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R. Rieger, S. Pedevilla and S. Po chlauer

Here is a basic summary of this paper which was presented in part to the Seventh International Congress for Sympathetic Surgery, Porto de Galinhas, Brazil, March
2007, and to the 49th Annual Meeting of the Austrian Society of Surgery, Innsbruck, Austria, May 2008.

Background: The aim of this study was to evaluate the results of endoscopic lumbar sympathectomy for
plantar hyperhidrosis.

Methods: A total of 178 endoscopic resections of the lower sympathetic lumbar trunk were carried out
in 90 patients (59 men, 31 women) with severe plantar hyperhidrosis. The clinical results, including
morbidity and satisfaction rates, were evaluated. Follow-up examination was carried out for all patients.

Results: All procedures were carried out endoscopically. There were no deaths and only three patients
had a postoperative complication. All patients had evidence of postoperative sympathetic denervation
of the feet. In 87 patients (97 per cent) hyperhidrosis was eliminated, but in three (3 per cent) it
recurred. Compensatory sweating occurred in 40 patients (44 per cent), postsympathectomy neuralgia in
38 (42 per cent) and one man suffered temporary loss of ejaculation. A total of 86 patients (96 per cent)
were very, or partly, satisfied with the result, and 83 (92 per cent) would have the procedure repeated if
required.

Conclusion: Endoscopic lumbar sympathectomy was a safe and effective option for patients with severe
plantar hyperhidrosis.

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