{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:08:03Z","timestamp":1777921683415,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Thoracoscopic sympathetic chain interruption is a definitive and effective therapy for severe primary palmar hyperhidrosis (PPH). Well-known methods include sympathectomy, sympathotomy, and clipping, but the occurrence of compensatory sweating offsets these methods. This study aims to report our experience with thoracoscopic sympathetic chain interruption in a large group of patients of age &lt;18 years with PPH, focusing on surgical outcomes, complication rates, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This retrospective study included patients who underwent thoracoscopic sympathectomy, sympathotomy, or clipping for severe PPH between April 2008 and March 2023 at the Pediatric Surgery Department, Al-Azhar University Hospitals. Demographic and clinical data, operative steps, postoperative outcomes, complications, and patient satisfaction were reviewed from the patients\u2019 medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the 15-year study period, 420 children with PPH underwent bilateral thoracoscopic sympathetic chain interruption by either sympathectomy, sympathotomy, or clipping, with a sex ratio of 60% being females. The mean ages were 12 \u00b1 3.48, 13 \u00b1 2.45, and 13 \u00b1 2.45 years, respectively. Sympathectomy was performed in 190 patients (45.2%), sympathotomy in 170 patients (40.5%), and clipping in 60 patients (14.3%). All patients had completed follow-up, with mean periods of \u223c43 \u00b1 5 months, 45 \u00b1 3 months, and 42 \u00b1 6 months, respectively. Complete palmar dryness was achieved in 405 patients (overall 96.4%) (97.8% after sympathectomy, 97.05% after sympathotomy, and 90% after clipping), whereas 2.1%, 2.9%, and 10% of patients experienced symptom recurrence, respectively, denoting significant statistical differences. Overall, 94 patients (22.4%) experienced compensatory sweating. Eventually, 409 patients (97.4%) were satisfied with the outcome, whereas 11 patients (2.6%) reported dissatisfaction, yet no significant differences found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The presented three modalities of thoracoscopic sympathetic chain interruption for PPH in children and adolescents are safe and effective, with overall very high postoperative satisfaction, despite a relatively high rate of compensatory sweating in sympathectomy group. Other major complications in this age population were scanty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2024.0026","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T06:52:10Z","timestamp":1712299930000},"page":"941-947","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Fifteen Years\u2019 Experience of Thoracoscopic Sympathetic Chain Interruption for Palmar Hyperhidrosis in Children and Adolescents: Evaluation of Different Techniques"],"prefix":"10.1177","volume":"34","author":[{"given":"Mohamed","family":"Abdel-Aziz","sequence":"first","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6328-6419","authenticated-orcid":false,"given":"Muhammad","family":"Abdelhafez Mahmoud","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-6402","authenticated-orcid":false,"given":"Mohammad","family":"Daboos","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6616-2131","authenticated-orcid":false,"given":"Mohamed","family":"Abdelmaboud","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mabrouk","family":"Akl","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Mahfouz","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Salama","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser","family":"Ashour","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousef","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3163-149X","authenticated-orcid":false,"given":"Mohamed","family":"Hussien","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Azab","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Magid","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University hospitals, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"issue":"3","key":"e_1_3_7_2_2","first-page":"37","article-title":"Thoracoscopic sympathectomy for treatment of primary hyperhidrosis in children: A randomized comparative study between clipping and electrocautery techniques","volume":"2","author":"Elshahawy M","year":"2021","unstructured":"Elshahawy M, , Shamseldin A, , Akl M. Thoracoscopic sympathectomy for treatment of primary hyperhidrosis in children: A randomized comparative study between clipping and electrocautery techniques. Al-Azhar Int Med J, 2021; 2(3):37\u201342; doi: 10.21608\/aimj.2021.58825.1408","journal-title":"Al-Azhar Int Med J"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1482-3"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1978.01370150036005"},{"issue":"3","key":"e_1_3_7_5_2","first-page":"195","article-title":"Efficacy and safety of thoracoscopic sympathicotomy for hyperhidrosis of the upper limb. Results of 734 sympathicotomies","volume":"90","author":"Neumayer CH","year":"2001","unstructured":"Neumayer CH, , Bischof G, , F\u00fcgger R, et al. Efficacy and safety of thoracoscopic sympathicotomy for hyperhidrosis of the upper limb. Results of 734 sympathicotomies. Ann Chir Gynaecol, 2001; 90(3):195\u2013199. 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