الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 61 |  |  |
| | | from | 61 | | |
Abstract
PPH is considered a disorder characterized by excessive perspiration of both hands. It could affect the social life and functional concern of the involved cases to varying degrees. The condition tends to present during childhood as well as adolescence.
Severe degrees of hyperhidrosis will need surgical intervention mainly in the form of video assisted thoracoscopic sympathectomy that has become the standard in management of severe degrees because of its minimal invasiveness nature as well as low morbidity and mortality.
It is much safer to perform thoracic sympathectomy at the level of T3 and T4 to keep far from the stellate ganglion with the fear of developing Horner syndrome and getting benefit in axillary hyperhidrosis associated with palmar hyperhidrosis as well as decreasing the incidence of postoperative side effects and complications. Varying degrees of hand moistness or over dryness of the hands as well as compensatory sweating were reported following thoracoscopic sympathectomy in some patients.
The aim of the current prospective study was evaluating the safety and efficacy of interrupting the thoracic sympathetic chain at the level of T3 and T4 using thoracoscopy in the management of primary focal palmar as well as axillary hyperhidrosis in children & adolescents.
Our study included 30 patients, 13 (43.3 percent) boys and 17 (56.73percent) girls with the boys: girls ratio was (1 to 1.3). The ages of the study group ranged between 5 & 15 y, with a mean age of 9.73 ± 2.84. The majority of patients were between 7 to 15 years of age.