A STUDY ON FOUR CASES OF ENDOSCOPIC LUMBER SYMPATHETIC SURGERY FOR PLANTER HYPERHIDROSIS

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 64; no. 2; pp. 501 - 505
• Main Authors: ISHIHARA, Toru, SASAKI, Katsumi, MATSUHASHI, Wataru, UMEZU, Soichi
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2003
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.64.501

We studied the outcomes of endoscopic lumber sympathetic surgery for plantar hyperhidrosis with the chief complaint of excessive sweating of the plantars. Subjects were seven limbs of four cases. Factors studied were age, sex, family and previous histories of hyperhidrosis, observation time, sites with excessive sweating, operating time, postoperative hospital stay, blocking method, sites where sweating ceased, compensatory sweating sites, and postoperative complications. As a result, this therapy was successful in all cases. No signs of recurrence have been seen for as longest as 40 months of observation time. As for severe complications, transient impaired erection was noted in a male patient. Procedures of this endoscopic lumber sympathetic surgery include to inject 600-800ml of physiological saline solution to a surgical glove to make an artificial retroperitoneum; to maintain it at 8-12mmHg by carbonic acid gas; and then to block an area covering from the lumber sympathetic trunk L2 to L4 by electric or ultrasonic coagulation via 3-4trocars. The locaiton of ganglion is confirmed by intraoperative X-ray examination. It is demonstrated that the endoscopic lumber sympathetic surgery can be indicated for plantar hyperhidrosis like for palmar hyperhidrosis.