Treatment of compensatory hyperhidrosis of the trunk with radiofrequency ablation

Agri. 2015;27(1):42-6. doi: 10.5505/agri.2015.37167.

Abstract

Objectives: Although Endoscopic Thoracic Sympathectomy is a widely accepted treatment method for patients with palmar hyperhidrosis, compensatory hyperhidrosis of the trunk remains a challenging side effect of the procedure. No satisfactory treatment options for this side effect were available until now. In this study, we aimed to define a new procedure for the treatment of compensatory hyperhidrosis of the trunk.

Methods: A total of 10 patients admitted our institution for the treatment of compensatory hyperhidrosis of the trunk were enrolled in the study between November 2010 and January 2012 in a prospective manner. Sympathetic blockage was achieved via radiofrequency thermo-ablation technique. The results of treatment were evaluated via telephone calls.

Results: Ten patients (2 females, 8 males) underwent radiofrequency thermo-ablation of T6 sympathetic ganglion for compensatory hyperhidrosis of the trunk. The mean age was 29.2 years and the median duration of symptom was 10.5 months. The median follow-up period was 14 months. Six of ten patients (60%) were treated successfully. There was no procedure related complication.

Conclusion: The radiofrequency treatment for patients with compensatory hyperhidrosis of the trunk is an alternative option with promising results.

MeSH terms

  • Adult
  • Catheter Ablation
  • Female
  • Humans
  • Hyperhidrosis / surgery*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Postoperative Complications
  • Sympathectomy
  • Thorax
  • Treatment Outcome
  • Young Adult