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

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The Center for Excessive Sweating and the Buffalo Sabres

National Center of Excellence for Hyperhidrosis Treatment


Plantar Hyperhidrosis after ETS for Palmoplantar Hyperhidrosis - One Year Follow-Up Study

By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD

August 15, 2008



  • It has been reported by many surgeons that as many as 60 % of patients with palmoplantar hyperhidrosis (of the hands and feet) have unexpected improvement of plantar hyperhidrosis after endoscopic thoracic sympathectomy.
  • A team from Dept. of Vascular and Endovascular Surgery, Hospital das Clínicas School of Medicine, University of São Paulo, São Paulo, Brazil sought to investigate this in a prospective manner in 70 patients with palmoplantar hyperhidrosis.
  • There was a great initial improvement in plantar hyperhidrosis in 50 % of the cases after endoscpic thoracic sympathectomy (ETS) for palmoplantar hyperhidrosis. At one year follow-up, only 23.4 % still had dry feet.
  • The researchers concluded that patients with palmar hyperhidrosis and palmoplantar hyperhidrosis who undergo ETS to treat their palmar hyperhidrosis present a good initial improvement in plantar hyperhidrosis that reduces to a lower level of improvement after the one-year period. The research was published in the journal Clin Auton Res, volume 17, pages 172-176.

  • For more information about hyperhidrosis, contact Dr. Karamanoukian @ 716-839-3638 or - We will return your phone call and answer all of your questions regarding ETS and alternative treatments for hyperhidrosis.
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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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