Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis

Mansoura University42 enrolled

Overview

Evaluation of staged endoscopic thoracoscopic sympathicotomy in treatment of palmo-axillo-plantar hyperhidrosis

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 Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hyperhidrosis

Interventions

Staged ETSPROCEDURE

Thoracoscopic approach of sympathetic ganglia T3-T12 on one side, retraction of the diaphragm and lung laterally to expose the ganglia then ablation of each ganglion using electrocauterization.

Eligibility

Sex: ALLMin age: 16 YearsMax age: 75 Years

Medical Language ↔ Plain English

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.

Locations (1)

Mansoura university hospital

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months

decrease in the severity of hyperhidrosis, both palmar and plantar, according to visual analogue scale

Time frame: 24 months

Data from ClinicalTrials.gov

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