Videothoracoscopic sympathectomy - a standard treatment for primary hyperhidrosis at the Clinic of Thoracic Surgery in Sremska Kamenica / Videotorakoskopska simpatektomija – standarna hirurška metoda za lečenje primarne hiperhidroze na Klinici za grudnu hirurgiju u Sremskoj Kamenici

AbstractPrimary hyperhidrosis affects approximately 3% of the world’s population, particularly young female adults. It is defined as excessive, profuse sweating of the palms, soles, armpits and face. Conservative treament includes diverse modalities, however, surgical treatment has shown the best long-term results. The objective of this study was to assess some disease-specific epidemiological characteristics in a pre-selected group of patients seeking surgical therapy, as well as outcomes of thoracoscopic sympathectomy. The severity and impact of hypehidrosis was assessed, using Hyperhidrosis Disease Severity Scale (HDSS: patients rate the serverity of symptoms on a scale from 1 to 4). Thoracoscopic sympathectomy was performed using a double lumen endotracheal tube, via bilateral 5 mm dual port videothoracoscopic camera 0°, and an endoscopic ultrasound activated harmonic scalpel. The sympathetic chain was resected on both sides at the level of the second and the third thoracic ganglion (T2 and T3), using an ultrasound knife. The extirpated chain was also at the level T3-T4 and sent forex temporeanalysis.There were 162 patients undergoing thoracoscopic sympathectomy: 39.51% were males and 60.49% females; at presentation their mean age (± SD) was 30.5 (±8.3), range 16 - 58 years. Axillary hyperhidrosis occurs later than palmar-axillary-plantar (p<0.05). A total of 35.18% of the evaluated patients were able to name at least one member of their families who also suffered from hyperhidrosis. The most commonly affected area was palmar-axillary-plantar (30.25%). Fifty patients (30.86%) received conservative therapy before surgery. The most commonly used conservative therapy modalities included different kinds of ointments/tinctures (11.73%), botox (8.02%) and iontophoresis (2.47%). Prior to surgery, 91.36% of patients reported severe sweating (HDSS score 3 or 4). The highest mean score was given for a combination of facial-palmar-axillaryplantar hyperhidrosis (3.80±0.24). All surgeries were successfully performed, with no complications, or perioperative morbidity. The mean hospital stay was 1.28±0.68 days long. After surgery, 93.21% of patients reported mild or moderate hyperhidrosis (HDSS score 1 or 2). Compensatory sweating (lower part of the back, and abdomen) was reported by 34.57% of patients after the surgery. All patients had a 6-months long follow-up: a significant improvement in quality of life was reported by 84.56% of patients (Yates corrected c2 (1) = 228.42; p=0.0000)); due to compensatory sweating, only 4.94% and 1.85% of patients reported bad and very bad quality of life, respectively.In conclusion, nowadays videothoracoscopic sympathectomy is a standard treatment for primary hyperhidrosis with a high success rate.

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

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912016005013 ◽

2016 ◽

Vol 43 (5) ◽

pp. 354-359 ◽

Cited By ~ 8

Author(s):

LUCIARA IRENE DE NADAI DIAS ◽

ELIANA CRISTINA MARTINS MIRANDA ◽

IVAN FELIZARDO CONTRERA TORO ◽

RICARDO KALAF MUSSI

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Postoperative Complications ◽

Postoperative Period ◽

Anxiety And Depression ◽

Thoracoscopic Sympathectomy ◽

Primary Hyperhidrosis ◽

Highly Correlated ◽

Anxiety Depression

ABSTRACT Objective: to compare the intensity of reflex sweating with the degree of anxiety and its interference in the quality of life of patients undergoing Thoracoscopic (VATS) sympathectomy in the pre- and postoperative period. Methods: we evaluated 54 patients with a mean age of 26 years (16-49 years) undergoing sympathectomy in the R3-R4 level. We applied two questionnaires at three different times: "Quality of life in patients with primary hyperhidrosis" and "Scale for anxiety and depression". Results: of the patients studied, 93% showed significant improvement in quality of life 30 days after surgery, the effects remaining after six months. There were no postoperative complications. The patient's level of anxiety is highly correlated with the intensity of reflex sweating after 30 and 180 days. Conclusion: Thoracoscopic sympathectomy improves quality of life of patients with primary hyperhidrosis, even with the emergence of reflex sweating. Anxiety directly relates to the intensity of reflex sweating, without compromising the degree of patient satisfaction.

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Evaluation of quality of life in patients after thoracoscopic sympathectomy for primary hyperhidrosis

Hellenic Journal of Surgery ◽

10.1007/s13126-011-0023-4 ◽

2011 ◽

Vol 83 (3) ◽

pp. 170-174

Author(s):

J. Hartmann ◽

S. Limmer ◽

Ch. Menenakos ◽

B. Ablassmaier

Keyword(s):

Quality Of Life ◽

Thoracoscopic Sympathectomy ◽

Primary Hyperhidrosis

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Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912014005005 ◽

2014 ◽

Vol 41 (5) ◽

pp. 325-330 ◽

Cited By ~ 6

Author(s):

João Batista Baroncello ◽

Layla Regina Zambenedetti Baroncello ◽

Emílio Gabriel Ferro Schneider ◽

Guilherme Garcia Martins

Keyword(s):

Quality Of Life ◽

Average Quality ◽

Axillary Hyperhidrosis ◽

Cross Sectional ◽

Compensatory Hyperhidrosis ◽

Thoracoscopic Sympathectomy ◽

Before And After ◽

Primary Hyperhidrosis ◽

Assess Quality

Objective: To assess quality of life before and after thoracoscopic sympathectomy for treatment of primary hyperhidrosis.Methods: we conducted an observational, analytical, cross-sectional and quantitative study. We evaluated patients undergoing thoracoscopic sympathectomy for primary axillary hyperhidrosis, primary palmar hyperhidrosis, and axillary hyperhidrosis associated with palmar one. We applied a questionnaire on quality of life related to hyperhidrosis before and after the operation.Results: The questionnaire was administered to 51 patients with a mean age of 32.4 years, 45 women and six men. The average quality of life related to hyperhidrosis in a score of 0-100 before sympathectomy was 34.6 and after the operation it was 77.1. Compensatory hyperhidrosis occurred in 84.3% of patients.Conclusion: thoracoscopic sympathectomy improves the quality of life of patients with primary hyperhidrosis, with results supported over time. Compensatory hyperhidrosis occurred in most patients, but did not significantly influence the improved quality of life.

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Operative Treatment of Patients with Pancreatic Pseudocysts

KnE Materials Science ◽

10.18502/kms.v2i1.838 ◽

2017 ◽

Vol 2 (1) ◽

pp. 472

Author(s):

G.Ts. Dambaev ◽

V.E. Gunther ◽

N.V. Merzlikin ◽

N.A. Brazhnikova ◽

O.S. Popov ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Conservative Therapy ◽

Early Postoperative Period ◽

Long Term Results ◽

Pancreatic Pseudocysts ◽

Medical University ◽

Surgical Clinic

The article presents the results of surgical treatment of patients with pancreatic pseudocysts spent in hospital surgical clinic Siberian State Medical University from 2004 to 2016. 7 (17.5%) patients underwent conservative therapy. In the early postoperative period and in the long term (18 months) the analysis of the effectiveness of different methods of surgical treatment. According to the results of the research, the operations of the internal drainage along with resection and resection-draining interventions in assessing the quality of life showed similar long-term results. In turn, these interventions have provided significantly better quality of life (p> 0.05) than external drainage operation.

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Hiflex Foot Gear improves Quality of life in patients with osteoarthritis of the ankle

Foot & Ankle Orthopaedics ◽

10.1177/2473011418s00529 ◽

2018 ◽

Vol 3 (3) ◽

pp. 2473011418S0052

Author(s):

Akiyama Yui ◽

Takaaki Hirano ◽

Hisateru Niki

Keyword(s):

Quality Of Life ◽

Physical Function ◽

Conservative Therapy ◽

Japanese Society ◽

Daily Life ◽

Social Functions ◽

Ankle Osteoarthritis ◽

Custom Made ◽

Perception Of Health

Category: Ankle Arthritis Introduction/Purpose: There are few reports describing conservative therapy for ankle osteoarthritis. Hiflex Foot Gear (HFG) is a custom-made polyethylene ankle–foot orthosis developed to permit slight mobility of the ankle while providing adequate ankle support. The purpose of this study was to validate the hypothesis that HFG improves the quality of life (QOL) in patients with ankle osteoarthritis.Subjects and methods. Methods: Ten ankles from eight patients (one man, seven women) diagnosed with ankle osteoarthritis at this hospital, prescribed an HFG, and observed for follow-up for at least 3 months were included in this study. The patients’ mean age was 69.9 (range: 46?85) years. Patients were classified as Takakura–Tanaka stage IIIa (2 ankles), stage IIIb (2 ankles), stage IV (6 ankles), with a mean observation period of 8.9 (range: 3?13) months. Clinical evaluations were made before and 3 months after wearing the orthosis. The ankle/hindfoot scale of the Japanese Society for Surgery of the Foot (JSSF) Standard Rating System and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) subscale of the Japanese Orthopaedic Association/Japanese Society for Surgery of the Foot, respectively, were used for making evaluations. Scores were compared using a paired t-test. Results: JSSF scores improved from 55.1 points at baseline to 71.4 points after wearing the HFG (p < 0.001). According to the SAFE-Q subscales, changes after wearing the HFG were as follows: 28.9 to 61.9 points for items related to pain (p < 0.001), 36.9 to 53.7 points for those related to physical function and daily life (p = 0.001), 31.3 to 58.9 points for those related to social functions (p = 0.002), and from 31.3 to 65.0 points for those related to overall perception of health (p < 0.001); items related to shoes showed no substantial change (from 52.1 to 53.6 points). Conclusion: Our results revealed that wearing the HFG improved pain in patients with severe ankle osteoarthritis. Retained flexibility in the ankle range of motion was believed to be the factor underlying improvements in physical function and daily life, social functions, and overall perception of health. HFG is a potential option for conservative therapy in patients who cannot obtain sufficient pain control during the preoperative waiting period or in those who do not wish to undergo surgery.

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AB0685 Secukinumab provides sustained improvements in work productivity and health related quality of life in patients with ankylosing spondylitis: long-term results from measure 1 and measure 2

10.1136/annrheumdis-2017-eular.1856 ◽

2017 ◽

Cited By ~ 1

Author(s):

A Deodhar ◽

PG Conaghan ◽

V Strand ◽

A Boonen ◽

G Ferraccioli ◽

...

Keyword(s):

Quality Of Life ◽

Ankylosing Spondylitis ◽

Work Productivity ◽

Long Term Results ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Hyperhidrosis: prevalence and impact on quality of life

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562017000000379 ◽

2018 ◽

Vol 44 (4) ◽

pp. 292-298 ◽

Cited By ~ 5

Author(s):

Erica Nishida Hasimoto ◽

Daniele Cristina Cataneo ◽

Tarcísio Albertin dos Reis ◽

Antonio José Maria Cataneo

Keyword(s):

Quality Of Life ◽

Poor Quality ◽

Cluster Sampling ◽

Excessive Sweating ◽

Medical Evaluation ◽

Primary Hyperhidrosis ◽

Systematic Cluster ◽

The City ◽

Impaired Quality

ABSTRACT Objective: To determine the prevalence of primary hyperhidrosis in the city of Botucatu, Brazil, and to evaluate how this disorder affects the quality of life in those suffering from it. Methods: A population survey was conducted in order to identify cases of hyperhidrosis among residents in the urban area of the city, selected by systematic cluster sampling. In accordance with the census maps of the city, the sample size should be at least 4,033 participants. Ten interviewers applied a questionnaire that evaluated the presence of excessive sweating and invited the subjects who reported hyperhidrosis to be evaluated by a physician in order to confirm the diagnosis. Results: A total of 4,133 residents, in 1,351 households, were surveyed. Excessive sweating was reported by 85 residents (prevalence = 2.07%), of whom 51 (60%) were female. Of those 85 respondents, 51 (60%) agreed to undergo medical evaluation to confirm the diagnosis and only 23 (45%) were diagnosed with primary hyperhidrosis (prevalence = 0.93%). Of the 23 subjects diagnosed with primary hyperhidrosis, 11 (48%) reported poor or very poor quality of life. Conclusions: Although the prevalence of self-reported excessive sweating was greater than 2%, the actual prevalence of primary hyperhidrosis in our sample was 0.93% and nearly 50% of the respondents with primary hyperhidrosis reported impaired quality of life.

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The Quality of Life of Long Term Survivors of Patients with Biliary Atresia

10.21203/rs.3.rs-1110750/v1 ◽

2021 ◽

Author(s):

Melanie Le ◽

Konrad Reinshagen ◽

Christian Tomuschat

Keyword(s):

Quality Of Life ◽

Liver Transplantation ◽

Biliary Atresia ◽

Long Term Results ◽

Cochrane Library ◽

Healthy Controls ◽

Term Care ◽

Associated Malformations

Abstract Purpose: Advances in surgical techniques and perioperative care have improved patients' short-and mid-term postoperative outcomes with Biliary Atresia (BA). However, the long-term results of these patients have not been thoroughly investigated. This systematic review aims to determine the long-term outcomes and the patients' health-related Quality of life (HrQoL) with their native livers or liver transplantation. Methods: A systematic literature-based search for relevant cohorts was performed using Pubmed/Medline, Cochrane Library from its inception to August 2021. Original studies reporting on BA, Hepatoportoenterostomie, portoenterostomy, Kasai, Liver transplantation, Quality of life, or HrQoL were included. Pooled prevalence has been calculated for cholangitis, secondary liver transplantation, or associated malformations using MetaXL (version 5.3). Subgroup analysis on HrQoL followed surgical treatment after BA was calculated by using RevMan (version 5.4).Results: 12 articles were considered for data synthesis. Nine studies compared biliary atresia patients to an age-matched healthy reference group. 4/9 (n = 338) of these studies indicated lower scores for biliary atresia patients; 5/9 (n = 127) stated similar health status. A Forest plot analysis including all studies with total HrQoL showed a tendency of higher scores towards healthy controls (MD -0.79, 95% CI: -6.00-4.41). Comparing patients after Kasai Hepatoportoenterostomy with healthy controls demonstrated favorable outcomes for the control group (MD -3.22, 95% CI: -7.20-0.75) with no statistical significance (p = 0.11). The pooled estimation of the prevalence of cholangitis, secondary liver transplantation and associated malformations are 0.33 (95% CI: 0.06–0.66), 0.59 (95% CI: 0,42–0.75) and 0.13 (95% CI: 0,01–0.33).Conclusion: Biliary atresia patients have an overall high prevalence of progressive liver-related complications and risk of lower HrQoL compared to their healthy peers. Furthermore, those patients who received liver transplantation appear to have the same Quality of life as those living with their native livers. Targeted and evidence-based follow-up procedures and transitional care are essential to meet these patients' long-term care needs. Prospective and multicenter research das focuses on the attributes and predictors of the long-term prognosis of patients with biliary atresia are necessary.

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PP028 Hyperhidrosis Quality Of Life Measures: Review And Patient Perspective

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462317002173 ◽

2017 ◽

Vol 33 (S1) ◽

pp. 82-83

Author(s):

Julie Jones-Diette ◽

Ros Wade ◽

Kath Wright ◽

Alexis Llewellyn ◽

Stephen Rice ◽

...

Keyword(s):

Quality Of Life ◽

Life Quality ◽

Health Utility ◽

Life Questionnaire ◽

Related Quality ◽

Health Related ◽

Quality Of Life Index ◽

Primary Hyperhidrosis ◽

Disease Specific

INTRODUCTION:Primary hyperhidrosis has no discernible cause and is characterised by uncontrollable excessive and unpredictable sweating, which occurs at rest, regardless of temperature. The symptoms of hyperhidrosis can significantly affect quality of life, and can lead to social embarrassment, loneliness, anxiety and depression.The aim of this literature review was to identify the tools used to measure quality of life in studies of hyperhidrosis. Patient advisors provided insight and their perspective.METHODS:Studies were identified through searches undertaken in January 2016. The search strategies combined topic terms for hyperhidrosis with a recognised search filter for “quality of life”. All studies that reported measuring quality of life or described a quality of life measure/tool in the context of primary hyperhidrosis were included. The information on the tools and their use in hyperhidrosis was summarized in a narrative synthesis. Patient advisors contributed to the interpretation of the findings.RESULTS:The review included 184 studies and many studies used multiple tools. Twenty-two individual tools were identified. The review identified disease specific, dermatology specific, and general health/utility tools. The most commonly identified tools were the Dermatology Life Quality Index (DLQI), the Hyperhidrosis Disease Severity Scale (HDSS), and the Hyperhidrosis Quality of Life Questionnaire (HQLQ). The Hyperhidrosis Quality of Life index (HidroQoL©) is recently designed and validated, and therefore was used only in its validation study.When asked about these four quality of life tools patient advisors agreed that the HidroQoL© tool covered disease-specific quality of life dimensions relevant to them most comprehensively and was easy to complete. The DLQI was considered to be too general and too focussed on the skin. The HDSS was considered to be too basic and not sufficiently discriminating.CONCLUSIONS:Future studies of the effectiveness of interventions for hyperhidrosis on health-related quality of life may benefit from including the HidroQoL© tool.

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