Endoscopic expanded sympathotomy for the treatment of extremely severe compensatory hyperhidrosis:A case report
Compensatory hyperhidrosis(CH)is a severe side effect that occurs after endoscopic thoracic sympathotomy(ETS)for the treatment of palmar hyperhidrosis.CH significantly interferes with daily activities such as work,study,and social interactions,leading to a substantial decrease in the quality of life for patients.Preventing and treating CH are currently important and challenging issues in minimally invasive surgery for palmar hyperhidrosis.In this report,we presented a 29-year-old male patient who experienced severe CH for 8 years following ETS.The patient underwent staged unilateral endoscopic expanded sympathotomy(ES)at our hospital on December 11,2023 and January 3,2024,targeting the R4-R10 levels.After a 3-month follow-up,the patient experienced significant improvement in clinical symptoms and quality of life,with no recurrence of palmar hyperhidrosis or other complications.The treatment outcome was satisfactory.
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