India's first robotic surgery performed for treating sweaty palms

in Max Super Speciality Hospital, Saket

Feb 02 , 2023

"In a first-of-its-kind procedure, doctors at Max Super Speciality Hospital, Saket, performed robotic surgery to permanently eliminate the issue of excessive sweating in a 24-year-old woman. This is the first time high-precision robotic surgery has been performed in India to treat the issue of excessive sweating."

Post-surgery, the patient's quality of life has improved significantly." Excessive sweating, which is medically known as hyperhidrosis, can be very distressing and can cause psycho-social issues in young individuals. Conservative treatments do not provide long-term relief to the patients. At present, the conventional Endoscopic Thoracoscopic Sympathectomy (ETS) Surgery is performed to deal with the issue of sweaty palms and feet.

However, the biggest concern with this procedure is the development of compensatory sweating in other areas after the surgery. A lot of times, this compensatory sweating post-surgery turns out to be more problematic than the primary issue. Such issues become permanent and irreversible. The patient had been suffering from excessive sweating in both palms and feet for over seven years which caused psychological distress.

Her condition was so severe that she couldn't even touch her face or hair. She tried various treatment modalities, including botox injections. However, it didn't provide any relief. "This condition was causing extreme distress to the patient. Despite trying out several treatments in the past, she didn't get any respite.

She then came to Max Hospital, Saket. After patient evaluation, we decided to perform bilateral robotic selective sympathectomy. Three small cuts were made on each side of the chest under the submammary crease. Immediately after the surgery, we saw the result. Her hands became completely dry.

"In comparison to the ETS procedure, the robotic-assisted procedure provides a magnified 3D vision to the surgeon. This helps in the identification of these fine nerves (supplying to the sweat glands), which are subsequently cut with the precision of robotic instruments. The chances and severity of compensatory sweating after surgery are very less. This is done only by very few surgeons across the globe. This is the first time such surgery is performed in India," said Dr. Shaiwal Khandelwal."