Surgery for Palmar Hyperhidrosis: Patient Selection and Extent of Surgery


Author

Year

N

Procedure

F/U

Success

Recurrence

CH

Severe CH

Satisfied

Grade

Neumayer et al. [5]

2003

6

T2 sympathectomy

5.2

100 %

0

n/a

n/a

100 %

Low

Schick et al. [6]

2003

61

T2 sympathectomy

3

98 %

n/a

n/a

n/a

n/a

Low

Atkinson et al. [7]

2003

10

T2 sympathicotomy

5.6

95 %

n/a

80 %

0

100 %

Low

Lladò et al. [8]

2005

27

T2 sympathectomy

17

100 %

n/a

89 %

n/a

n/a

Low

Ting et al. [9]

2005

13

T2 sympathectomy

1

100 %

0

92 %

n/a

100 %

Low

Eisenach et al. [10]

2005

10

T2 sympathotomy

n/a

100 %

0

70 %

0

100 %

Low

Miller and Force [11]

2007

15

T2 sympathectomy

15

99 %

6.6 %

40 %

1

98 %

Low

Leis et al. [12]

2010

4

T2 sympathectomy

n/a

100 %

0

100 %

50 %

n/a

Low

Atkinson et al. [13]

2011

155

T2 sympathectomy

40.2

96 %

3 %

68 %

1 %

n/a

Moderate

Lin and Chou [14]

2004

102

T2 block

37

100 %

0

84 %

1 %

98 %

Moderate

Yoon et al. [15]

2003

3

T3 sympathicotomy

19.7

100 %

0

0

0

100 %

Low

Doolabh et al. [16]

2004

86

T3 sympathectomy

17

100 %

2 %

76 %

2 %

94 %

Low

Dewey et al. [17]

2006

60

T3 sympathectomy

12

n/a

n/a

81 %

11 %

n/a

Low

Weksler et al. [18]

2007

96

T3 sympathicotomy

18

99 %

n/a

71 %

3 %

97 %

Low

Lima et al. [19]

2008

57

T3 sympathectomy

1

100 %

n/a

58 %

0

100 %

Low

Fiorelli et al. [20]

2010

18

T3 sympathectomy

12

100 %

94 %

11 %

0

n/a

Low

Zhu et al. [21]

2013

14

Transumbilical thoracic T3 sympathectomy

11

100 %

0

16 %

n/a

100 %

Low

Chou et al. [22]

2005

84

T4 sympathectomy

18–42

100 %

0

2.3 %

0

100 %

Moderate

Baumgartner and Toh [23]

2003

309

T2–T3 sympathectomy

0.15

98 %

0.6 %

45 %

1 %

n/a

Moderate

Loscertales et al. [24]

2004

113

T2–T3 Sympathectomy

12

100 %

0

67 %

19 %

95 %

Moderate

de Campos et al. [25]

2005

51

T2–3 sympathectomy

12.8

90 %

n/a

96 %

72 %

n/a

Low

Sihoe et al. [26]

2007

31

T2–3 sympathectomy

0.25

100 %

0

26 %

n/a

96 %

Low

Jegenathan et al. [27]

2008

66

T2–T3 Sympathicotomy

51

98 %

4.5 %

n/a

n/a

n/a

Moderate

Little [28]

2004

31

T2–3 sympathectomy

31.2

100 %

n/a

32 %

6 %

n/a

Low

Georghiou et al. [29]

2004

176

T2–3 sympathectomy

6

96 %

n/a

79 %

0 %

96 %

Low

Moya et al. [30]

2006

918

T2–3 sympathectomy

18

99 %

0.2 %

48 %

n/a

88 %

Moderate

Gossot et al. [31]

2003

125

T2–4 sympathicotomy

45.6

91 %

8 %

86 %

7 %

93 %

Moderate

Coveliers et al. [32]

2013

36

Robotic T2–T4 ramicotomy

24

100 %

n/a

8 %

n/a

n/a

Low

Apiliogullari et al. [33]

2012

43

Single port T3–4 sympathectomy

14

100 %

6 %

6 %

n/a

93 %

Low

Prasad et al. [34]

2010

322

T3–4 sympathectomy

24

100 %

0.9 %

63 %

4 %

80 %

Moderate


Legend: n/a not available, F/U follow-up, CH compensatory hyperhidrosis




Table 57.2
Comparison of different levels of surgery for palmar hyperhidrosis





































































































































































































































































































































































































































Author

Year

N

Procedure

F/U

Success

Recurrence

CH

Severe CH

Satisfied

Grade

Schmidt et al. [35]

2006

117

T2-4 sympathectomy

24

93 % (all patients)

0.8 %

17 %

6 % (all patients)

92 % (all patients)

Moderate

61

T3-5 sympathectomy

0

4 %

p < 0.05

Sugimura et al. [36]

2007

399

T2 clipping

10.4

95 % (all patients)

0.6 % (all patients)

n/a

15 %

74 %

Moderate

55

T2 + 3 clipping

24 %

62 %*

273

T3 + 4 clipping

8 %*

85 %

*p < 0.01

*p < 0.05

Reisfeld et al. [37]

2006

618

T2-3 clipping

17.9

99 %

n/a

90 %

8 %

93 %

Moderate

656

T3-4 clipping

8.2

99 %

95 %

2 %

98 %

p < 0.001

Chou et al. [38]

2006

25

T4 sympathectomy

17–35

n/a

0

0

0

100 %

Moderate

54

T2 clipping

0

42 %

16 %

83 %

33

T3 clipping

0

27 %

9 %

91 %

324

T4 clipping

0

0

0.6 %

99 %

28

T5 clipping

0

0

0

100 %

Yazbek et al. [39]

2009

30

T2 sympathectomy

20

100 %

0 %

100 %

43 %

100 %

Low

30

T3 sympathectomy

96 %

0 %

100 %

13 %

100 %

p = 0.007

Baumghartner et al. [40]

2011

61

T2 sympathicotomy

24

95 %

1 %

75 %

7 %

100 %

Moderate

60

T3 sympathicotomy

95 %

4 %

58 %

6 %

97 %

Lin et al. [41]

2006

131

T3 sympathectomy

1

100 %

0

5 %

1 %

100 %

Moderate

207

T2-4 sympathectomy

100 %

0

28 %

10 %

96 %

60

T3-4 sympathectomy

100 %

0

6 %

3 %

100 %

Miller et al. [42]

2009

179

T2 sympathectomy

26

99 % (all patients)

0.3 % (all patients)

13 %

n/a

99 %

Moderate

103

T2-4 sympathectomy

34 %

96 %

p = 0.01

Lee et al. [43]

2004

64

T2 sympathicotomy

9.7

93 %

n/a

73 %

43 %

78 %

Moderate

83

T3 ramicotomy

6.6

68 %

49 %

15 %

68 %

p < 0.0001

p = 0.01

Chang et al. [44]

2007

86

T2 sympathectomy

47.1

n/a

25 %*

92 %

6 %

6.3 %*

Moderate

78

T3 sympathectomy

7 %*

92 %

6 %

7.8 %

70

T4 sympathectomy

22 %

80 %*

3 %*

7.9 %

*p = 0.008

*p = 0.03

*p < 0.001

*p < 0.001

Mahdy et al. [45]

2008

20

T2 sympathectomy

13

90 %

10 %

60 %

n/a

60 %

Low

20

T3 sympathectomy

95 %

5 %

45 %

n/a

75 %

20

T4 sympathectomy

100 %

0

10 %*

n/a

100 %

*p = 0.001

Kim et al. [46]

2010

56

T3 sympathicotomy

22.5

94 %

1 %

82 %

3 %

85 %

Moderate

63

T4 sympathicotomy

21.5

19 %

3 %

17 %

0

92 %

P < 0.01

Liu et al. [47]

2009

68

T3 sympathycotomy

17.8

100 %

n/a

77 %

n/a

24 %

Moderate

73

T4 sympathycotomy

100 %

56 % p = 0.01

58 % p < 0.0001

Ishy et al. [48]

2011

20

T3 sympathectomy

12

100 %

n/a

100 %

5 %

n/a

Low

20

T4 sympathectomy

100 %

75 %

5 %

p = 0.04

Wolosker et al. [49]

2008

35

T3 sympathectomy

6

97 %

74 %

100 %

11 %

25

Low

35

T4 sympathectomy

94 %

17 %

71 %

0

23 (quality of life)

Yang et al. [50]

2007

78

T3 sympathicotomy

13.8

100 %

0

23 %

0

n/a

Moderate

85

T4 sympathicotomy

100 %

0

7 %

0

p < 0.05

Neumayer et al. [51]

2004

91

T2–4 sympathicotomy

22.1

86 %

n/a

55 %

5 %

80 %

Moderate

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Dec 30, 2016 | Posted by in CARDIOLOGY | Comments Off on Surgery for Palmar Hyperhidrosis: Patient Selection and Extent of Surgery
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