Impact of Video-Assisted Thoracoscopic Sympathectomy and Related Complications on Quality of Life According to the Level of Sympathectomy

Soares, Tiago; Dias, Paula; Sampaio, Sérgio

doi:10.1016/j.avsg.2019.07.018

Cited by 16 publications

(16 citation statements)

References 24 publications

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“…Significant improvement was found postoperatively in all evaluated domains of QOL. These findings are in agreement with those obtained by earlier studies (9,15). The greatest improvement was observed in the personal domain, which indicated patients found less PHrelated difficulty in common interaction or intimate touching with other people.…”

Section: Discussionsupporting

confidence: 93%

Long-term follow-up in quality of life before and after endoscopic thoracic sympathicotomy in 367 patients with palmar hyperhidrosis

Zhang¹,

Zhuang²,

Lan³

et al. 2022

Ann Palliat Med

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Background: Palmar hyperhidrosis (PH) hinders daily activities and deteriorates quality of life (QOL).Endoscopic thoracic sympathicotomy (ETS) is safe and efficient as the gold standard treatment for PH.So far, the long-term change of QOL after surgery has not been fully characterized, which is important to evaluate clinical benefits and helped to identify the true beneficiaries. In the current study, we aimed to investigate the long-term outcome of ETS by comparing their preoperative QOL with a follow-up QOL. Methods: This study enrolled 367 patients with PH who underwent ETS between March 2018 and March 2019. All patients were surveyed by a web-based questionnaire adapted from de Campos Quality-of-life Questionnaire for Evaluation of Hyperhidrosis, and compared to their preoperative results. Results: After a median follow-up of 14 months [interquartile range (IQR), 9-21 months], improvement in QOL was reported in 90.7% of patients. Compared to preoperative QOL [median (Md) =40, IQR, 37-45],postoperative QOL was significantly improved (Md =20, IQR, 13-23; P<0.001). A higher QOL score was noticed in patients with severer PH at diagnosis, whereas no significant difference was observed among postoperative QOL regarding the severity of PH. Subclinical compensatory hyperhidrosis (CH) occurred in 94.6% of post-ETS cases after long-term follow-up. The score of postoperative QOL was significantly positively correlated to the severity of CH (rs=0.14; P=0.009).Conclusions: Improvement in QOL sustained for a long-term period after receiving ETS for PH. Almost all patients developed subclinical CH on other body sites in the long run, with an impairment in QOL correlating with the severity of CH. Further investigations on the developing patterns of CH and clinical coping strategy are warranted to improve the long-term outcome of ETS.

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Section: Discussionsupporting

confidence: 93%

Long-term follow-up in quality of life before and after endoscopic thoracic sympathicotomy in 367 patients with palmar hyperhidrosis

Zhang¹,

Zhuang²,

Lan³

et al. 2022

Ann Palliat Med

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“…Endoscopic thoracic sympathectomy (ETS) is available as surgical treatment for primary palmar hyperhidrosis. ETS is effective for treating palmar sweating in more than 90% of the patients [ 8 , 9 , 16 , 17 ]. However, plantar hyperhidrosis and compensatory sweating remains even after ETS in up to 28–70% of the patients [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, these therapies have disadvantages of short-term effects and high rates of recurrence [ 6 , 7 ]. For hands, if medical therapies are not satisfactory, endoscopic thoracic sympathectomy (ETS) is available for the surgical treatment of primary hyperhidrosis [ 8 , 9 ]. Excessive sweating of the hands can be eliminated with this procedure in more than 90% of the patients.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis

et al. 2021

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Background Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedures of retroperitoneoscopic lumbar sympathectomy (RLS) for treatment of PPH. Methods RLS was performed 60 times in 30 patients (18 men, 12 women) with PPH in our institution from May 2019 to October 2020. All procedures were carried out by laparoscopy with retroperitoneal approach. Clinical data including patient demographics and perioperative, postoperative outcomes were evaluated. Recurrence of symptoms, and any adverse effects of surgery were evaluated after 7 to 30 days in outpatient clinic, and thereafter every 6 months. Results Mean age of patients was 33.6 (± standard deviation 10.8) years. Fourteen and fifteen patients were previously treated with medical therapy or endoscopic thoracic sympathectomy (ETS) respectively. Mean preoperative quality of life (QoL) score of patients was 91.8 (VERY BAD), but postoperative 12 months (QoL) score decreased to 29.1 (MUCH BETTER). There was no serious postoperative complication. During the mean 22 months of follow-up period, no compensatory sweating was observed. Conclusions RLS can be a safe and effective surgical treatment for severe PPH, especially for the patients with persistent plantar sweating even after conservative management and ETS. RLS also could be offered to surgeons who are familiar with retroperitoneal space anatomy as feasible surgical treatment for PPH.

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“…It is associated with family history (5), and it can affect the hands (the most frequently affected region) and the axillary, facial, and plantar regions (6). All clinical presentations lead to social, professional, and affective problems and may even lead to social phobia (7).…”

Section: ' Introductionmentioning

confidence: 99%

“…Laparoscopic thoracic sympathectomy is the most effective surgical treatment for presenting functional and long-lasting results, but its main complication is compensatory sweating. Clinical treatments can be topical or systemic via antiperspirants, botulinum toxin, or other medications (1,7).…”

Section: ' Introductionmentioning

confidence: 99%

Symptoms of anxiety and depression in patients with primary hyperhidrosis and its association with the result of clinical treatment with oxybutynin

Kamikava

Wolosker

Silva

et al. 2021

Clinics

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Studies have identified correlations between the psychological characteristics of individuals with primary hyperhidrosis (HH), the degree of sweating, and the quality of life (QoL). This study aimed to evaluate the prevalence of anxiety and depression symptoms in patients with HH before and after oxybutynin treatment. METHODS: Data were collected from 81 patients. Palmar or axillary HH was the most frequent complaint (84.0%). All patients were evaluated before the medication was prescribed and after five weeks of treatment. The Beck Depression Inventory and Beck Anxiety Inventory were used to evaluate depression and anxiety. RESULTS: Improvement in HH occurred in 58 patients (71.6%), but there was no improvement in 23 patients (28.4%). The QoL before treatment in all patients was either ''poor'' or ''very poor.'' Patients who experienced improvement in sweating rates also experienced a greater improvement in QoL than patients who did not experience improvement in sweating at the main site (87.9% vs. 34.7%) (po0.001). A total of 19.7% of patients showed an improvement in their level of depression, and a total of 46.9% of patients exhibited improvements in their level of anxiety. A significant correlation was observed between sweating and anxiety (p=0.015). CONCLUSION: Patients with HH who experienced improvements in sweating immediately after treatment with oxybutynin exhibited small improvements in their levels of depression and significant improvements in their levels of anxiety and QoL.

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Impact of Video-Assisted Thoracoscopic Sympathectomy and Related Complications on Quality of Life According to the Level of Sympathectomy

Cited by 16 publications

References 24 publications

Long-term follow-up in quality of life before and after endoscopic thoracic sympathicotomy in 367 patients with palmar hyperhidrosis

Long-term follow-up in quality of life before and after endoscopic thoracic sympathicotomy in 367 patients with palmar hyperhidrosis

Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis

Symptoms of anxiety and depression in patients with primary hyperhidrosis and its association with the result of clinical treatment with oxybutynin

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