Primary palmar hyperhidrosis (PPH) is a pathologic condition of excessive sweating on hands that has adverse impacts on patients' social activity, professional life, and psychological state. Endoscopic thoracic sympathicotomy (ETS) is by far the treatment choice for PPH with the most stable and durable curative effects, but special attention should be given to the side effects of the surgery, especially compensatory hyperhidrosis (CH). This consensus is the second version of the Chinese Expert Consensus on the Surgical Treatment of PPH by the China Expert Committee on Palmar Hyperhidrosis (CECPH), which was published 10 years ago. This consensus emphasizes the need for special attention and careful assessment of the patients’ feelings, as well as their emotional and mental state, and emphasizes that distress due to palmar sweating and the desire for treatment are prerequisites for diagnosis. It also provides a more nuanced delineation of CH and reviews all new attempts to prevent and treat this side effect. New evidence of the epidemiology, pathogenesis of PPH, and indications for surgery were also assessed or recommended.

Primary palmar hyperhidrosis;Surgical treatment;Sympathectomy;Sympathicotomy;Compensatory hyperhidrosis;Consensus

Liu Yanguo;Weng Wenhan;Tu Yuanrong;Wang Jun

Department of Thoracic Surgery, Peking University People’s Hospital, Beijing 100044, China;Center of Mini-invasive Thoracic Surgery, Peking University People’s Hospital, Beijing 100044, China;Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, China

中华医学杂志（英文版）

[1]Liu Yanguo;Weng Wenhan;Tu Yuanrong;Wang Jun-.Chinese expert consensus on the surgical treatment of primary palmar hyperhidrosis (2021 version))[J].中华医学杂志（英文版）,2022(11):1264-1271

sweating,sympathicotomy,Palmar,Hyperhidrosis,CECPH,Sympathectomy,Sympathicotomy

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