Outcomes analysis of sympathicotomy in the treatment of primary palmar hyperhidrosis

Objective To analyze the effect of T2~T3 sympathicotomy in the treatment of primary palmar hyperhidrosis.Method Total 25 patients with primary palmar hyperhidrosis,including 12 males and 13 females,with the average age of 30.7 years,underwent T2~T3 sympathicotomy,in which the sympathetic chains were transected at the level of the third ribs.Results Monitoring the skin temperature of both palm.The skin temperatures of the right palm were(32.0±1.6)℃ preopratively and(34.5±1.3)℃ postoperatively(P0.05).The skin temperatures of the left palm were(32.6±1.5)℃ preopratively and(35.0±1.3)℃ postoperatively(P0.05).The procedures were successful.There were no severe intro-and post-operative complications or mortality.One case presented the Horner syndrome.All cases were followed for 6~29 months,average 16.5 months,presenting an effective rate of 100%.Conclusion Sympathicotomy is a simplified method with little side effect and higher satisfactory rate.It should be recommended for the treatment of primary palmar hyperhidrosis.