Evaluation of Quality of Life After Bilateral Endoscopic Thoracic Sympathectomy for Primary Hyperhidrosis
Küçük Resim Yok
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wroclaw Medical Univ
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background. Primary hyperhidrosis is a disorder from which 1% of the society suffers. Objectives. This present study is aimed to evaluate the effects of endoscopic thoracic sympathectomy on the primary hyperhidrosis. Material and Methods. Between February 2008 and April 2010, 30 patients with primary hyperhidrosis underwent endoscopic thoracoscopic sympathectomy. Before the operation, 4 (13.3%) cases had sweating on scalp with flushing on the forehead. There was primary palmar hyperhidrosis in 25 (83.3%) cases, facial hyperhidrosis in 17 (56.6%) cases and primary plantar hyperhidrosis in 19 (63.3%) cases. The second and the third thoracic sympathetic ganglia were bilaterally cauterized in 6 (20.0%) of the cases, while 2(nd), 3(rd) and 4(th) thoracic sympathetic ganglia were bilaterally cauterized in 24 (80.0%) cases. Results. Quality of life was evaluated by Hyperhidrosis Disease Severity Scale in preoperative and postoperative period. Before the operation, 10 (33.3%) cases expressed that hyperhidrosis was barely tolerable followed by 20 (66.7%) cases expressing that hyperhidrosis was intolerable. After the operation, compensatory sweating was never noticeable in 8 (26.6%) cases, tolerable in 15 (50.0%) cases, barely tolerable in 5 (16.7%) cases, intolerable in 2 (6.6%) cases. In order to assess the quality of life before and after the operation, a scale between 1 (very poor) and 10 (very good) has been implemented. It was found that average before the operation was 7 (2-8), while average after the operation was 8.2 (6-10) (P < 0.001). Conclusions. Endoscopic thoracic sympathectomy is most efficient treatment method of primary hyperhidrosis for enhancing the quality of life (Adv Clin Exp Med 2010, 19, 5, 619-624).
Açıklama
WOS: 000284097600010
Anahtar Kelimeler
hyperhidrosis, social problems, ganglia, sympathetic, sympathectomy, quality of life
Kaynak
Advances In Clinical And Experimental Medicine
WoS Q Değeri
Q4
Scopus Q Değeri
Q1
Cilt
19
Sayı
5
