Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis

Baroncello, João Batista; Baroncello, Layla Regina Zambenedetti; Schneider, Emílio Gabriel Ferro; Martins, Guilherme Garcia

doi:10.1590/0100-69912014005005

Cited by 13 publications

(14 citation statements)

References 14 publications

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“…Moreover, prescription of antiperspirant agents, such as aluminium tetrachloride, has been described in non-responder patients [9]. Among surgical treatments, endoscopic thoracic sympathectomy (ETS) appears an effective approach and first line strategy in palmar forms, with improved quality of life up to 95% [10,11]. Several techniques have been described with minimally invasive approaches such as single-port ones and promising outcomes both in morbidity and mortality, as required for a benign condition such as PHH.…”

Section: Introductionmentioning

confidence: 99%

Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis

Divisi

Zaccagna

Imbriglio

et al. 2020

J Cardiothorac Surg

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Purposes: We compared two different surgical methods evaluating the effectiveness of procedures and the quality of life (QoL) of patients. Methods: From January 2010 to November 2017 we carried out 476 biportal video-assisted thoracoscopic surgery (VATS) approaches of sympathetic chain in 238 patients. One hundred and twenty-nine (54%) patients underwent conventional sympathectomy (CS) while 109 (46%) patients underwent sympathicotomy associated with the division of the rami communicantes (MWT). Quality of Life (QoL) was classified as follows: from 20 to 35 excellent; from 36 to 51 very good; from 52 to 68 good; from 69 to 84 poor; and > 84 very poor. Results: We noticed statistical significant reduction of complications comparing CS with MWT approaches (chest pain from 36.4 to 4.5%; paresthesias from 8.5 to 3.6%; bradycardia from 28.6 to 10%, respectively). The preoperative and postoperative QoL index evaluation revealed a statistically significant improvement after surgery (CS: 86 ± 2 versus 35 ± 1, p = 0.00001; MWT: 85 ± 1 versus 33 ± 2, p = 0.00001), with general satisfaction of the two techniques. Conclusion: Modified Wittmoser method seems to be a valid alternative to conventional sympathectomy, minimizing the percentage rate of complications and showing significant effectiveness in the quality of life improvement.

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Section: Introductionmentioning

confidence: 99%

Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis

Divisi

Zaccagna

Imbriglio

et al. 2020

J Cardiothorac Surg

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“…All studies evaluating patients' quality of life as the focus showed similar results regarding patients' satisfaction with the outcome of hyperhidrosis elimination [4][5][6][7][8][9][10][11][12][13][14] (Table 1). In this study, 15 subjects underwent resympathectomy.…”

Section: Resultsmentioning

confidence: 98%

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Nicolini¹,

Costa²,

Montessi³

et al. 2019

Rev. Col. Bras. Cir.

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Thoracic sympathectomy has been effective in relieving hyperhidrosis in several patients, with quality of life improvement. The knowledge of the clinical picture of each patient, as well as the possible postoperative complications, are fundamental to obtain good results. Thus, we performed a review of articles from the PubMed database published between 2005 and 2019 that presented, as the main topic, thoracoscopy sympathectomy for the treatment of hyperhidrosis, with the objective of evaluating the current state of art referring to postoperative quality of life, surgical time and its complications. From this analysis, we verified the importance of the level of sympathetic ganglion chain section in relation to results. The complication, although occurring, did not reduced the postoperative level of satisfaction or patients' quality of life. NicoliniVideo-assisted thoracic sympathectomy: literature review.

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“…Of the 54 patients in this study, none regretted having undergone sympathectomy, proving that the RS is preferable to PH, as also demonstrated in the Cardoso et al 3 . Baroncello et al 17 reported that reflex sweating is generally weak in most of patients and does not cause as much social, emotional or professional commitment as primary hyperhidrosis, patients preferring the reflex sweating. In this study, 53 (98%) of the 54 patients experienced this side effect, reporting that the higher the level of anxiety presented at any given time, the worse the sweating int the reflex sweating sites (abdomen, thighs, back and groin).…”

Section: Discussionmentioning

confidence: 99%

Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis

Dias

Miranda

Toro

et al. 2016

Rev. Col. Bras. Cir.

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Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis

Abstract: thoracoscopic sympathectomy improves the quality of life of patients with primary hyperhidrosis, with results supported over time. Compensatory hyperhidrosis occurred in most patients, but did not significantly influence the improved quality of life.

Cited by 13 publications

References 14 publications

Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis

Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis

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