Effectiveness of Endoscopic Lumbar Sympathectomy in Patients with Plantar Hyperhidrosis: First Case Series in Thailand
Sira Laohathai, MD1, Supachai Sathidmangkang, MD2, Nattawut Niljianskul, MD3, Jakraphan Yu, MD1
Affiliation : 1Cardio Thoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand, 2Urology Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand, 3Neurosurgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
Objective: The present study aims to assess the outcome of endoscopic lumbar sympathectomy (ELS) in terms of intra- and postoperative complications after surgery, hospital stay, and side effects among a Thai urban population with plantar hyperhidrosis.
Materials and Methods: This retrospective cohort study was conducted between June and December 2023. Ten patients diagnosed with plantar hyperhidrosis underwent endoscopic thoracic and lumbar sympathectomy. All medical records were collected from Vajira Hospital. Various factors were analyzed to evaluate the outcomes.
Results: The 10 patients were subjected to ELS, and 9 of them simultaneously underwent endoscopic thoracic sympathectomy. There were 6 female and 4 male patients. None of them was smoker. The operative time was 30 minutes for ELS. No intraoperative conversion was observed. For postoperative outcome, 70 percents of patients has symptom of compensatory hyperhidrosis at trunk and thigh. None of them has side effect of retrograde ejaculation or neuralgia or nerve injury. All patients symptom were 100 percent improve after surgery.
Conclusion: ELS is a safe and effective treatment for patients with plantar hyperhidrosis with serious complication.
Received 2 May 2024 | Revised 3 September 2024 | Accepted 16 september 2024
Keywords : Endoscopic; Sympathectomy; Hyperhidrosis
