Cargando…
Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results
BACKGROUND: Thoracoscopic bilateral dorsal sympathectomy is the standard of care for primary palmo-axillary hyperhidrosis. This study aims at studying the surgical outcomes with special emphasis on the incidence of compensatory hyperhidrosis (CH) after thoracoscopic dorsal sympathectomy. Post-proced...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486074/ https://www.ncbi.nlm.nih.gov/pubmed/33885020 http://dx.doi.org/10.4103/jmas.JMAS_174_20 |
_version_ | 1784577665157562368 |
---|---|
author | Puri, Harsh Vardhan Asaf, Belal Bin Bishnoi, Sukhram Pulle, Mohan Venkatesh Sharma, Shikha Kumar, Arvind |
author_facet | Puri, Harsh Vardhan Asaf, Belal Bin Bishnoi, Sukhram Pulle, Mohan Venkatesh Sharma, Shikha Kumar, Arvind |
author_sort | Puri, Harsh Vardhan |
collection | PubMed |
description | BACKGROUND: Thoracoscopic bilateral dorsal sympathectomy is the standard of care for primary palmo-axillary hyperhidrosis. This study aims at studying the surgical outcomes with special emphasis on the incidence of compensatory hyperhidrosis (CH) after thoracoscopic dorsal sympathectomy. Post-procedural patient satisfaction as well as quality of life was measured and analysed. MATERIALS AND METHODS: This is a retrospective analysis of sixty thoracoscopic dorsal sympathectomy surgeries in thirty patients in a tertiary level thoracic surgery centre over 2 years. Various peri-operative variables were recorded and assessed. Incidence of CH was noted and analysed in relation to patient satisfaction and record was made of quality of life at the time of discharge, at 3 months and 1-year follow-up following surgery. RESULTS: We performed sixty video-assisted thoracoscopic sympathectomies in 30 patients. The mean operative time was 44.93 ± 10 min. The mean hospital stay was 1 day. There were no immediate post-procedural complications. All the patients had complete resolution of palmar and axillary hyperhidrosis. Fifty per cent of our patients (15/30) had some degree of CH after surgery. Quality-of-life measurement showed very good satisfaction by 100% at discharge, by 93.3% at 3 months and at 1 year. Those 6.66% of patients were partially satisfied/not satisfied because of the presence of moderate-to-severe CH. CONCLUSION: A significant percentage of the patients with primary palmo-axillary hyperhidrosis will be very satisfied with the procedure at 1 year after surgery despite 50% of them developing CH. Detailed counselling regarding CH in the pre-operative period would minimise the dissatisfaction rate after surgery. |
format | Online Article Text |
id | pubmed-8486074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84860742021-10-18 Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results Puri, Harsh Vardhan Asaf, Belal Bin Bishnoi, Sukhram Pulle, Mohan Venkatesh Sharma, Shikha Kumar, Arvind J Minim Access Surg Original Article BACKGROUND: Thoracoscopic bilateral dorsal sympathectomy is the standard of care for primary palmo-axillary hyperhidrosis. This study aims at studying the surgical outcomes with special emphasis on the incidence of compensatory hyperhidrosis (CH) after thoracoscopic dorsal sympathectomy. Post-procedural patient satisfaction as well as quality of life was measured and analysed. MATERIALS AND METHODS: This is a retrospective analysis of sixty thoracoscopic dorsal sympathectomy surgeries in thirty patients in a tertiary level thoracic surgery centre over 2 years. Various peri-operative variables were recorded and assessed. Incidence of CH was noted and analysed in relation to patient satisfaction and record was made of quality of life at the time of discharge, at 3 months and 1-year follow-up following surgery. RESULTS: We performed sixty video-assisted thoracoscopic sympathectomies in 30 patients. The mean operative time was 44.93 ± 10 min. The mean hospital stay was 1 day. There were no immediate post-procedural complications. All the patients had complete resolution of palmar and axillary hyperhidrosis. Fifty per cent of our patients (15/30) had some degree of CH after surgery. Quality-of-life measurement showed very good satisfaction by 100% at discharge, by 93.3% at 3 months and at 1 year. Those 6.66% of patients were partially satisfied/not satisfied because of the presence of moderate-to-severe CH. CONCLUSION: A significant percentage of the patients with primary palmo-axillary hyperhidrosis will be very satisfied with the procedure at 1 year after surgery despite 50% of them developing CH. Detailed counselling regarding CH in the pre-operative period would minimise the dissatisfaction rate after surgery. Wolters Kluwer - Medknow 2021 2021-04-08 /pmc/articles/PMC8486074/ /pubmed/33885020 http://dx.doi.org/10.4103/jmas.JMAS_174_20 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Puri, Harsh Vardhan Asaf, Belal Bin Bishnoi, Sukhram Pulle, Mohan Venkatesh Sharma, Shikha Kumar, Arvind Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title | Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title_full | Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title_fullStr | Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title_full_unstemmed | Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title_short | Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
title_sort | thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486074/ https://www.ncbi.nlm.nih.gov/pubmed/33885020 http://dx.doi.org/10.4103/jmas.JMAS_174_20 |
work_keys_str_mv | AT puriharshvardhan thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults AT asafbelalbin thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults AT bishnoisukhram thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults AT pullemohanvenkatesh thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults AT sharmashikha thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults AT kumararvind thoracoscopicbilateraldorsalsympathectomyforprimarypalmoaxillaryhyperhidrosisshortandmidtermresults |