Outcome of Bilateral Thoracoscopic Sympathectomy for Patients with Primary Focal Hyperhidrosis
NCT ID: NCT06638827
Last Updated: 2024-10-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
100 participants
INTERVENTIONAL
2024-01-01
2025-06-30
Brief Summary
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Detailed Description
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1. examine the efficiency of Bilateral Thoracoscopic Sympathectomy (BTS) with different levels of transection among the persons with the Primary focal Hyperhidrosis (PFH)
2. examine the influence of BTS on cardio-pulmonary function tests in persons with PFH after the operation.
3. examine the incidence, duration, and intensity of compensatory sweating after BTS among persons with PFH
4. examine the incidence, duration, localization, and treatment of postoperative pain after BTS among persons with PFH.
5. determine postoperative complications of BTS among persons with PFH
6. examine the influence of BTS on quality of life among persons with PFH
Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Patients complaining of primary focal hyperhidrosis
This is a prospective clinical study that includes all patients with Primary Focal Hyperhidrosis, who will be operated on with Bilateral Thoracoscopic Sympathectomy.
Thoracic Sympathectomy
Bilateral thoracoscopic sympathectomy will be performed with general anesthesia, using single lung ventilation and monopolar cautery for transection of the sympathetic chain.
Persons with PFH who underwent the BTS were classified into three groups, depending the level of transaction of sympathetic chain:
1. transection at the level from the second to the forth thoracic sympathetic ganglion (T2- T4);
2. transection at the level from the third to the forth thoracic sympathetic ganglion (T3-T4)
3. transection at the level from the second to the third thoracic sympathetic ganglion (T2-T3)..
Interventions
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Thoracic Sympathectomy
Bilateral thoracoscopic sympathectomy will be performed with general anesthesia, using single lung ventilation and monopolar cautery for transection of the sympathetic chain.
Persons with PFH who underwent the BTS were classified into three groups, depending the level of transaction of sympathetic chain:
1. transection at the level from the second to the forth thoracic sympathetic ganglion (T2- T4);
2. transection at the level from the third to the forth thoracic sympathetic ganglion (T3-T4)
3. transection at the level from the second to the third thoracic sympathetic ganglion (T2-T3)..
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* b. Satisfactory CardioPulmonary Function
Exclusion Criteria
* Secondary Hyperhidrosis
15 Years
ALL
Yes
Sponsors
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Sohag University
OTHER
Responsible Party
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Mohamed Ashraf Mokhtar
Resident physician, Cardiothoracic Surgery department
Locations
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Sohag University
Sohag, Sohag Governorate, Egypt
Countries
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Central Contacts
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Essam El Badry, Assistant Professor
Role: CONTACT
Facility Contacts
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Essam El Badry, Assistant Professor
Role: backup
Essam El Badry, Assistant Professor
Role: backup
Mohsen Saber, Lecturer
Role: backup
References
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Doolabh N, Horswell S, Williams M, Huber L, Prince S, Meyer DM, Mack MJ. Thoracoscopic sympathectomy for hyperhidrosis: indications and results. Ann Thorac Surg. 2004 Feb;77(2):410-4; discussion 414. doi: 10.1016/j.athoracsur.2003.06.003.
Hornberger J, Grimes K, Naumann M, Glaser DA, Lowe NJ, Naver H, Ahn S, Stolman LP; Multi-Specialty Working Group on the Recognition, Diagnosis, and Treatment of Primary Focal Hyperhidrosis. Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol. 2004 Aug;51(2):274-86. doi: 10.1016/j.jaad.2003.12.029. No abstract available.
Shabat S, Furman D, Kupietzky A, Srour B, Mordechai-Heyn T, Grinbaum R, Mazeh H, Mizrahi I. Long-term Outcomes of Endoscopic Thoracoscopic Sympathectomy for Primary Focal Palmar Hyperhidrosis: High Patient Satisfaction Rates Despite Significant Compensatory Hyperhidrosis. Surg Laparosc Endosc Percutan Tech. 2022 Dec 1;32(6):730-735. doi: 10.1097/SLE.0000000000001100.
Milanez de Campos JR, Kauffman P, Gomes O Jr, Wolosker N. Video-Assisted Thoracic Sympathectomy for Hyperhidrosis. Thorac Surg Clin. 2016 Aug;26(3):347-58. doi: 10.1016/j.thorsurg.2016.04.010.
Solish N, Wang R, Murray CA. Evaluating the patient presenting with hyperhidrosis. Thorac Surg Clin. 2008 May;18(2):133-140. doi: 10.1016/j.thorsurg.2008.01.002.
Other Identifiers
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Soh-Med-24-09-09MS
Identifier Type: -
Identifier Source: org_study_id
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