Hand sweating is a functional disorder in which the sweat glands in the hands are overproductive, resulting in excessive sweating of the palms and a family genetic predisposition. The sweat glands are mainly controlled by the sympathetic nerves, and hand sweating is a disorder in which the palms of the hands sweat more due to unexplained sympathetic hyperexcitability.
The main clinical manifestations of hand sweating are sweaty palms with visible beads of sweat, which are aggravated by stress or strenuous exercise. Excessive sweating will have a serious impact on the patient’s life, study, work and social activities, as well as affect the patient’s psychological health, resulting in low self-esteem, introversion, fear, and in severe cases, can prompt suicidal tendencies.
The main non-surgical treatment measures for hand sweating in clinical practice are internal treatment, botulinum toxin therapy, iontophoresis and external application of medication. Among them, internal treatment mainly includes oral sedatives, anticholinergic drugs and external application of astringents, antiperspirants and absorbents.
In terms of clinical performance, there are relatively more side effects when treating hand sweating with medication, and some limitations arise along with obvious efficacy, so medication has its limitations and side effects, and cannot be used for a long time. So what else can be done?
The minor hand sweating does not affect the patient’s life much, but the serious hand sweating needs to be treated. The effect of drugs is not long lasting and has side effects, so it is time to consider the minimally invasive technique of fluorescence contrast ETS, which is an advanced technique in the clinical treatment of hand sweating and is a research hotspot in many surgical fields in recent years. This technique is fluorescence staining by non-radioactive, non-toxic fluorescent contrast agent, which can quickly, accurately and clearly observe the direction and distribution of the thoracic sympathetic ganglion covering the wall pleura and connective tissue with its variant nerves, facilitating the differentiation of other normal tissue structures around it, avoiding the presence of omissions in the treatment, thus achieving a safer, finer and more complete regulation of the treatment, avoiding This allows for a safer, more delicate and more complete treatment, avoiding damage to other nerves and normal tissues, providing more accurate treatment results and greatly reducing postoperative complications of hand sweating, thus benefiting more patients with hand sweating.