What question did this study set out to answer?

To evaluate the clinical outcomes, side effects, and complications of bilateral upper dorsal sympathectomy using a supraclavicular approach for severe primary palmar hyperhidrosis.

July 1, 1977Annals of SurgeryOpen Access

Palmar Hyperhidrosis and its Surgical Treatment

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Authors

RAR AdarTel Aviv University AKAlexander KurchinRochester General Hospital AZAmikam ZweigTel Aviv University

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Implication

Cohort study reveals high hand dryness and improved quality of life following bilateral upper dorsal sympathectomy in palmar hyperhidrosis, highlighting its utility for severe disease.

Key Points

To evaluate the clinical outcomes, side effects, and complications of bilateral upper dorsal sympathectomy using a supraclavicular approach for severe primary palmar hyperhidrosis.
Conducted a surgical cohort study of 100 consecutive patients with primary palmar hyperhidrosis undergoing bilateral simultaneous upper dorsal sympathectomy through a supraclavicular incision.
Completed post-operative follow-up evaluations on 93 patients over a duration ranging from 4 to 50 months (mean follow-up: 18 months).
Palmar drying was achieved in 91 of 93 patients (97.8%), with partial moisture returning in 58% of patients and no recurrence of hyperhidrosis.
Subjective satisfaction was rated as excellent or good in 83 of 93 patients (89.2%), with only one patient (1.1%) reporting complete dissatisfaction due to technical failure.
Complications included compensatory hyperhidrosis in non-denervated areas (which improved over time) and permanent Horner syndrome in 8% of patients (4% of surgical procedures).

Cite This Study

Adar et al. (1977) studied this question.

synapsesocial.com/papers/6a944bfd4efb9d310ac7c6fb https://doi.org/10.1097/00000658-197707000-00006

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Implication

Cohort study reveals high hand dryness and improved quality of life following bilateral upper dorsal sympathectomy in palmar hyperhidrosis, highlighting its utility for severe disease.

Palmar Hyperhidrosis and its Surgical Treatment

Discussion

Member takes

Implication

Key Points

Cite This Study

Palmar Hyperhidrosis and its Surgical Treatment

Discussion

Member takes

Implication

Key Points

Cite This Study

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