Thoracoscopic limited T-3 sympathicotomy for primary hyperhidrosis: prevention for compensatory hyperhidrosis

2003 ◽  
Vol 99 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Do Heum Yoon ◽  
Yoon Ha ◽  
Yong Gou Park ◽  
Jin Woo Chang
Keyword(s):  
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.

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 The Effect of T3 versus T4 Thoracoscopic Sympathectomy on Hyperhidrosis

2021 ◽  
pp. 101-110
Author(s):  
Karim Mohamed El Mesery ◽  
Ahmed Emadeldeen Ghoneim ◽  
Abd Elhady Mohamed Taha ◽  
Mohamed Mahmoud Abo Elnasr
Keyword(s):  
Postoperative Complications ◽  
Treatment Success ◽  
Palmar Hyperhidrosis ◽  
Surgical Approaches ◽  
Compensatory Hyperhidrosis ◽  
Thoracoscopic Sympathectomy ◽  
Video Assisted ◽  
Significant Difference ◽  
Primary Hyperhidrosis

Background: Primary hyperhidrosis is a disorder characterized by excessive sweating. However, surgical therapy is the most effective treatment for patients with primary hyperhidrosis. In between all different surgical approaches, video assisted thoracoscopic surgery (VATS) sympathectomy has been considered as a safe and minimally invasive procedure for palmer and axillary hyperhidrosis. The aim of this study was to evaluate the effectiveness of T3 vs. T4 sympathectomy regarding postoperative complications, recurrence and compensatory hyperhidrosis (CH) on 6 months follow up. Methods: This prospective randomized study was conducted over 20 patients undergoing VATS sympathectomy diagnosed with palmar hyperhidrosis and failed medical treatment and undergoing thoracoscopic sympathectomy. Patients were divided randomly into two groups; group A (T3 sympathectomy) and group B (T4 sympathectomy). Results: There was no significant difference between the two groups regarding the degree of treatment success, compensatory hyperhidrosis after one month and after 6 months. There was non-significant difference between the two groups regarding the recurrence, late postoperative complications and satisfaction. Conclusions: Video-assisted T3 or T4 sympathectomy is a safe and effective procedure for treatment of palmar hyperhidrosis and T3 or T4 sympathectomy had no difference regarding to dryness and Compensatory Hyperhidrosis in follow-up for 6 months. Both techniques were effective for treating palmar hyperhidrosis with high rates of success and no recurrence for 6 months.

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

2014 ◽  
Vol 41 (5) ◽  
pp. 325-330 ◽  
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.

scholarly journals The Influence of Body Mass Index on the Outcomes of Video-assisted Thoracoscopic Sympathectomy for Primary Hyperhidrosis Patients

2019 ◽  
Vol 4 (3) ◽  
pp. p228
Author(s):  
Mohamad Mahseeri ◽  
Isam Bsisu ◽  
Yousef AL-Bustanji ◽  
Ahmad Suleihat ◽  
Rami Ayoub ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
University Hospital ◽  
Excessive Sweating ◽  
Compensatory Hyperhidrosis ◽  
Thoracoscopic Sympathectomy ◽  
Patient’S Satisfaction ◽  
Video Assisted ◽  
Desirable Outcome ◽  
Primary Hyperhidrosis

Background: Primary hyperhidrosis (PH) is an autonomic disorder described as having excessive sweating in greater amounts than physiologically needed for thermoregulation. The aim of this retrospective study is to investigate the effect of body mass index (BMI) on surgical outcomes of bilateral video-assisted thoracoscopic sympathectomy (VATS) for PH patients from Arabian ethnic group. Methods: Between January 2009 and December 2018, a total of 79 patients underwent VATS as a treatment for PH at Jordan University Hospital. Postoperative assessment was done via patients’ subjective reporting of their satisfaction with the outcome of performed procedure. Results: The mean age of the studied population was 23.2 ± 4.5 years, of which 34 (43%) were males and 45 (57%) were females. Satisfaction with the outcome of VATS was significantly associated with having dry palms as a desirable outcome (p < 0.001), and with older age (p = 0.002). BMI was neither significantly associated with their satisfaction (p = 0.128), nor with compensatory hyperhidrosis (CH) (p= 0.859).Conclusion: VATS is considered an effective treatment for PH, with high rates of patient’s satisfaction. Neither the level of satisfaction nor the occurrence of CH was associated with patients’ BMI.

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