The standard treatment for palmar hyperhidrosis is bilateral sequential thoracic sympathectomy. High rates of compensatory sweating due to the surgical procedure are described in the literature. In the search for a reduction in this side effect, it is possible that unilateral sympathectomy in the dominant side obtains acceptable results and leads to less compensatory sweating with improvement of the quality of life. The aim of this study it to compare the intensity of compensatory sweating due to the standard treatment, that is, bilateral sequential videothoracoscopic sympathectomy in relation to unilateral thoracic sympathectomy on the dominant side.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Bilateral videothoracoscopic sequential R4 sympathectomy
Unilateral videothoracoscopic R4 sympathectomy in dominant side (right side)
Contralateral (left side) videothoracoscopic R4 sympathectomy
Hospital Universitário da Universidade Federal do Amazonas
Manaus, Amazonas, Brazil
RECRUITINGHospital Geral Dr. Cesar Cals
Fortaleza, Ceará, Brazil
RECRUITINGHospital Santa Isabel
Salvador, Estado de Bahia, Brazil
NOT_YET_RECRUITINGInstituto Hospital de Base
Brasília, Federal District, Brazil
NOT_YET_RECRUITINGHospital Julia Kubitschek
Belo Horizonte, Minas Gerais, Brazil
RECRUITINGHospital Maternidade Terezinha de Jesus
Juiz de Fora, Minas Gerais, Brazil
RECRUITINGHospital Universitário Oswaldo Cruz
Recife, Pernambuco, Brazil
RECRUITINGHospital Universitário Pedro Ernesto
Rio de Janeiro, Rio de Janeiro, Brazil
RECRUITINGHospital Universitário Onofre Lopes
Natal, Rio Grande do Norte, Brazil
RECRUITINGHospital Geral de Caxias do Sul
Caxias do Sul, Rio Grande do Sul, Brazil
NOT_YET_RECRUITINGChange of sweating intensity
To utilize the HDSS questionnaire to assessment of sweating intensity change in patients with palmar hyperhidrosis treated by bilateral sequential thoracic sympathectomy
Time frame: Change from baseline sweating to 6 months after surgery
Change of sweating intensity
To utilize the HDSS questionnaire to assessment of sweating intensity change in patients with palmar hyperhidrosis submitted to unilateral sympathectomy on the dominant (right) side
Time frame: Change from baseline sweating to 6 months after sympathectomy
Change of sweating intensity
To utilize the HDSS questionnaire to assessment of sweating intensity change in patients submitted to contralateral (left side) sympathectomy after unilateral sympathectomy on the dominant side
Time frame: Change from baseline sweating to 6 months after surgery
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