Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?

Can hand sweating surgery be performed during the developmental stage?

I have inherited my mother's symptoms of palmar hyperhidrosis since childhood, which has caused various inconveniences in social situations and daily activities for many years.
Eight years ago, I underwent a new type of surgery (at that time) involving endoscopic thoracic sympathectomy.
I was also able to accept the issue of compensatory sweating.
Unfortunately, my daughter has inherited my condition of palmar hyperhidrosis, which severely affects her ability to play the piano, write, and socialize.
She is currently in her developmental stage at 12 years old.
Is it possible for her to undergo this type of surgery? Additionally, she has axillary hyperhidrosis; will the surgery improve this condition?

Yi Yan, 30~39 year old female. Ask Date: 2001/10/26

Dr. Ding Xianwei reply Neurosurgery

If you have already undergone surgery, you should understand the effects of surgery for hyperhidrosis and the potential side effects of compensatory sweating.
However, a 12-year-old child is still too young, and it is not recommended to proceed with surgery at this age.
It is advisable to consider surgery after the age of 15.
Firstly, development is more stable, resulting in fewer complications.
Secondly, at 15, the individual can make their own decision regarding surgery.
In the medical community, it is generally not recommended to perform this type of surgery on individuals under the age of 14.

Reply Date: 2001/10/26

More Info

When considering whether it is safe for your 12-year-old to undergo surgery for hand sweating (also known as hyperhidrosis), there are several factors to take into account. Hyperhidrosis can significantly impact daily life, especially for children and adolescents who are navigating social situations, school activities, and hobbies such as playing musical instruments.
Firstly, it is essential to understand the surgical options available for treating hyperhidrosis. The most common surgical procedure is called endoscopic thoracic sympathectomy (ETS), which involves cutting nerves that trigger sweating in the hands. While this procedure can be effective, it is not without risks and potential side effects, including compensatory sweating in other areas of the body, such as the back or legs, which can be bothersome for some patients.

At the age of 12, your daughter is still in a critical developmental stage. Surgeons often consider the patient's age, overall health, and the severity of the condition before recommending surgery. It is crucial to have a thorough discussion with a pediatric surgeon or a specialist in hyperhidrosis to evaluate whether your daughter is a suitable candidate for the procedure. They will assess her medical history, the severity of her symptoms, and any other underlying conditions that may influence the decision.

In addition to the surgical risks, it is important to consider non-surgical alternatives that may be effective for managing hyperhidrosis. These can include topical antiperspirants, iontophoresis (a treatment that uses electrical currents to reduce sweating), Botox injections, and oral medications. These options may be less invasive and could provide relief without the need for surgery.

Regarding the concern about compensatory sweating and whether the surgery would help with her axillary hyperhidrosis (commonly known as armpit sweating), it is worth noting that while ETS can reduce sweating in the hands, it does not directly address sweating in other areas. However, some patients report a reduction in overall sweating after the procedure, while others may experience increased sweating in different regions.

Lastly, it is essential to have realistic expectations about the outcomes of the surgery. While many patients experience significant improvement in their symptoms, there is no guarantee that all sweating will cease, and the potential for compensatory sweating should be discussed thoroughly with the surgical team.

In conclusion, while surgery for hand sweating can be a viable option for your daughter, it is crucial to weigh the benefits against the risks and consider her age and developmental stage. Consulting with a qualified healthcare professional who specializes in hyperhidrosis will provide you with the best guidance tailored to her specific situation. They can help you explore all available treatment options, ensuring that you make an informed decision that prioritizes her health and well-being.

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