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HYPERHIDROSIS SCIENCE: Hyperhydrosis research, treatments - excessive sweating knowledge

DR. STOLL'S HYPERHIDROSIS ARTICLE INDEX

HYPERHIDROSIS KNOWLEDGE AND SCIENCE

OCTOBER 2006: Surgical Treatments for Hyperhidrosis

Medical Publication:

Thoracic Sympathicolysis for Primary Hyperhidrosis:
A Review of 918 Excessive Sweating or Hyperhidrosis Procedures.

Surgical Endoscopy 20j(4): 598-602, 2006

Synopsis: 458 patients underwent surgery for treatment of heavy sweating or hyperhidrosis (HH) . The authors report an overall satisfaction rate of 88.5% for people's hyperhydrosis, but also report a high complication rate.

Thoracic sympathicolysis is a mouthful. In lay terms, it is a surgical procedure for excessive sweating where the sympathetic nerves that cause sweating are cut. This has become an alternative for people who have an extremely disturbing excessive sweating problem of palms and underarms (palmar hyperhidrosisaxillary and hyperhidrosis), which is uncontrolled by any other means (antiperspirants, botox, etc.).

This group of excessively sweating patients comprised 143 men (31%) and 315 women (69%). This is not an outpatient procedure. The average hospital stay was 17 days! 97.4% of heavily sweating patients experienced a total cessation of sweating in the affected areas. There was a 3.6% incidence of major complications including pneumothorax (punctured lung), subcutaneous emphysema (air under the skin), and bleeding in the chest and collapsed lung.

Here is the most important complication of this hyperhidrosis procedure. 48.4% of patients, which is almost half, reported compensatory hyperhidrosis. That is, about half the people who had the surgery for thier excessive sweating ironically developed excessive sweating in other areas aside from the original heavy sweating area. So if someone had terrible sweating of the palms, the surgery cured the palmar excessive sweating, but caused heavy compensatory sweating in other places. The abdomen, back and face are common areas of compensatory hyperhidrosis. 1% of the patients developed gustatory hyperhidrosis, which is facial sweating in response to eating certain foods.

Conclusion: This is a very comprehensive review of surgical treatment of hyperhidrosis (HH) . The cure rate is high, but the complication rate is almost equally high. Proceed with caution when considering surgical alternatives for your excessive sweating or hyperhydrosis.