Endoscopic thoracic sympathotomy for primary hyperhidrosis: predictors of outcome over a 10-year period

Toolabi, Karamollah; Parsaei, Reza; Farid, Roya; Zamanian, Abbas

doi:10.1007/s00464-021-08684-8

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…2 On the other side, in many studies in the literature, there is an opinion related to a signi cant relationship between high body mass index and CH. 3,15 Preoperatively, all of our patients had severe or very severe sweating in the palmo-axillary region. CH was seen in 18% of the patients postoperatively.…”

Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 79%

“…It is a very high success rate. 3,8 ere is a majority of opinion in the literature that the sympathectomy level has an e ect on the success of the surgery. In a study comparing surgical levels, higher success was reported to be obtained in the T3-T4 sympathectomy group than in the T3 sympathectomy group.…”

Section: Discussionmentioning

confidence: 99%

“…Pure axillary hyperhidrosis is also stated as a negative predictor factor in patient satisfaction. 3 In Yoon and Rim's study comparing the two groups undergoing T2-T3 sympathectomy and only T3 sympathectomy, CH was indicated to be detected more frequently a er T2-T3 sympathectomy, and patient satisfaction decreased signi cantly a er this surgery level. 16 Horslen et al reported 84% of CH a er thoracoscopic sympathectomy.…”

Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 95%

“…16,17 In their study, Sobrinho et al reported that a er VTS, 88% of the patients were satis ed, 7% were partially satis ed, and 5% were unsatis ed. 4 Toolabi et al 3 explained that 9% of the patients were not satis ed with the ETS surgery, and 4% did not recommend the surgery. In the study, low BMI was reported as an important factor determining patient satisfaction.…”

Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 99%

“…Compensatory hyperhidrosis (CH) occurred a er VTS surgery, emerges as a crucial problem in the postoperative period. 3 Although there are many studies in the literature about the level of sympathectomy and complications limited data on the relationship between postoperative CH, long-term patient satisfaction, and quality of life are encountered. 4 We think that patient satisfaction and quality of life change are the fundamental factors showing the long-term e ectiveness of thoracoscopic sympathectomy.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

AKSOY

Şehitoğulları

2023

Sakarya Medical Journal

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INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a person's social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2% (n:67) of the patients were female and 46.8% (n:59) were male. The mean age was 24.3±7 (min-max:15-51), whereas the mean body mass index was 23.5±4 (min-max:16.9-34.9). The mean length of hospital stay was 1.3±0.9 days (Min-Max: 1-6). Complications were observed in a total of 13 (10.3%) patients. The most common complication was pneumothorax (n:10). Compensatory hyperhidrosis was observed in 23 patients (18.3%). A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction (p

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Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 95%

Section: Data Were Shown As Median [Iqr] and N (%)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

AKSOY

Şehitoğulları

2023

Sakarya Medical Journal

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The success rate and associated risk factors of CT-guided percutaneous radiofrequency sympathectomy in the treatment of primary hyperhidrosis: A retrospective observational trial

Han,

Rui,

et al. 2023

Journal of Clinical Neuroscience

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Comparison of CT-guided thoracic sympathetic nerve block and radiofrequency in the treatment of primary palmar hyperhidrosis

Zhang

Liu

et al. 2023

Front. Surg.

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BackgroundPrimary palmar hyperhidrosis (PPH) is a condition marked by an overactive secretion of the hand's exocrine glands and is frequently hereditary. The profuse sweating associated with this condition can significantly impair the patient's daily activities and quality of life.ObjectiveThe objective of this study was to compared the benefits and drawbacks of thoracic sympathetic block and thoracic sympathetic radiofrequency in the treatment of PPH.MethodsA retrospective analysis was conducted on 69 patients. They were divided into groups A and B according to their treatment. Group A (34 cases) received CT-guided percutaneous thoracic sympathetic nerve chain anhydrous alcohol chemical damage block, and group B (35 cases) received CT-guided percutaneous thoracic sympathetic nerve chain radiofrequency thermocoagulation.ResultsPalmar sweating disappeared immediately after the operation. The recurrence rates at 1, 3, 6, 12, 24, and 36 months were 5.88% vs. 2.86% (P > 0.05), 20.59% vs. 5.71% (P > 0.05), 32.35% vs. 11.43% (P < 0.05),32.35% vs. 11.43% (P < 0.05), 25% vs. 14.71% (P < 0.05), and 68.75% vs. 20.59% (P < 0.05), respectively. The incidence of intercostal neuralgia and compensatory hyperhidrosis was higher in group A compared with of group B (52.94% vs. 22.86%, P < 0.05; 55.88% vs. 22.86%, P < 0.05).ConclusionBoth methods were found to be effective in treating PPH, but thoracic sympathetic radiofrequency had a longer-term effect, a lower recurrence rate, and a lower incidence of intercostal neuralgia and compensatory hyperhidrosis than a thoracic sympathetic block.

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Endoscopic thoracic sympathotomy for primary hyperhidrosis: predictors of outcome over a 10-year period

Cited by 5 publications

References 17 publications

Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

The success rate and associated risk factors of CT-guided percutaneous radiofrequency sympathectomy in the treatment of primary hyperhidrosis: A retrospective observational trial

Comparison of CT-guided thoracic sympathetic nerve block and radiofrequency in the treatment of primary palmar hyperhidrosis

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