Abstract
Objective To investigate the clinical value of transumbilical endoscopic thoracic sympa- thectomy on women patients with palmar hyperhidrosis. Methods A total of 25 consecutive women patients with palmar hyperhidrosis underwent transumblical thoracic sympathectomy with ultra-thin endoscope. The operative data, including duration of operation, intra-operative and postoperative complications were recor- ded. Results The procedure was performed successfully in all 25 patients with a mean operative time of 64 min（58-113 min）. No umbilical hernia, diaphragmatic hernia, Homer＇s syndrome or hemothorax were observed. Minor pneumothorax was found in postoperative chest X-ray in 3 patients, all of which were com- pletely resolved with conservative treatment. All patients recovered to their normal life at 1 week after dis- charge. The scar was small and hidden in umbilical with no visible incisions. After a follow-up of 4 to 12 months, all patients＇ hands sweating symptoms completely disappeared, axillary sweat symptoms completely resolved in 6 patients, significantly improved in 4 and mildly improved in 1. Conclusion Trans- umbilical thoracic sympathectomy with ultrathin flexible endoscope is a safe and effective option for women patients with severe palmar hyperhidrosis, which provides excellent cosmetic outcomes. Key words: Hyperhidrosis ; Endoscopic surgery; Ultrathin gastroscope
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