DOI: 10.36347/sjams.2020.v08i10.035

Pages: 2402-2404

Background: Video assisted thoracoscopic (VATS) sympathectomy is the golden standard surgical procedure for primary hyperhidrosis (HH) nowadays. As any procedure there are immediate and long term effect of the procedure. Objective: in this study we want to review our patients and explore the short and long term effect of VATS sympathectomy. Methods: we want to review patients file and data whom had underwent VATS sympathectomy from 2017 till 2019 and their follow ups for one year. We want to investigate both immediate and long term effect and complications regarding pain, recurrence, and compensatory hyperhidrosis. Results: 210 patients was enrolled in the study. 113 males (53.8%) and 97 females (46.1%). Mean age was 22 years with age range from 14 to 32 years. All patient (100%) had resolution of their symptoms post operation. 10 patients (4.7%) had compensatory HH and only one patient (0.4%) had severe compensatory HH. No long term complication was recorded. No mortalities. Conclusion: T3-T4 VATS sympathectomy is a safe and effective method of controlling HH and has an acceptable rate of compensatory HH.