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Titolo:
The treatment of primary palmar hyperhidrosis: A review
Autore:
Hashmonai, M; Kopelman, D; Assalia, A;
Indirizzi:
Rambam Med Ctr, Dept Surg B, IL-31096 Haifa, Israel Rambam Med Ctr HaifaIsrael IL-31096 Dept Surg B, IL-31096 Haifa, Israel
Titolo Testata:
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
fascicolo: 3, volume: 30, anno: 2000,
pagine: 211 - 218
SICI:
0941-1291(2000)30:3<211:TTOPPH>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER-THORACIC SYMPATHECTOMY; ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY; ALUMINUM-CHLORIDE HEXAHYDRATE; UPPER DORSAL SYMPATHECTOMY; SWEAT GLAND-FUNCTION; SURGICAL-TREATMENT; AXILLARY HYPERHIDROSIS; FOCAL HYPERHIDROSIS; UPPER LIMB; IONTOPHORESIS;
Keywords:
hyperhidrosis; sympathectomy; thoracoscopy;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
99
Recensione:
Indirizzi per estratti:
Indirizzo: Hashmonai, M Rambam Med Ctr, Dept Surg B, POB 9602, IL-31096 Haifa, IsraelRambam Med Ctr POB 9602 Haifa Israel IL-31096 Haifa, Israel
Citazione:
M. Hashmonai et al., "The treatment of primary palmar hyperhidrosis: A review", SURG TODAY, 30(3), 2000, pp. 211-218

Abstract

Primary palmar hyperhidrosis (HH) is a pathological condition of overperspiration caused by excessive secretion of the eccrine sweat glands, the etiology of which is unknown. This disorder affects a small but significant proportion of the young population all over the world. Neither systemic nor topical drugs have been found to satisfactorily alleviate the symptoms. Although the topical injection of botulinum has recently been reported to reducethe amount of local perspiration, long-term results are required before a definitive evaluation of this method can be made, Hypnosis, psychotherapy, and biofeedback have been beneficial in a limited-number of cases. While radiation achieves atrophy of the sweat glands, its detrimental effects prohibit its use. Iontophoresis has attained some satisfactory results but it has not been assessed long term. Percutaneous computed tomography-guided phenol sympathicolysis achieves excellent immediate results, but its long-term failure rate is prohibitive. Furthermore, percutaneous radiofrequency sympathicolysis may be an effective procedure, but its long-term results are notsuperior to surgical sympathectomy, On the other hand, surgical upper dorsal (T2-T3) sympathectomy achieves excellent long-term results and the thoracoscopic approach has supplanted the open procedures. Despite some sequelae, mainly in the form of neuralgia and compensatory sweating which cannot bepredicted and may be distressing, surgical sympathectomy remains the best treatment for palmar hyperhidrosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 03:42:18