Bilateral single‐port video‐assisted thoracic surgery sympathectomy for palmar hyperhidrosis with VasoView® device

Abstract

Palmar hyperhidrosis, characterized by excessive sweating of the palms of the hands, can be a debilitating illness affecting patients’ social and psychological well-being. Primary hyperhidrosis usually starts during adolescence, with possible inheritance as an autosomal dominant genetic trait. Secondary causes, including thyroid or pituitary gland diseases, diabetes, malignancy, menopause, drug related or mercury poisoning, should be excluded. For primary palmar hyperhidrosis, first line treatments can include aluminium chloride antiperspirants, botulinum toxin injections, anticholinergic drugs (oxybutynin), and iontophoresis; however, the results are often suboptimal and short-term. Video-assisted thoracic surgery (VATS) sympathectomy is the definitive therapy with high success rates and low recurrence. Classically, a three-port bilateral VATS approach is utilized for this procedure. We report our novel technique on single-port VATS sympathectomy with the VasoView® Hemopro device.