Objectives: Patients with hyperhidrosis suffer from an extreme perspiration that cannot be aligned with natural or situational standards. Endoscopic sympathectomy is a meaningful option for palmar and axillary hyperhidrosis. A standardized method of monitoring the immediate intraoperative success has not been established yet. The presented investigation shows one proposed sollution by monitoring skin surface temperature. The main aspect is to demonstrate a significant rise in temperature with utility for monitoring the immediate success of surgery. Methods: Twenty patients with primary hyperhidrosis were observed and treated in a standardized setting against a control group (n = 10). We obtained diverse data that permit determination of a point of time of measurement of surface temperature and definition of a degree of temperature variance. Results: After 5 minutes a significant change of 0.5? Celcius was noted on the palms; after 10 minutes on average 1.2? Celcius. Axillary temperature had significantly changed after 10 minutes with a mean temperature variation of 0.8? Celcius on the right side and 0.6? Celcius on the left side. Conclusions: Under consideration of appropriate time intervals of measurement and determined changes in surface temperature an early control of correct clip application in ETS is possible. In the palmar aspect an increase of 0.5? Celcius at an 5 minutes interval, and more than 1? Celcius at 10 minutes after placement of the clip as compared to basic values before application of the clip can be proposed.
Cite this paper
S. Krämer, A. Skuballa and U. Eichfeld, "Intraoperative Rise of Surface Temperature Monitors Success of Sympathectomy in Palmoaxillary Hyperhidrosis," Open Journal of Thoracic Surgery
, Vol. 3 No. 1, 2013, pp. 8-14. doi: 10.4236/ojts.2013.31003
 H. W. Walling, “Clinical Differentiation of Primary from Secondary Hyperhidrosis,” Journal of the American Academy of Dermatology, Vol. 64, No. 4, 2011, pp. 690-695.
 R. Reisfeld, K. I. Berliner, “Evidence-Based Review of the Nonsurgical Management of Hyperhidrosis,” Thoracic Surgery Clinics, Vol. 18, No. 2, 2008, pp. 157-166.
 T. Schlereth, M. Dieterich and F. Birklein, “Hyperhidrosis-Causes and Treatment of Enhanced Sweating,” Deutsches Aerzteblatt International, Vol. 106, No. 3, 2009, pp. 32-37.
 R. J. Cerfolio, J. R. De Campos, A. S. Bryant, et al., “The Society of Thoracic Surgeons Expert Consensus for the Surgical Treatment of Hyperhidrosis,” The Annals of Thoracic Surgery, Vol. 91, No. 5, 2011, pp. 1642-1648.
 H. J. Henteleff and D. Kalavrouziotis, “Evidence-Based Review of the Surgical Management of Hyperhidrosis,” Thoracic Surgery Clinics, Vol. 18, No. 2, 2008, pp. 209-216. doi:10.1016/j.thorsurg.2008.01.008
 C. C. Lin, L. R. Mo, L. S. Lee, S. M. Ng and M. H. Hwang, “Thoracoscopic T2-Sympathetic Block by Clipping—A Better and Reversible Operation for Treatment of Hyperhidrosis Palmaris: Experience with 326 Cases,” The European Journal of Surgery, No. 580, 1998, pp. 13-16.
 H. Sugimura, E. H. Spratt, C. G. Compeau, D. Kattail and Y. Shargall, “Thoracoscopic Sympathetic Clipping for Hyperhidrosis: Long-Term Results and Reversibility,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 137, No. 6, 2009, pp. 1370-1376.
 B. Zhang, Z. Li, X. Yang, et al., “Anatomical Variations of the Upper Thoracic Sympathetic Chain,” Clinical Anatomy, Vol. 22, No. 5, 2009, pp. 595-600.
 L. Ramsaroop, B. Singh, J. Moodley, P. Partab and K. S. Satyapal, “Anatomical Basis for a Successful Upper Limb Sympathectomy in the Thoracoscopic Era,” Clinical Anatomy, Vol. 17, No. 4, 2004, pp. 294-299.
 I. H. Chung, C. S. Oh, K. S. Koh, H. J. Kim, H. C. Paik and D. Y. Lee, “Anatomic Variations of the T2 Nerve Root (Including the Nerve of Kuntz) and Their Implications for Sympathectomy,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 123, No. 3, 2002, pp. 498-501. doi:10.1067/mtc.2002.119340
 AWMF-Register Nr. 013/059, Klasse: S1, Definition und Therapie der Prim?ren Hyperhidrose (Valid until 14.01. 2017).