HYPERHIDROSIS SCIENCE: Hyperhydrosis research, treatments - excessive sweating knowledge
DR. STOLL'S HYPERHIDROSIS ARTICLE INDEX
- Is previous throacic sympathectomy a risk factor for exertion?
- Treatment of palmar hyperhidrosis: T(4) level compared with T(2) and T(3).
- Severe Pomphylox Following Endoscopic Thoracic Sympathectomy for Hyperhidrosis
- Repeat Liposuction-Curettage Treatment of Axillary Hyperhidrosis Effectiveness
- Contralateral Hyperhidrosis After Intracerebral Hemmorage
- Facial hyperhidrosis: Best Practice Recommendations and Special Considerations.
- Outpatient Microthoraacosopic Sympathectomy for Palmar Hyperhidrosis
- Use of Oral Glycopyrronium in Hyperhidrosis
- Oxybutynin for Patients with Hyperhidrosis in One Case Study
- Paroxetine Useful for Palmar-Plantar Hyperhidrosis in One Case Study
- Thoracic Sympathicolysis for Primary Hyperhydrosis
- Improved Quality of Life After Sympathetic Block for Upper limb Hyperhidrosis.
- Surgical Treatment of Axillary Hyperhidrosis
- Mydriasis and Accommodative Failure from Exposure to Topical Glycopyrrolate Used in Hyperhydrosis.
- Facial Hyperhydrosis-Induced Social Fear Alleviated with Topiramate.
- Treatment of Inguinal Hyperhidrosis or HH with Botulinum Toxin Type A.
- Hyperhidrosis in Parkinson's Disease.
- Hyperhydrosis: A Few and Often Early Symptom in Fabry Disease.
HYPERHIDROSIS KNOWLEDGE AND SCIENCE
OCTOBER 2006: Surgical Treatments for Hyperhidrosis
Medical publication:
Improved quality of life after sympathetic block for upper limb hyperhidrosis.
British Journal of Surgery 93(5):582-6, 2006.
Synopsis: 106 patients underwent endoscopic thoracic sympathetic block (ETS) for treatment of underarm and palmar excessive sweating. Satisfaction rates were almost at 100%, but complication rates were also high.
As in the previous study, most patients were happy with the decrease in underarm and palmar sweating. However, the complication rate was disturbing. 17% had compensatory sweating, while 28% had gustatory sweating. Notice how the complication rate from this study differs from that of the previous study: A 28% rate of compensatory gustatory sweating in this study versus a 1% incidence in the previous study.
Conclusion: One conclusion that we can draw is that different studies yield different results for hyperhidrosis patients. The discrepancy of the complication rates between this study and the previous one was very large. Why? For one, techniques can differ among surgeons. Post-operative care may also vary for patients with excessive sweating. Sometimes the way a question is posed to a patient may alter his or her response. Both studies seem to support the use of ETS for treatment of excessive sweating in both the underarm and palmar regions. The complication rates, however, should be duly considered before undergoing any major surgical procedure, such as this one for hyperhidrosis.
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