Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sun, Nov 15, 2026
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Volume 40, Issue 1 (1-2026)
Med J Islam Repub Iran 2026 |
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Hemmati H, Ahany H, Farzin M, Eslami Kenarsari H. Bilateral Thoracoscopic Sympathicotomy in the Treatment of Hyperhidrosis: A Study on Long-term Outcomes and Impacts on Patients' Daily Lives. , Med J Islam Repub Iran. 2026; 40 (1) :978-981
URL: http://mjiri.iums.ac.ir/article-1-9755-en.html
URL: http://mjiri.iums.ac.ir/article-1-9755-en.html
Department of Vascular Surgery, Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran & Department of Vascular Surgery, School of Medicine, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran , drhossein.hemmati@gums.ac.ir
Abstract: (59 Views)
Background: Primary palmar hyperhidrosis is a condition characterized by excessive sweating of the palms, which can significantly impair quality of life and social functioning. Conservative treatments such as antiperspirants, anticholinergics, and botulinum toxin are often insufficient for patients with severe disease.
Methods: A retrospective analysis was conducted on 93 patients with severe primary palmar hyperhidrosis who underwent this surgical technique over a nine-year period. Outcome measures included recurrent hyperhidrosis and postoperative satisfaction. Patient satisfaction was assessed using the Visual Analogue Scale (VAS) at least one year post-surgery. Data were analyzed using SPSS software (version 26). The Mann–Whitney U test was used to compare postoperative satisfaction scores between independent groups. A significance level of 5% (p < 0.05) was considered statistically significant.
Results: The mean age of the patients was 27.05 ± 8.78 years. The cohort consisted of 51 (54.8%) females and 42 (45.2%) males. 71% of patients had received at least one treatment before surgery. The mean satisfaction score following surgery was 8.82 ± 1.92 on the 10-point VAS scale, with with 49 (52.7%) patients reporting a maximum satisfaction score of 10 out of 10 satisfaction score of 10. 35 (37.6%) patients experienced symptom recurrence after surgery.
Conclusion: Bilateral thoracoscopic sympathicotomy was associated with high postoperative patient satisfaction in patients with primary palmar hyperhidrosis. Lower BMI was associated with higher postoperative satisfaction. Further prospective comparative studies are needed to confirm these findings.
Methods: A retrospective analysis was conducted on 93 patients with severe primary palmar hyperhidrosis who underwent this surgical technique over a nine-year period. Outcome measures included recurrent hyperhidrosis and postoperative satisfaction. Patient satisfaction was assessed using the Visual Analogue Scale (VAS) at least one year post-surgery. Data were analyzed using SPSS software (version 26). The Mann–Whitney U test was used to compare postoperative satisfaction scores between independent groups. A significance level of 5% (p < 0.05) was considered statistically significant.
Results: The mean age of the patients was 27.05 ± 8.78 years. The cohort consisted of 51 (54.8%) females and 42 (45.2%) males. 71% of patients had received at least one treatment before surgery. The mean satisfaction score following surgery was 8.82 ± 1.92 on the 10-point VAS scale, with with 49 (52.7%) patients reporting a maximum satisfaction score of 10 out of 10 satisfaction score of 10. 35 (37.6%) patients experienced symptom recurrence after surgery.
Conclusion: Bilateral thoracoscopic sympathicotomy was associated with high postoperative patient satisfaction in patients with primary palmar hyperhidrosis. Lower BMI was associated with higher postoperative satisfaction. Further prospective comparative studies are needed to confirm these findings.
Keywords: Bilateral Thoracoscopic, Sympathicotomy, Hyperhidrosis, Primary Palmar Hyperhidrosis, Patient Satisfaction
: Original Research |
Subject:
Endoscopy
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