Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis; a Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months
Study Overview
Brief Summary
Evaluation of staged endoscopic thoracoscopic sympathicotomy in treatment of palmo-axillo-plantar hyperhidrosis
Detailed Description
This is a pilot study that investigates the efficacy of video-assisted endoscopic sympathicotomy from the level of T3 to T12 on combined palmar and plantar hyperhidrosis.
Ablation of ascending sympathetic fibers would help alleviating both types of hyperhidrosis in a single setting.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 16 Years to 75 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients with combined palmo-axillo-plantar hyperhidrosis of ASA grade I and II
Exclusion Criteria
- •Patients under 16 years.
- •Patients with bradycardia (heart rate <80 beats per minute).
- •Patients with concomitant lung pathology, frozen mediastinum, pleural effusion, or history of intercostal tube insertion.
- •Patients with cardiac problems with ejection fraction less than 60%.
- •Patient suffering from isolated palmo-axillary hyperhidrosis not associated with plantar hyperhidrosis.
- •Patients suffering from craniofacial hyperhidrosis, either isolated or combined with other areas of hyperhidrosis.
Arms & Interventions
Staged ETS
Video-assisted endoscopic sympathicotomy from level of T3 to level of T12 on one side
Intervention: Staged ETS (Procedure)
Outcomes
Primary Outcomes
Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months
Time Frame: 24 months
decrease in the severity of hyperhidrosis, both palmar and plantar, according to visual analogue scale
Secondary Outcomes
No secondary outcomes reported
Investigators
Sameh Emile
Lecturer of general surgery
Mansoura University