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01-08-2021 | Sympathectomy | Review Article

The Best Thoracic Sympathectomy Level for Palmar Hyperhidrosis: a Meta-analysis

Authors: Yunwei Wei, Zhiqing Xu, Hui Li

Published in: Indian Journal of Surgery | Issue 4/2021

Abstract

Palmar hyperhidrosis (PH) refers to excessive sweating that affects patients’ quality of life, resulting in social and work impairment and emotional distress. Thoracic sympathectomy (TS) is the best surgery option for palmar hyperhidrosis; however, there was no agreement for the choice of optimal surgery level. The aim of this study was to systematically compare postoperative effect between thoracoscopic T3 and T4 thoracic sympathectomy for palmar hyperhidrosis and to help clinical decision. Studies comparing T3 versus T4 thoracic sympathectomy for palmar hyperhidrosis were searched overall the database and a meta-analysis was performed. After searching, 12 articles were selected and a total of 1192 patients with palmar hyperhidrosis, of whom 567 patients underwent T3 thoracic sympathectomy and 625 patients underwent T4 thoracic sympathectomy. After analysis, we found that T4 thoracic sympathectomy had fewer side effects than T3 thoracic sympathectomy, so T4 may be the optimal level for thoracic sympathectomy in palmar hyperhidrosis patients.

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Title: The Best Thoracic Sympathectomy Level for Palmar Hyperhidrosis: a Meta-analysis
Authors: Yunwei Wei
Zhiqing Xu
Hui Li
Publication date: 01-08-2021
Publisher: Springer India
Keywords: Sympathectomy
Hyperhidrosis
Published in: Indian Journal of Surgery / Issue 4/2021
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-020-02512-4

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The Best Thoracic Sympathectomy Level for Palmar Hyperhidrosis: a Meta-analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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