Minimally invasive surgical treatment of limited hyperhidrosis of the palms of the hands in a 26-year-old woman for many years, with improvement

(Disclaimer: This article is for scientific purposes only, in order to protect the privacy of patients, the relevant information in the following content has been processed) Abstract: A young patient reported that he found his hands and feet sweating very easily since elementary school, and the symptoms did not decrease as he grew older, and now it had a significant impact on his work and life, so he came to the hospital, and based on the patient’s symptoms and descriptions, he was diagnosed with restrictive hyperhidrosis. According to the patient’s symptoms and description, he was diagnosed as having limited hyperhidrosis. After thorough communication with the patient, he agreed to undergo T3 sympathetic ganglionectomy. After the operation, the patient’s hand sweating was significantly relieved, and compensatory sweating occurred in other parts of the body, but it was not serious. 【Basic information】 Female, 26 years old 【Type of disease】 Restricted hyperhidrosis 【Hospitalization】 Shenyang Combined Traditional Chinese and Western Medicine Hospital 【Time of consultation】 July 2021 【Treatment plan】 Surgery (T3 sympathetic neural chain amputation) 【Treatment cycle】 Hospitalization for 7 days, and review after 7 days 【Treatment effect】 Sweating of the hand was significantly relieved, and other parts of the body experienced compensatory sweating, but not serious I, Initial Consultation A young patient came to the clinic alone and was in a low mood. When he sat down, he did not show his condition eagerly, but spread out his hands, and at that time it was the height of summer, and the sweat in the palms of his hands had already formed into large water drops. The patient said that he found his hands and feet sweating more than other students in elementary school, and when he was writing in class, he found that his notebook was wet with sweat in a short time. This symptom did not decrease with age, and it had a significant impact on his work and life, so he came to the hospital for treatment, and according to the patient’s symptoms and descriptions, he was diagnosed as limited hyperhidrosis, and he wanted to treat it through surgery. Treatment For patients with limited hyperhidrosis, surgery is generally not the preferred treatment, because surgery requires removal of the sympathetic nerves, although it can alleviate hand sweating, but there will be compensatory sweating, that is, other parts of the body will be sweating more than the original. Therefore, the patient was first given a drug treatment plan, but in the process of communication with the patient, the patient said that he had already tried many kinds of ways, such as topical medication, Chinese herbal medicine, electrotherapy antiperspirant machine, drug injection, etc., but the results were not satisfactory, and excessive sweating still seriously affects his life. In the end, we unified the plan with the patient and used minimally invasive way to do T3 sympathetic chain dissection to minimize the damage as much as possible to achieve satisfactory therapeutic effect and try to reduce the postoperative compensatory sweating. The patient was discharged after 7 days of hospitalization and was instructed to have a review after 7 days. After surgery, the patient said that the sweating of the hands was solved, but compensatory sweating also appeared, such as the back and thighs would sweat more than before, but before the surgery, he was already psychologically prepared, and the actual situation was better than expected, and it was not very serious. Now the patient’s hands do not sweat, can ensure normal work, and compensatory sweating parts can be solved by changing clothes diligently, and gradually resume normal work and life. Fourth, precautions I am glad that the patient returned to normal life after treatment, but after the operation, because there will be compensatory sweating, so daily in the sweat when wet to change clothes in a timely manner. Exercise should pay more attention to, try not to strenuous exercise, according to their own situation, according to their own strength. Patients can eat more yin nourishing food, such as apples, pears, yogurt, etc., and more dietary fiber. Excessive sweating does cause inconvenience and embarrassment, but patients should learn to be optimistic, and can communicate with family, friends, doctors, as a way to relieve bad feelings. Fifth, personal feelings Hyperhidrosis, whether it is limited or generalized, for daily work and life will cause many difficulties, such as fingerprints can not be unlocked, can not wear sandals in summer, because of excessive sweating will make the patient slippery, and even can not sit on buses, subways, and can not hold the handles, because the sweat will be dripping down the arm, and even dripping to others, and can not be engaged in and paper, metal, instruments, keyboard-related work. Therefore, if there are friends and coworkers with hyperhidrosis around, they should give more understanding and avoid embarrassment so as not to affect their mental health.