Telford's operation for primary palmar hyperhidrosis.

摘要: Bilateral upper dorsal sympathectomy via the supraclavicular approach was performed in 42 patients for palmar hyperhidrosis. In 16 (32 extremities) effect of on digital circulation evaluated objectively, comparison with that 15 control subjects. Mean values finger temperature and systolic pressure increased by 6.9 degrees C 36 mmHg respectively after operation, whereas an increase blood flow a decrease time clearance 99mTc approximately 60% were recorded. Differences between preoperative postoperative those controls statistically significant. Clinical results treatment remain satisfactory mean follow-up period thirty-two months no case recurrence. Permanent plantar hyperhidrosis recorded 14 patients. The advantages Telford's operation over other methods extremity sympathetic denervation are discussed.