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Han-Jung Chen, MD, PhD; Din-Yuan Shih, MD; Si-Tun Fung, MD

Arch Surg. 1994;129(6):630-633.

Abstract
Objective
Transthoracic endoscopic electrocauterization of the sympathetic chain for palmar hyperhidrosis is presented.

Design
A retrospective study of 180 patients during a 2-year period was carried out. The duration of follow-up was from 2 to 12 months.

Setting
General community, referral center, and hospitalized care.

Patients
This study was carried out in 180 patients (116 female and 64 male). The age distribution was between 13 and 43 years (mean age, 21.6 years). They complained of palmar hyperhidrosis without other underlying diseases.

Interventions
One-stage bilateral surgery except for three patients with unilateral pleural adhesions.

Main Outcome Measures
Patients were interviewed 1 week after surgery and then they were contacted by a questionnaire about improvement of hyperhidrosis and complications.

Results
This procedure shows a success rate in 98% of the patients. No pneumothorax requiring a chest tube drainage and no Horner's syndrome were recorded. The most common side effect was compensatory sweating in 70% of these patients.

Conclusion
This procedure is effective, simple, and requires only an overnight study. It is recommended as the method of choice for surgical treatment of upper extremity hyperhidrosis.

(Arch Surg. 1994;129:630-633)

Author Affiliations
From the Departments of Surgery (Drs Chen and Shih) and Anesthesiology (Dr Fung), Chang Gung Medical College and Memorial Hospital at Kaohsiung, Taiwan, Republic of China.

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