Bloqueio por clipagem de gânglios simpáticos torácicos no tratamento da hiper-hidrose

Abstract

BACKGROUND -Videothoracoscopic for the treatment of hyperhidrosis is carried out by clamping of the sympathetic trunk, with a possibility for reversal in cases of intense compensatory sweating. OBJECTIVE -To evaluate therapeutic success, satisfaction, and compensatory sweating in patients submitted to this technique. METHOD -Prospective study in which 45 patients were divided into two groups. Group I: one patient with palmar hyperhidrosis and 20 patients with palmar and plantar hyperhidrosis submitted to a T3 block; Group II: four patients with axillary hyperhidrosis, two with axillary and palmar hyperhidrosis, two with axillary and plantar hyperhidrosis, and 16 with axillary, palmar, and plantar hyperhidrosis submitted to a block of T3 and T4. RESULTS -In Group I, 95.2% of the patients had palmar and plantar hyperhidrosis, and in Group II, 66.7% had axillary, palmar, and plantar hyperhidrosis.

Impact of primary hyperhidrosis on the life of physical education academics of a university in the Brazilian Northeast

“…Because there was a greater male quantity, in the studied group, the proportion of the affirmative of PH was made according to sex. PH prevalence in physical education academics had no significant differences between genders, in agreement with literature where PH prevalence had a similar statistic in both genders 24,25,26 .…”

“…Quality of life analysis in the functional-social, personal and emotional domains and in special conditions of the 25 Physical Education students with primary hyperhidrosis of a private university of Aracaju-SE, from August to November 2017, according to the classification of the quality of life questionnaire24,25 .…”

Diretrizes para a prevenção, diagnóstico e tratamento da hiperidrose compensatória

“…(21,22) However, in patients submitted to sympathetic blockage by clipping of the sympathetic chains, there is the possibility of a second surgery to remove the metallic clip, aiming at nerve regeneration in cases that develop CH. (23) The current clips have a pressure of approximately 150 g, and nerve transmission can be interrupted by compression greater than 44 g without the necessity of sectioning the nerve.…”

Fatores Preditivos no Tratamento Cirúrgico Vídeotoracoscópico da Hiperidrose Primária

“…Assim como na maioria da literatura (STORI, 2006;WILSON, 2005) o sexo feminino predominou (60%). É possível que um dos motivos da predominância do sexo feminino seja o constrangimento que a doença acarreta na vida social das pacientes e que as mulheres tenderiam a incomodar-se mais com essa situação, acarretando num aumento na procura pela terapêutica cirúrgica.…”

“…É possível que um dos motivos da predominância do sexo feminino seja o constrangimento que a doença acarreta na vida social das pacientes e que as mulheres tenderiam a incomodar-se mais com essa situação, acarretando num aumento na procura pela terapêutica cirúrgica. (STORI, 2006). A idade dos pacientes variou de 13 a 51 anos (média de 32 anos).…”