scholarly journals Thoracoscopic sympathetic block to predict compensatory hyperhidrosis in primary hyperhidrosis

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
June Lee ◽  
Jin Yong Jeong ◽  
Jong Hui Suh ◽  
Chan Beom Park ◽  
Hana Kwoun ◽  
...  
Keyword(s):  
Sympathetic Block ◽  
Compensatory Hyperhidrosis ◽  
Primary Hyperhidrosis

scholarly journals New sympathicotomy for prevention of severe compensatory hyperhidrosis in patients with primary hyperhidrosis

2020 ◽  
Vol 12 (3) ◽  
pp. 765-772
Author(s):  
Jung Wook Han ◽  
Jae Jun Kim ◽  
Yong Hwan Kim ◽  
In Sub Kim ◽  
Seong Cheol Jeong
Keyword(s):  
Compensatory Hyperhidrosis ◽  
Primary Hyperhidrosis

scholarly journals Is age group a predictive factor for satisfaction among patients undergoing sympathectomy to treat hyperhidrosis?

2011 ◽  
Vol 10 (4) ◽  
pp. 284-288 ◽  
Author(s):  
José Ribas Milanez de Campos ◽  
Nelson Wolosker ◽  
Marco Antonio Soares Munia ◽  
Guilherme Yazbek ◽  
Paulo Kauffman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Body Mass ◽  
Age Groups ◽  
Age Group ◽  
Compensatory Hyperhidrosis ◽  
Thoracic Sympathectomy ◽  
Video Assisted ◽  
Primary Hyperhidrosis

OBJECTIVE: Video-assisted thoracic sympathectomy is currently the procedure of choice for the definitive treatment of primary hyperhidrosis, because it is an effective, safe, and minimally invasive method. In the search for better quality of life indexes, all researchers look for predictive factors indicating better surgical outcomes. Failure in the primary treatment, postoperative compensatory hyperhidrosis, body mass index over 25, level of resection of the sympathetic chain, and extent of resection are some of the factors that may negatively influence the results. The objective of this study was to compare, according to the age group, the quality of life after bilateral thoracic sympathectomy for treatment of primary hyperhidrosis in a cohort of 1,644 patients. METHODS: From February 2000 to October 2008, data were collected from 1,644 patients with palmar (71%) or axillary (29%) hyperhidrosis who underwent video-assisted thoracic sympathectomy. The patients were divided into three groups according to their ages. The first group consisted of patients up to 17 years-old, the second from 18 to 30 years-old, and the third of over 30 years-old. All patients had a body mass index of less than 25. RESULTS: In the evaluation 30 days after surgery, improvement of the quality of life in the three groups was observed. There was no significant difference between the age groups. In the present study, 91.9% of the patients presented compensatory hyperhidrosis, with no difference between the age groups. CONCLUSIONS: Patients with primary hyperhidrosis experience quality of life improvement after thoracic sympathectomy regardless of their age.

scholarly journals Uniportal video-assisted thoracoscopic drainless sympathectomy for palmar and palmo-plantar hyperhidrosis: an institutional experience

2020 ◽  
Vol 28 (1) ◽  
Author(s):  
Mohammed Ahmed El-Hag-Aly ◽  
Rafik Fekry Soliman ◽  
Nehad Abdo Zaid ◽  
Mahmoud Said Eldesouky ◽  
Mohamed Mordy Bakoush ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Operative Time ◽  
Compensatory Hyperhidrosis ◽  
Thoracic Sympathectomy ◽  
Significant Difference ◽  
Institutional Experience ◽  
Primary Hyperhidrosis ◽  
Disease Severity Scale

Abstract Background Primary hyperhidrosis (PH) still impacts negatively the patient’s quality of life (QoL). Progressively, it leads to poorer QoL regardless of gender. The endoscopic thoracic sympathectomy has been used safely and effectively for control of palmar hyperhidrosis, but it is still questionable in palmo-plantar type. We assessed the benefits of uniportal drainless thoracoscopic sympathectomy (UDTS) for palmo-plantar hyperhidrosis patients compared to palmar ones. This prospective study comprised 213 consecutive patients with PH. They underwent bilateral simultaneous UDTS. We used the Hyperhidrosis Disease Severity Scale (HDSS) scoring system for assessment of QoL pre- and postoperatively. Follow-up was continued for 1-year that was aiming to detect the QoL improvement, recurrence, and compensatory hyperhidrosis (CH). Results All patients experienced immediate complete resolution of hyperhidrosis postoperatively. Recurrence was encountered in one patient during the first 6 months. All patients had improved QoL postoperatively, but at the end of 1-year follow-up, 2.8% of patients were still suffering moderate to severe impaired QoL. Mean hospital stay was 31.79 ± 17.5 h. We found significant longer hospital stay in palmar group than palmo-plantar group. There was no significant difference between both groups in neither operative time, recurrence, nor CH. Conclusions UDTS offers better QoL for patients with PH even the palmo-plantar type. The palmo-plantar type benefits similarly to the palmar type in terms of comparable postoperative QoL and CH incidence.

Number of Preoperative Hyperhidrosis Sites Does Not Affect the Sympathectomy Postoperative Results and Compensatory Hyperhidrosis Occurrence

2018 ◽  
Vol 67 (05) ◽  
pp. 407-414 ◽  
Author(s):  
Nelson Wolosker ◽  
Dafne Braga Diamante Leiderman ◽  
Jose Ribas Millanez de Campos ◽  
Paulo Kauffman ◽  
Miguel Lia Tedde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Improvement ◽  
Clinical Treatment ◽  
Postoperative Results ◽  
Compensatory Hyperhidrosis ◽  
General Satisfaction ◽  
Primary Endpoints ◽  
Primary Hyperhidrosis ◽  
Surgery Outcomes

Background Patients with primary hyperhidrosis present with sweating in two or more sites in nearly 85% of cases. In this study, we examined whether the number of hyperhidrosis sites is related to the surgery outcomes. Methods One hundred ninety-three hyperhidrosis patients who underwent bilateral videothoracoscopic sympathectomy after failure or dissatisfaction with clinical treatment were distributed into three groups based on the number of hyperhidrosis sites (one site, two sites, and three or more sites of hyperhidrosis). The primary endpoints in the study were as follows: quality of life prior to surgery, improvement of quality of life after surgery, clinical improvement of sweating, presence or absence of compensatory hyperhidrosis, and general satisfaction after 1 month of surgery. Results Patients with two or more hyperhidrosis sites had worse quality of life before surgery than patients with a single hyperhidrosis site. There was an improvement in the quality of life in more than 95% of the patients, clinical improvement in more than 95% of patients, severe compensatory hyperhidrosis in less than 10%, and low general satisfaction after 1 month of surgery in only 2.60% of the patients, with no differences among the three groups. Conclusions Patients with more than one preoperative hyperhidrosis site present worse quality of life prior to surgery than those with a single hyperhidrosis site, but the number of hyperhidrosis sites before surgery does not affect surgery outcomes.

Management of Primary Hyperhidrosis with Sympathetic Block

2017 ◽  
Vol 28 (4) ◽  
pp. 140-142
Author(s):  
A Menon Nitin ◽  
Nitin A Menon ◽  
Dwarkadas K Baheti
Keyword(s):  
Sympathetic Block ◽  
Primary Hyperhidrosis

scholarly journals How to Prevent, Reduce, and Treat Severe Post Sympathetic Chain Compensatory Hyperhidrosis: 2021 State of the Art

2022 ◽  
Vol 8 ◽  
Author(s):  
Federico Raveglia ◽  
Riccardo Orlandi ◽  
Angelo Guttadauro ◽  
Ugo Cioffi ◽  
Giuseppe Cardillo ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Recent Literature ◽  
State Of The Art ◽  
Patient Characteristics ◽  
Sympathetic Block ◽  
Single Patient ◽  
Compensatory Hyperhidrosis ◽  
Benign Condition ◽  
Clipping Technique

The role of thoracic surgery in the management of hyperhidrosis is well-known and thoracoscopic sympathetic interruption is commonly accepted as being the most effective treatment. However, some concerns still remain regarding the potential to develop compensatory hyperidrosis (CH), the most troublesome and frequent side effect after surgery and its management. Compensatory hyperidrosis prevention may be achieved by identifying subjects at higher risk and/or targeting nerve interruption level on the base of single patient characteristics gathered during the preoperative survey. Furthermore, the surgical treatment may consist of different techniques aimed at reversing the effects of previous sympathetic interruption. To predict CH after sympathectomy, the most interesting proposals in recent literature are a temporary thoracoscopic sympathetic block and the introduction of new and targeted preoperative surveys. If the role of nerve clipping technique vs. the definitive cutting is still intensely under debated, new approaches have been recently proposed to reduce the incidence of CH. In particular, extended sympathicotomy has been described as an alternative to overcome severe forms. Last, among the techniques developed to reverse sympathetic interruption effect, diffuse sympathicotomy (DS) and microsurgical sympathetic trunk reconstruction represent advances in this field. An all-round review of these topics is strongly needed. Our aim is to cover all the above issues point by point. Although sympathectomy represents a small part of thoracic surgery, we believe that it is worthy of interest because of the profound effect that complications for a benign condition can have on patients.

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