Simpatectomia torácica ao nível de 4ª e 5ª costelas para o tratamento de hiper-hidrose axilar

Abstract

Sympathectomy at the R4-R5 level is efficient in the resolution of primary axillary hyperhidrosis. The degree of patient satisfaction with the long-term surgical results is high. Mild compensatory hyperhidrosis is the main side effect associated with this technique.

Hyperhidrosis: prevalence and impact on quality of life

“…Video-assisted thoracoscopic sympathectomy is the standard treatment for PH of the hands and armpits, 10 , 11 with a clearly high level of satisfaction and a low rate of complications, especially for low nerve blocks. 12 , 13 …”

Visual scale for the quantification of hyperhidrosis

“…Therefore, it is of the utmost importance that the patient guide us and quantify the areas that should be demarcated, thereby providing a strong foundation for reasoning about the choice of clinical or surgical treatment of hyperhidrosis. ( 5 ) …”

“…Por isso, é de fundamental importância que o paciente nos oriente e quantifique as áreas a serem demarcadas, possibilitando, assim, um melhor embasamento ao raciocínio para a escolha do tratamento clínico ou cirúrgico da hiper-hidrose. ( 5 ) …”

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

“…Currently the first choice therapy, and the providing better outcomes in PH treatment, is the thoracoscopic sympathectomy 2,3 . Its most common side effect is the reflex sweating (RS), characterized by increased sweating in other parts of the body such as the back, abdomen and thighs 4 .…”

“…The literature extensively discusses the relationship between RS intensity and the adopted surgical level 2 , but few studies have correlated this side effect with the degree of anxiety and depression and the quality of life in patients undergoing thoracoscopic sympathectomy.…”