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Compensatory Hyperhidrosis in Children vs Adults after ETS Thoracic Sympathectomy

By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD

August 5, 2008

Compensatory Sweating in Children vs Adolescents and Adults

Researchers in Israel at the Department of Pediatric Surgery, Hillel Yaffe Medical Center have compared outcomes in children, adolescents and adults following Endoscopic Thoracic Sympathectomy (ETS). The retrospective review investigated outcomes in a telephone interview and noted that there were 325 patients with a >24-month follow-up – with 116 children and 209 adolescents and adults. The long-term postoperative satisfaction was significantly higher among children (92.2%) compared to adolescents and adults (80.7%).  Most participants reported complete or reasonable symptomatic relief.from palmar hyperhidrosis with compensatory sweating appearing within 6 months postoperatively in 81.8% of all the patients but significantly less in 70 % of children compared to 89% of adolescents and adults.
The researchers led by Dr. Steiner (Pediatric Surgery International 2008; volume 24) concluded that “most patients prefer relief from palmar hyperhidrosis even at the cost of moderate or severe compensatory sweating and furthermore that the rate of compensatory sweating and its severity is tolerated better by children. Unless otherwise contraindicated, the authors “recommend doing Endoscopic Thoracic Sympathectomy as early as possible.
Dr Karamanoukian's note - I recommend ETS in children and I have operated on children as young as 8 years old with good outcomes. This published series from Israel is a large one considering that it involves children and therefore it is of important information to the published literature about hyperhidrosis and ETS in children.
For more information about hyperhidrosis and ETS contact Dr. H Karamanoukian @ or call 716-839-3638 to talk to Dr. Karamanoukian or our Nurse Practitioner at the Center for Excessive Sweating.


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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.

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