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Case Reports
. 2018 Mar;59(2):345-348.
doi: 10.3349/ymj.2018.59.2.345.

Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis

Hee Suk Jung  1 , Doo Yun Lee  2 , Joon Suk Park  1
Affiliations
Case Reports

Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis

Hee Suk Jung et al. Yonsei Med J. 2018 Mar.

Abstract

Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.

Keywords: Hyperhidrosis; nerve transfer; sympathetic nerve; thoracoscopy.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1. Thoracoscopic image of harvesting extended lower sympathetic nerve (A) and reconstructed sympathetic nerve using in-situ sympathetic nerve graft (B).
Fig. 2
Fig. 2. Infrared thermographic image achieved before sympathetic reconstruction surgery (A) and after postoperative 3 days (B).
See this image and copyright information in PMC

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