Hyperhidrosis
Conditions
Brief summary
Evaluation of staged endoscopic thoracoscopic sympathicotomy in treatment of palmo-axillo-plantar hyperhidrosis
Detailed description
This is a pilot study that investigates the efficacy of video-assisted endoscopic sympathicotomy from the level of T3 to T12 on combined palmar and plantar hyperhidrosis. Ablation of ascending sympathetic fibers would help alleviating both types of hyperhidrosis in a single setting.
Interventions
PROCEDUREStaged ETS
Thoracoscopic approach of sympathetic ganglia T3-T12 on one side, retraction of the diaphragm and lung laterally to expose the ganglia then ablation of each ganglion using electrocauterization.
Sponsors
Mansoura University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* patients with combined palmo-axillo-plantar hyperhidrosis of ASA grade I and II
Exclusion criteria
* Patients under 16 years. * Patients with bradycardia (heart rate \<80 beats per minute). * Patients with concomitant lung pathology, frozen mediastinum, pleural effusion, or history of intercostal tube insertion. * Patients with cardiac problems with ejection fraction less than 60%. * Patient suffering from isolated palmo-axillary hyperhidrosis not associated with plantar hyperhidrosis. * Patients suffering from craniofacial hyperhidrosis, either isolated or combined with other areas of hyperhidrosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months | 24 months | decrease in the severity of hyperhidrosis, both palmar and plantar, according to visual analogue scale |
Countries
Egypt
Outcome results
None listed