Introduction:
Hyperhidrosis is a sweat glands’ benign functional disorder. Usually, it
presents by heat or emotional stimulated excessive sweating beyond the
physiological needs. Moreover, it causes psycho-social and professional
embracement that negatively impacts the quality of life (QoL). [1-3]
Hyperhidrosis may be primary or secondary. The etiology of primary
hyperhidrosis (PH) is still unknown. It affects about 0.6 to 1% in the
general population. The most usual sites or domains of hyperhidrosis are
the hands in 25% of cases, armpit in 20% and both in 55%, while
plantar hyperhidrosis noted in 45% of cases. [2, 4]
Management of those patients includes many medications as topical
medication and botulinum toxin injection. [5] In 1920s, the
trans-thoracotomy surgical treatment started to appear in medical
practice with significant patient morbidity so, it failed to generate
widespread acceptance. [6] Evolving thoracoscopy approach enhanced
the thoracoscopic sympathectomy to become the surgical technique of
choice for treating PH. This minimally invasive procedure is simple and
safe, with a high success rate with low morbidity and short hospital
stay.[7] Although being an effective method for management of PH, it
has some complications such as compensatory hyperhidrosis (CH),
pneumothorax, Horner’s syndrome, post-operative pain and recurrence.
[8, 9]