ENDOSCOPIC UPPER DORSAL SYMPATHECTOMY FOR PRIMARY PALMAR HYPERHIDROSIS
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Palmer hyperhidrosis has been treated using a variety of medical and surgical techniques with varying degrees of success. We performed 36 sympathectomies using endoscopic equipments in 18 patients: ten males and eight females with age ranging from 18 to 44 years (mean 25.3 years). Each side was operated in aseparate session. T2-T3 ganglia were resected and removed for histopathologic examination. All limbs were completely dry at the end of the procedure. The patients were follow-up for one year with no recurrence. Short-term postoperative complications mainly pneumothorax and pleura/ effusion occurred in four cases out of 36 procedures (11.1%). Late sequelae were neuralgia in four cases (22.2%), and compensatory hyperhidrosis in 11 patients 61.1%). Homer's syndrome did not occur. The patients were satisfied with the result of the operation. The procedure was safe. exposure was better, cosmetic results were favourable, operation time and hospital stay were reduced.