Center for

Center for Excessive Sweating
5225 Sheridan Drive
Williamsville, NY 14221
(716) 839-3638

Informational Videos

>View Excessive Sweating Video

>WNY Living: Excessive Sweating

>WNY Living: Varicose Veins

>View Varicose Vein Video

>View Closure Procedure Video

The Center for Excessive Sweating and the Buffalo Sabres

National Center of Excellence for Hyperhidrosis Treatment


Taiwan Study Claims Less Compensatory Sweating after ETS for Palmar Hyperhidrosis

By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD

August 5, 2008

Less Compensatory Sweating with T4 Sympathectomy ?

A study published by Dr. Chang and colleagues from the Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan investigated the difference between T3 and T4 sympathectomy (ETS) for palmar hyperhidrosis. The results, published in Annals of Surgery (volume 246, pages 330-336) showed that patients with T4 ETS presented the lowest incidence of compensatory sweating and had the least severity of compensatory sweating. None of the patients who had T4 level ETS expressed regret for having had this procedure. The authors concluded that T4 level sympathectomy “would be a better and more effective procedure with minimal long-term complications” than T2 or T3 level Sympathectomy for palmar hyperhidrosis.

Dr. Karamanoukian’s note – the real interesting finding from this study is that “being obese did not increase the incidence of compensatory sweating but that the severity of compensatory sweating was directly related to body mass index in a statistically significant manner”.

For more information about hyperhidrosis and ETS contact Dr. Karamanoukian at or contact the Center for Excdessive Sweating at 716-839-3638 to talk to Dr. Karamanoukian or our Nurse Practitioner.


# # #

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.

Website and Web Hosting by Online Media
Online Media - Buffalo's Web Hosting Company