MedPath

Extended Versus Limited Thoracoscopic Sympathectomy: Its Impact on Palmar and Plantar Hyperhidrosis

Not Applicable
Completed
Conditions
Hyperhidrosis Due to Autonomic Dysregulation (Disorder)
Interventions
Procedure: thoracoscopic sympathectomy
Registration Number
NCT06219655
Lead Sponsor
Mansoura University
Brief Summary

Conclusions: In the context of palmar and plantar hyperhidrosis, extended thoracoscopic sympathectomy seemed to be preferred over limited thoracoscopic sympathectomy due to better overall outcomes and minimal time for hospital stays and Compensatory hyperhidrosis.

Detailed Description

ABSTRACT Objective: The aim was to carefully evaluate and compare the results of extended sympathectomy versus T3, T4, and T5 resection in cases of palmer, axillary, and planter hyperhidrosis as regards decreased sweating and recurrence rates.

Methods: This was a randomized controlled prospective trial conducted at the Department of Vascular Surgery Mansoura University Hospitals on a total of 120 patients with hyperhidrosis who were divided into two groups; group 1 who had undergone limited sympathectomy and group 2 who had undergone extended sympathectomy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Clinical diagnosis of hyperhydrosis
  • Able to take drugs
  • Palmer and planter hyperhydrosis
  • Age from 6-24 years
  • Interfere with daily activities
Exclusion Criteria
  • Not fit for surgery
  • Thyroid disease
  • age less than 6 years
  • Chest or cardiac problems

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
limited sympathectomythoracoscopic sympathectomy-
Extended symathectomythoracoscopic sympathectomy-
Primary Outcome Measures
NameTimeMethod
dryness of both feetfrom 2019-2023 over 4 years

dryness of both hands and feet- difference in temperature hands and feet before and after-starch iodine test

hyperhidrosis dryness of handsfrom 2019-2023 over 4 years

dryness of both hands and feet- difference in temperature hands and feet before and after-starch iodine test

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mansoura University

🇪🇬

Mansoura, Egypt

© Copyright 2025. All Rights Reserved by MedPath