TY - JOUR AU - Du, Xiaojun AU - Zhu, Xu AU - Wang, Tao AU - Hu, Xiao AU - Lin, Peng AU - Teng, Yin AU - Fan, Chao AU - Li, Jianglun AU - Xi, Yang AU - Xiao, Jiarong AU - Liu, Wen AU - Zhang, Jian AU - Zhou, Haiyu AU - Tian, Dan AU - Yuan, Shizhang PY - 2018 TI - Compensatory hyperhidrosis after different surgeries at the same sympathetic levels: a meta-analysis JF - Annals of Translational Medicine; Vol 6, No 11 (June 16, 2018): Annals of Translational Medicine Y2 - 2018 KW - N2 - Background: Different techniques of video-assisted thoracoscopic sympathetic surgery have become the radical treatments for palmar and axillary hyperhidrosis (AH). However, there is no consensus over which technique can make a minimal incidence of compensatory hyperhidrosis (CH). This study was designed to compare the incidence of CH after different techniques at the same sympathetic levels in the treatment of upper limb and facial hyperhidrosis (FH). Methods: The databases of PubMed, Web of Science, ScienceDirect, Ovid Medline, Embase, and Cochrane Library were searched to identify studies comparing different surgical techniques at the same sympathetic levels for upper limb and FH. The data was analyzed by Revman 5.3 software. Results: A total of ten studies involving 896 patients were included, of whom 149 underwent sympathectomy, 435 underwent sympathicotomy, and 312 under endoscopic sympathetic clip (ESC). Meta-analysis showed that the difference of incidence of CH and patients’ satisfaction was not significant between sympathectomy and sympathicotomy (P=0.05, 0.19, respectively). But, the incidence of CH is significant lower after ESC than after sympathicotomy (OR: 1.58, 95% CI: 1.04–2.38, P=0.03). However, the incidence of moderate/severe CH between these two groups is not significant different (OR: 1.49, 95% CI: 0.93–2.39, P=0.10). Conclusions: If only CH and the same sympathetic levels concerned, sympathectomy and sympathicotomy is equal for upper limb hyperhidrosis and FH. And, ESC should be recommended for a lower incidence of CH, comparing with sympathicotomy. UR - https://atm.amegroups.org/article/view/19658