J Neurol Surg A Cent Eur Neurosurg 2019; 80(02): 067-071
DOI: 10.1055/s-0038-1666790
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Changes in Palm Temperature as Predictor of Long-term Cure of Sympathicotomy for Palmar hyperhidrosis?

Gaoli Liu
1   Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
Ganjun Kang
1   Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
Jie Huang
1   Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
Songping Xie
1   Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
Haifeng Hu
1   Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
› Author Affiliations
Further Information

Publication History

28 January 2018

16 April 2018

Publication Date:
31 October 2018 (online)


Objectives To investigate the long-term relationship between intraoperative temperature changes of the palm, treatment effects and compensatory hyperhidrosis (CH).

Methods We retrospectively analyzed the data of 41 patients with palmar hyperhidrosis who underwent bilateral endoscopic sympathicotomy 3 to 6 years ago. Before and after the operation, changes in ipsilateral palm temperature were monitored and recorded to evaluate the curative effect of the sympathicotomy.

Results All operations were performed successfully. Concerning cure, there was no statistically significant difference between patients with different maximum temperature (Tmax) values (p = 0.455). There was a very weak correlation between postoperative palm temperature (34.309 ± 1.377°C) (p = 0.049; correlation coefficient − 0.218). The T3 + T4 sympathicotomies had a higher Tmax (p = 0.000). The incidence and degree of CH had no relationship with Tmax in the left (p = 0.266 and p = 0.168, respectively) or the right hand (p = 0.640 and p = 0.824, respectively).

Conclusions Temperature change has a relationship with surgery, but it cannot directly predict the long-term curative effect of a sympathicotomy or the occurrence of CH. Additional studies are required.

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