bilateral endoscopic retroperitoneal lumbar sympathectomy in a unique operation for primary plantar hyperhidrosis

The study aimed to determine the success rate, surgical characteristics, and complications of bilateral endoscopic retroperitoneal lumbar sympathectomy in a unique operation for the treatment of plantar hyperhidrosis. from january 2022 to january 2024, a cross-sectional study was conducted on 81 patients with plantar hyperhidrosis treated with bilateral endoscopic retroperitoneal lumbar sympathectomy in a unique operation. surgical factors were evaluated during and after the operation. all cases were successfully treated with bilateral endoscopic retroperitoneal lumbar sympathectomy in a unique operation. pathological results confirmed 100% sympathetic nerve tissue. the average operation time was 88.4 ± 25.1 minutes. the average blood loss was 10.6 ± 4.7 ml. there was no significant statistical difference in blood loss between the right and left sides. sympathetic chains were cut at l2-l3 and l3-l4 levels. there was a statistically significant difference between the right and left sides with p < 0.001. complications included intraoperative peritoneal tears, accounting for 4.9% and classified as grade 1 according to clavien-dindo classification. this complication resolved on its own without specific treatment. postoperative pain levels were as follows: 37% of patients had no pain, 29.6% had pain level 1, 29.6% had pain level 2, and 3.7% had pain level 3. all surgical wounds healed well. bilateral endoscopic retroperitoneal lumbar sympathectomy in a unique operation for the treatment of plantar hyperhidrosis is safe and effective.