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Evaluation of patients who underwent resympathectomy for treatment of primary hyperhidrosis
- Source :
- Interactive CardioVascular and Thoracic Surgery. 25:716-719
- Publication Year :
- 2017
- Publisher :
- Oxford University Press (OUP), 2017.
-
Abstract
- OBJECTIVES Video thoracoscopic sympathectomy is the recommended surgical treatment for primary hyperhidrosis and has a high success rate. Despite this high success rate, some patients are unresponsive and eventually need a resympathectomy. Few studies have previously analysed exclusively the results of these resympathectomies in patients with primary hyperhidrosis. None of the studies have objectively evaluated the degree of response to surgery or the improvement in quality of life after resympathectomies. METHODS This is a retrospective study, evaluating 15 patients from an initial group of 2300 patients who underwent resympathectomy after failure of the primary surgical treatment. We evaluated sympathectomy levels of resection, technical difficulties, surgical complications preoperative quality of life, response to treatment and quality-of-life improvement 30 days after each surgery. RESULTS Regarding gender, 11 (73.3%) patients were women. The average age was 23.2 with SD of 5.17 years, and the mean body mass index was 20.9 (SD 2.12). Ten patients had major complaints about their hands (66%) and 5 (33%) patients about their forearms. A high degree of response to sympathectomy occurred in 73% of patients. In 11 of these patients, the improvement in quality of life was considered high, 3 showed a mild improvement and 1 did not improve. No major complications occurred; the presence of adhesions was reported in 11 patients and pleural drainage was necessary in 4 patients. CONCLUSIONS Resympathectomy is an effective procedure, and it improves the quality of life in patients with primary hyperhidrosis who failed after the first surgery.
- Subjects :
- Male
Reoperation
Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
Thoracentesis
030204 cardiovascular system & hematology
Preoperative care
Young Adult
03 medical and health sciences
0302 clinical medicine
Quality of life
Humans
Hyperhidrosis
Medicine
Sympathectomy
Oxybutynin
Retrospective Studies
Ganglia, Sympathetic
Thoracic Surgery, Video-Assisted
business.industry
Retrospective cohort study
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
Quality of Life
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Body mass index
medicine.drug
Subjects
Details
- ISSN :
- 15699285 and 15699293
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Interactive CardioVascular and Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....341984e8c70c132010a58be64a862711