What is hand sweating disorder? Hand sweating is a condition in which the sweat glands in the hands are hyperactive, mainly in the palms of the hands, but also in the armpits, feet and head and face. Although hand sweating is not a problem for the average person and is not a major health concern, it can be an embarrassment and a hindrance to life and work or social life because of the sweaty palms, soles and armpits, and sometimes the head, neck, trunk, groin, or perineum, which are also prone to sweating. According to statistics, the prevalence of hand sweating is about 3 per 1,000, and most patients with hand sweating have been suffering from it since early childhood, and it intensifies during adolescence, seriously affecting learning, work and life. Hand sweating has a genetic predisposition in 12% of people and is a congenital disorder. The need for surgical treatment depends on the degree of hand sweating that is causing the problem. Too much hand sweating may seriously affect school, social life, work???? and can cause a great deal of distress. The greater the disturbance, the more treatment is needed. We treat patients from all walks of life who suffer from hand sweating, and after surgery, their quality of life is significantly improved and their psychological stress is immediately reduced. Why do you get hand sweating? The causes of hand sweating are generally divided into two main categories, the majority of which are primary and only a very small number of which are secondary. Primary hand sweating means that there is no specific reason for it, just as some people are taller and some are shorter, and the amount of sweating varies from person to person. It is currently hypothesized that hand sweating is caused by sympathetic hyperexcitability. The sympathetic nervous system controls the secretion of our sweat glands and the contraction of blood vessels, and normally regulates body temperature by controlling sweating and heat dissipation. What are the treatments for hand sweating? The treatment of hand sweating can be divided into medical and surgical therapies. Traditional medical therapies, including astringents, antiperspirants, sedatives, hypnotherapy, psychotherapy, iontophoresis and acupuncture, are often ineffective and do not provide any real improvement. If hand sweating is to be cured at all, surgery is by far the way to go. The traditional surgical method of cutting the thoracic sympathetic nerve that innervates the sweat glands in the hands and armpits can immediately reduce or stop sweating in the hands and armpits, but it requires an incision about 20 cm long on each side of the patient’s chest wall, which is very traumatic, bleeding, painful and prolonged hospital stay. In contrast, thoracoscopic underhand sweating treatment does not require opening the chest, and only two small keyhole-like incisions are made in the axillae of each side of the chest wall, through which the thoracoscope is placed and the sympathetic nerve is cut at the T3 level after accurate positioning. The patient has almost no bleeding, and the incision is minimal, painful, and the scar is not aesthetically displeasing. The patient’s hand sweating was immediately eliminated 3 minutes after the procedure and he was discharged from the hospital in 2-3 days. Television thoracoscopic thoracic sympathetic ganglion or sympathetic trunk resection is the single safest and most effective and long-lasting method of treating hyperhidrosis. Small surgical holes for hand sweating, one small hole of about 1.5 cm under each side of the armpit What is the success rate of thoracoscopic surgery for hand sweating? The success rate of thoracoscopic surgery for hand sweating is very high. The main reason for this failure is that the patient has suffered from pneumonia, trauma or other chest diseases that have caused pleural adhesions in the past, making it impossible for the endoscope to see the sympathetic nerves and thus prevent the surgery from being completed. Are there any risks associated with thoracoscopic surgery for hand sweating? There are potential risks associated with any surgery and hand sweating surgery is no different. The main risks include anesthesia accidents and the risks associated with the surgery itself. With anesthesia accidents, the chances are very low, while with the surgery itself, there is the possibility of accidents such as hemorrhage, lung injury, celiac disease, etc., but it is quite rare for these dangers or complications to actually occur. However, no matter what kind of complications occur, when they do, they are very painful for the patient. Therefore, when choosing a hospital for surgery, it is important to pay attention to the comparison of strengths. Jining First People’s Hospital is a tertiary level hospital in Shandong Province. We are a trusted choice for patients with hand sweating because of our mature technology, experience and exact results in the treatment of hand sweating based on our experience of over 200 cases of thoracoscopic surgery a year. What are the side effects of thoracoscopic surgery for hand sweating? (1) After the surgery, compensatory sweating may occur, which means that the sweat originally discharged from the hands is discharged from other parts of the body instead. Generally, the palms of the hands are almost completely free of sweat after surgery, while the sweating of the arms, armpits, head and face is greatly reduced, and the sweating of the abdomen, back and thighs will increase more or less after surgery. This is more noticeable in the hot summer months and generally does not pose much of a problem, but a few patients may have difficulty with compensatory sweating. Once postoperative compensatory sweating has occurred, it cannot be undone in any way, and this is something that patients with hand sweating need to know before surgery. (2) Another possible side effect is less sweating of the face, drooping eyelids, and smaller pupils, which is much less common but should be understood before hand sweating surgery.