Compensatory Sweating after Thoracoscopic Sympathectomy for Primary Focal Hyperhidrosis In Children: Are there Patient-Related Risk Factors?
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Oct 2021 · 1 min read
In brief
In brief
Retrospective study of 41 pediatric patients undergoing thoracoscopic sympathectomy for primary focal hyperhidrosis found compensatory sweating occurred in 41% at 3 months, decreasing to 32% by 6 months. Severe axillary hyperhidrosis was associated with dorsolumbar compensatory sweating development, while age, gender, and BMI showed no correlation.
Written by the GCMD Library team from the article.
Introduction
Compensatory sweating (CS) is a common complication after thoracoscopic sympathectomy (TS) and is mainly associated with surgical technique. Our aim was to identify potential risk-factors for CS following TS for primary focal hyperhidrosis in children.
Methods
A retrospective, single-center review of all bilateral TS was performed between 2017 and 2019. Hyperhidrosis disease severity scale was used for pre-operative severity assessment. Post-operative evaluations were performed after three and six months.
Results
Over the 36-month period, 41 patients were submitted to T2-T4 TS, and 25 were females (60.9%). Median age at surgery was 15.5 years. CS was identified at the 3rd month in 17 (41%) children with most in the dorsolumbar region (56%). By the 6th month, there was a significant reduction in CS (41% to 32%, p=0.02). The probability of resolution of CS by 6 months is about 50% in both the dorsolumbar and abdominal regions. Neither age, gender, body mass index, family history, or concomitant illnesses seemed to influence CS (p>0.05). Severe axillary hyperhidrosis appears to be associated with the development of dorsolumbar CS (p=0.037).
Conclusion
Thoracoscopic sympathectomy for PFH is a safe and effective procedure, but compensatory sweating can be a common and debilitating side effect. Age, gender, and body mass index do not appear to influence CS. Axillary hyperhidrosis may be related to the development of dorsolumbar CS.