 Cases.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 400
- Primary Endpoint
- Number of participants developing compensatory hyperhidrosis (reflex sweating) following sympathectomy.
Study Overview
Brief Summary
Comparison between unilateral sequential and bilateral simultaneous endoscopic thoracic sympathectomy for palmar hyperhidrosis on patients outcomes notably compensatory hyperhidrosis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- Single (Investigator)
Eligibility Criteria
- Ages
- 8 Years to 50 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients suffering palmar hyperhidrosis
Exclusion Criteria
- •Patients with pleural adhesions, bleeding diathesis, local infection or previous operation for hyperhidrosis
Arms & Interventions
B-ETS
Bilateral simultaneous endoscopic thoracic sympathectomy: bilateral simultaneous T2-T3 ganglionectomy.
Intervention: bilateral simultaneous endoscopic thoracic symapthectomy (Procedure)
S-ETS
unilateral sequential endoscopic thoracic sympathectomy: unilateral T2-T3 ganglionectomy of the dominant side followed by T2-T3 ganglionectomy of the other side after 2 months interval
Intervention: unilateral sequential endoscopic thoracic symapthectomy. (Procedure)
Outcomes
Primary Outcomes
Number of participants developing compensatory hyperhidrosis (reflex sweating) following sympathectomy.
Time Frame: one year
Number pf patients developing compensatory hyperhidrosis (reflex sweating) following sympathectomy. Compensatory hyperhidrosis was graded as "severe" when the patient mentioned that sweating interfered with his or her normal activity, "moderate" when the patient indicated that his or her sweating was not bothersome and "mild" when the patient did not mention dampness or made only a brief reference.
Secondary Outcomes
- Number of patients who will be satisfied or unsatisfied regarding the procedure.(one year)
Investigators
Tmaer Youssef Mohamed
assistant professor of surgery
Mansoura University