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SWEATY PALMS




          Dr. AVINASH N. KATARA
   MS, DNB, MNAMS, MRCSEd, Fellow-MIS(Singapore)
Laparoscopic, Thoracoscopic & Bariatric Surgeon
What is sweating?
Sweating (or perspiration) is the
production of a fluid, consisting
primarily of water as well as various
dissolved solids (chiefly chlorides),
that is excreted by the sweat glands
in the skin of mammals.
Sweat Glands




 The human body has 2-5 million sweat glands
Why do we sweat?
 Sweating is an important
 bodily function that allows
 us to control our body
 temperature and keep it
 within the normal range.
When do we sweat?

            We all sweat as a normal
            response to different
            forms of stress e.g. heat,
            exercise or emotional
            stress
What is hyperhidrosis?
Hyperhidrosis is the excessive
 sweating produced by the body
 that is non-physiological and
 disproportionate     to     that
 required for regulation of body
 heat.
Types of hyperhidrosis?

Generalized: all over the body

Localized: particular areas
e.g. palms, armpit, soles, face etc.
Causes of hyperhidrosis?

• Primary (unexplained or unknown cause)
                       or
• secondary to other medical conditions
  (neurological, endocrine, metabolic, infectious
  or malignant diseases, drugs, toxins etc. )
Sweaty Palms
• No apparent cause
• It may be associated with
  excessive sweating of the
  soles and armpits
Who gets hyperhidrosis?




 It affects both sexes, all races and often has a
          family predisposition (genetic)
Who gets hyperhidrosis?




   Usually begins in childhood, gradually
 progresses during the teens and adulthood
How common is sweaty palms?

                     2-4%
        1%


                  1-2%
How do sweaty palms affect health?

• Socially and professional embarrassment
• Emotional and physical disabilities
Surgery for sweaty palms
• Gold standard of treatment
• Key-hole surgery
• 24 hours hospitalization
The Sympathetic Chain
Endo-Thoracic Sympathectomy (ETS)
What anesthesia is need for surgery?




            General Anesthesia
Overnight stay
Discharged next morning
Surgical Outcome

• Immediate results
• Well accepted
• Permanent
Improved Quality of Life
Contact us:
          Dr. AVINASH N. KATARA
   MS, DNB, MNAMS, MRCSEd, Fellow-MIS(Singapore)
Laparoscopic, Thoracoscopic & Bariatric Surgeon

Email: dr_akatara@hindujahospital.com

      Clinic: Mon, Wed, Fri3 to 6 pm

  For appointments: +91 22 39818181
QUESTIONS?

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Sweaty Palms - by Hinduja Hospital

Editor's Notes

  1. Hi, this is Dr Avinash Katara, and I welcome you to today’s Webinar on Sweaty Palms.
  2. The human body has 2-5 million sweat glands.
  3. Sweating is an important bodily that allows us to control our body temperature and keep it within the normal range.
  4. We all sweat as a normal response to different forms of stress e.g. heat, exercise or emotional stress
  5. Primary palmar hyperhidrosis is a medical condition which is commonly referred to as SWEATY PALMS.It is characteristic feature is excessive sweating form the palms. It may seldom be mild, but more often than not patients would have their hands dripping with sweat.It may be associated with excessive sweating from the soles of feet or armpits.
  6. The incidence is about 1% in the western world.
  7. Regardless of which part is affected, excessive sweating is a nuisance to those who suffer from it. Of these, sweaty palms is the most incapacitating. There are significantemotional and physical disabilities arising from its nuisance. Patients are not only uncomfortable, but often socially and professionally embarrassed by it e.g. while shaking hands, writing, playing musical instruments, handling paper, painting, using electronics, computers, mobile phones etc.
  8. Endothoracic sympathectomy is minimally invasive surgical procedure which is now considered the gold standard of treatment for sweaty palms.It employs tiny key holes to gain access to the chest cavity.Patients are discharged within 24 hours of the procedure.
  9. The sympathetic chain is a Bundle of nerve fibresthat runs from the base of the skull up to the tail bone. In the chest, it runs in the back, along the ribs.Over activity of the sympathetic system causes Sweaty palms.Surgery targets blockade of the sympathetic chain.
  10. The sympathetic chain is a Bundle of nerve fibresthat runs from the base of the skull up to the tail bone. In the chest, it runs in the back, along the ribs.Over activity of the sympathetic system causes Sweaty palms.Surgery targets blockade of the sympathetic chain.
  11. The procedure requires general anesthesia.
  12. Patients are usually observed in the hospital overnight.
  13. And discharged the next morning
  14. ETS surgery has immediate results and is a well accepted procedure for sweaty palms.The effects are permanent is more than 90%, with minimal or no morbidity.Patients are blessed by a dramatic improvement in their quality of life.
  15. The effects are permanent is more than 90%, with minimal or no morbidity.Patients are blessed by a dramatic improvement in their quality of life.
  16. For more details, you can contact us by email or call this number for appointments.