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Endoscopic lumbar sympathectomy (ELS) is an effective treatment for plantar hyperhidrosis. Several studies have demonstrated its efficacy and safety. Reisfeld et al. reported that ELS using a clamping method achieved anhidrosis in 97.4% of patients, with significant improvement in quality of life and low morbidity.[1] Rieger et al. found that ELS eliminated hyperhidrosis in 97% of patients, with a high satisfaction rate despite the occurrence of compensatory sweating in 44% of patients.[2] Another study by Rieger et al. showed a significant improvement in quality of life post-ELS, with 96% of patients satisfied with the results.[3] Loureiro et al. highlighted that ELS significantly reduced plantar sweating and improved quality of life, although 53.3% of patients experienced worsened compensatory sweating.[4] Lima et al. confirmed the safety and efficacy of retroperitoneoscopic lumbar sympathectomy, with 98% of patients reporting improved quality of life and a low incidence of complications.[5] In summary, ELS is a well-supported surgical option for treating severe plantar hyperhidrosis, with high rates of symptom resolution and patient satisfaction, albeit with a notable risk of compensatory sweating.
Fonte – https://www.openevidence.com/
Entre os dias 9 e 10 de Maio de 2025 estaremos reunidos em Curitiba, com as maiores referencias mundiais no tratamento da hiperidrose plantar. Este será o primeiro evento de Simpatectomia Lombar Endoscopica com atividades práticas e o intuito de ensinar a cirurgia hands-on e abordar todos os aspectos relativos ao tratamento da doença.