effective treatment for hyperhidrosis of palms and armpits

Written by: Dr. Juan Manuel Corcoles Padilla
Published: | Updated: 16/11/2018
Edited by: Patricia Pujante Crespo

Hyperhidrosis surgery is a simple procedure performed by a minimally invasive technique that achieves optimal results. Thus it is generating discomfort in daily life, recovering heat and dryness in the hands and armpits is avoided.

What is hyperhidrosis and what their prevalence

Essential primary hyperhidrosis or a disorder characterized by excessive sweating that affects certain body areas, especially the palms and armpits, but also the soles of the feet or even the facial region. Its exact cause is unknown, but it has been found that, in patients affected, there is an excess of nervous system signal that regulates sweating (sympathetic nervous system) as well as an increased sensitivity of the sweat glands in those areas that stimulus.

It is a common problem, affecting about 2-4% of the population, being more common in adolescents and young adults, not being strange that may present a family history. Its importance lies in that, although a benign disorder causes major discomfort, significantly altering the quality of life of those affected and can cause problems of labor issues and severely affect interpersonal and marital relationships.

Not all people who believe sweating more than usual with this disorder. For diagnosis it is essential to rule, first, other underlying diseases that can cause excessive sweating, such as infections or thyroid disease (secondary hyperhidrosis). The patients with essential hyperhidrosis symptoms referred from juvenile age, accentuating in situations of nervousness or exercise, and they are not explaining underlying diseases such excessive sweating.


Treatments for hyperhidrosis: Thoracoscopic sympathectomy

There are numerous topics, pharmacological treatments and techniques based on galvanic currents that have shown limited utility, especially in the most severe cases of hyperhidrosis. The application of botulinum toxin to block nerve stimulation has proven useful in the palms and underarms, although its effect is temporary and injections must be repeated over time, with the discomfort and pain that entails.

Hyperhidrosis surgery (thoracoscopic sympathectomy) is reserved for severe cases, with significant impact on quality of life, and presents excellent results, especially in the case of hands and armpits. To do this, experts in thoracic surgery employ a minimally invasive technique, through a single incision of one centimeter under each armpit. Using a camera inside the chest is displayed, the sympathetic nerve chain, transmitting excessive signal is located, and sectioned at the desired location depending on the level hypersudation.

It is a relatively simple procedure that takes place the day of admission specialist in thoracic surgery without postoperative drains, with the rapid recovery and can, in most cases, be discharged the patient the next day after surgery with hardly any pain or significant complications.


Results of surgery and indications of hyperhidrosis

The effect is immediate surgery, the patient can then check their hands or armpits are again hot dry. The operation may be accompanied by the occasional appearance of the so - called compensatory sweating, which is an increase in the normal sweating in other parts of the trunk (back, abdomen, thighs) which, when it occurs, it is well tolerated by patients, usually, and not interfere only in the quality of life.

It should be noted that surgical treatment of hyperhidrosis is reserved for severe cases where excessive sweating causes a significant decline in the quality of life, comparable even to that caused by major neurological diseases such as multiple sclerosis. It is a simple and minimally invasive technique with an excellent cosmetic result and postoperative pain only, which has shown a high success rate, especially in the treatment of excessive sweating in palms and underarms. We can say that patients with this disorder may already have an effective solution to your problem and restore the quality of life they lost.


Edited by Patricia Crespo Pujante

*Translated with Google translator. We apologize for any imperfection

By Dr. Juan Manuel Corcoles Padilla
Thoracic & Cardiac Surgery

Dr. Corcoles Padilla is a renowned expert in thoracic surgery. With extensive experience in the profession and with extensive training in centers of national prestige, it specializes in the latest techniques of minimally invasive thoracic surgery. Today is the department head of Thoracic Surgery Vinalopó Hospital and the Hospital of Torrevieja, along with co-director of the Minimally Invasive Thoracic Surgery Unit Alicante (CITMIA) in Perpetuo Socorro Hospital. On the other hand, he is the author of numerous publications in national and international refereed journals and has more than 100 papers in national and international conferences.

*Translated with Google translator. We apologize for any imperfection

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