Süleyman Deniz1, Kuthan Kavaklı2, Hasan Çaylak2, Tarık Purtuloğlu3, Ersin Sapmaz2, Gökhan İnangil1, Abdulkadir Atim3, Sedat Gürkök2, Ercan Kurt3

1Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department Of Anesthesiology, Istanbul, Turkey
2Gulhane Military Medical Academy Department Of Thoracic Surgery, Ankara, Turkey
3Gulhane Military Medical Academy Department Of Anesthesiology And Reanimation, Ankara, Turkey

Keywords: Compensatory hyperhidrosis, radiofrequency; sympathectomy.

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.