Plantar Hyperhidrosis
MINI INVASIVE TREATMENT
Bilateral Retroperitoneoscopic Lumbar Sympathectomy (Surgery) to Reduce Excessive Foot Sweating
Objective:
Resection of the lumbar sympathetic nerve.
What it's about:
Plantar hyperhidrosis, that is excessive sweating of the feet.
#hyperhidrosis #surgery #general surgery #sympathectomy #coimbra
plantar hyperhidrosis
Primary hyperhidrosis is characterized by excessive sweating of the hands and feet, affecting about 0.6% to 1.0% of the population. Despite being a benign pathology, it can be quite disabling for daily life. There are several treatments, but surgery is the only definitive treatment. For plantar hyperhidrosis (excessive sweating of the feet), bilateral retroperitoneoscopic lumbar sympathectomy is the technique of choice.
RETROPERITONEOSCOPIC LUMBAR SYMPATICECTOMY
What is plantar hyperhidrosis?
excessive sweating
SWEATING EXCESSIVELY WITH THE FEET
It is a benign clinical condition characterized by excessive sweating of the feet, with a negative impact on the social life and mental state of patients. it apparently occurs by an increase in the activity of the eccrine glands.
What are the manifestations of hyperhidrosis?
Negative impact on daily life
SOCIALLY DISABLEMENT
Hyperhidrosis usually starts in adolescence and tends to improve with age. Excessive sweating is socially uncomfortable and disabling for routine activities (personal and professional). In the case of palmar hyperhidrosis (of the hands) it can make handwriting impossible because it gets on the paper and causes problems in compliance. Plantar hyperhidrosis can cause discomfort when wearing certain shoes in addition to the associated unpleasant smell.
What is the best treatment for plantar hyperhidrosis?
Mini invasive surgery
LUMBAR SYMPATICECTOMY
Bilateral retroperitoneoscopic lumbar sympathectomy is the most effective treatment and the only one that offers long-term results. Through three small incisions in the flanks it is possible to effectively and safely reduce excess sweating in the feet. Recovery is simple and fast.
SURGERY IS THE ONLY DEFINITIVE
Periodic injection of botulinum toxin into the soles of the feet (several painful stings per session) can only get results for a few months. Bilateral retroperitoneoscopic lumbar sympathectomy offers a lasting result without the need for further treatments, which is why I prefer the technique.
Are there other treatments?
less effective
Does sympathectomy have to be bilateral?
Yes
TO GET GOOD RESULTS
Failure to obtain anhidrosis (absence of sweating) may result from a collateral nervous tract or cross-innervation if only the unilateral procedure is performed. With bilateral retroperitoneoscopic lumbar sympathectomy, anhidrosis usually occurs 30 minutes after the intervention. Patients are happy with the result even if compensatory hidehidrosis occurs.
Can complications occur?
rare
YES BUT THEY ARE RARE
Like all procedures, complications are possible. Not being a complication, compensatory sweating can be a consequence. However, this usually occurs in the treatment of palmar but not plantar hyperhidrosis.
