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Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis

Primary Purpose

Hyperhidrosis

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Staged ETS
Sponsored by
Mansoura University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperhidrosis

Eligibility Criteria

16 Years - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • patients with combined palmo-axillo-plantar hyperhidrosis of ASA grade I and II

Exclusion Criteria:

  • Patients under 16 years.
  • Patients with bradycardia (heart rate <80 beats per minute).
  • Patients with concomitant lung pathology, frozen mediastinum, pleural effusion, or history of intercostal tube insertion.
  • Patients with cardiac problems with ejection fraction less than 60%.
  • Patient suffering from isolated palmo-axillary hyperhidrosis not associated with plantar hyperhidrosis.
  • Patients suffering from craniofacial hyperhidrosis, either isolated or combined with other areas of hyperhidrosis.

Sites / Locations

  • Mansoura university hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Staged ETS

Arm Description

Video-assisted endoscopic sympathicotomy from level of T3 to level of T12 on one side

Outcomes

Primary Outcome Measures

Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months
decrease in the severity of hyperhidrosis, both palmar and plantar, according to visual analogue scale

Secondary Outcome Measures

Full Information

First Posted
March 27, 2016
Last Updated
April 4, 2016
Sponsor
Mansoura University
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1. Study Identification

Unique Protocol Identification Number
NCT02728297
Brief Title
Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis
Official Title
Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis; a Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mansoura University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Evaluation of staged endoscopic thoracoscopic sympathicotomy in treatment of palmo-axillo-plantar hyperhidrosis
Detailed Description
This is a pilot study that investigates the efficacy of video-assisted endoscopic sympathicotomy from the level of T3 to T12 on combined palmar and plantar hyperhidrosis. Ablation of ascending sympathetic fibers would help alleviating both types of hyperhidrosis in a single setting.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperhidrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Staged ETS
Arm Type
Experimental
Arm Description
Video-assisted endoscopic sympathicotomy from level of T3 to level of T12 on one side
Intervention Type
Procedure
Intervention Name(s)
Staged ETS
Intervention Description
Thoracoscopic approach of sympathetic ganglia T3-T12 on one side, retraction of the diaphragm and lung laterally to expose the ganglia then ablation of each ganglion using electrocauterization.
Primary Outcome Measure Information:
Title
Change from baseline in severity of hyperhidrosis on visual analogue scale at 24 months
Description
decrease in the severity of hyperhidrosis, both palmar and plantar, according to visual analogue scale
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: patients with combined palmo-axillo-plantar hyperhidrosis of ASA grade I and II Exclusion Criteria: Patients under 16 years. Patients with bradycardia (heart rate <80 beats per minute). Patients with concomitant lung pathology, frozen mediastinum, pleural effusion, or history of intercostal tube insertion. Patients with cardiac problems with ejection fraction less than 60%. Patient suffering from isolated palmo-axillary hyperhidrosis not associated with plantar hyperhidrosis. Patients suffering from craniofacial hyperhidrosis, either isolated or combined with other areas of hyperhidrosis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sameh H Emile, M.D
Organizational Affiliation
Mansoura University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mansoura university hospital
City
Mansoura
State/Province
Dakahlia
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
No

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Staged Extended Thoracoscopic Sympathicotomy for Palmo-axillo-plantar Hyperhidrosis

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