
 STS 2005 Meeting ~ One Year Follow-up
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http://www.drybody.com/research.html
 41th Annual Meeting of the Society of Thoracic Surgeons, 2005
One-year Follow-up after Thoracoscopic Sympathectomy for Hyperhidrosis: Outcomes and Consequences.
T.M. Dewey, Dallas, Tx

Thoracoscopic Sympathectomy is recognized as an effective treatment for patients with severe hyperhidrosiswe reviewed our results in patients were at least one year from surgery

121 patients were identified
Patient-perceived effectiveness of the procedure vary depending on the level of Sympathectomy: 

T2-50% [for face/scalp in this study] effective, 

T3-95.6% [for palmar in this study], 

T4-100% [for axillary in this study]

Patients with T2 were significantly more likely to have severe compensatory sweating than those with other levels. Patients with levels other than T2 [i.e., with T3 or T4 sympathectomy]reported high degrees of satisfaction irrespective of postoperative compensatory sweating. Patient satisfaction and perceived effectiveness with Sympathectomy for palmer and axillary hyperhidrosis remain high even one year after the procedure

We recommend limiting sympathectomy to either the T3 or T4 level." 