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Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis

BACKGROUND: Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedur...

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Autores principales: Hur, Kyung Jae, Moon, Hyong Woo, Park, Yong Hyun, Bae, Woong Jin, Cho, Hyuk Jin, Ha, U-Syn, Lee, Ji Youl, Kim, Sae Woong, Hong, Sung-Hoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590320/
https://www.ncbi.nlm.nih.gov/pubmed/34772374
http://dx.doi.org/10.1186/s12893-021-01393-y
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author Hur, Kyung Jae
Moon, Hyong Woo
Park, Yong Hyun
Bae, Woong Jin
Cho, Hyuk Jin
Ha, U-Syn
Lee, Ji Youl
Kim, Sae Woong
Hong, Sung-Hoo
author_facet Hur, Kyung Jae
Moon, Hyong Woo
Park, Yong Hyun
Bae, Woong Jin
Cho, Hyuk Jin
Ha, U-Syn
Lee, Ji Youl
Kim, Sae Woong
Hong, Sung-Hoo
author_sort Hur, Kyung Jae
collection PubMed
description BACKGROUND: Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedures of retroperitoneoscopic lumbar sympathectomy (RLS) for treatment of PPH. METHODS: RLS was performed 60 times in 30 patients (18 men, 12 women) with PPH in our institution from May 2019 to October 2020. All procedures were carried out by laparoscopy with retroperitoneal approach. Clinical data including patient demographics and perioperative, postoperative outcomes were evaluated. Recurrence of symptoms, and any adverse effects of surgery were evaluated after 7 to 30 days in outpatient clinic, and thereafter every 6 months. RESULTS: Mean age of patients was 33.6 (± standard deviation 10.8) years. Fourteen and fifteen patients were previously treated with medical therapy or endoscopic thoracic sympathectomy (ETS) respectively. Mean preoperative quality of life (QoL) score of patients was 91.8 (VERY BAD), but postoperative 12 months (QoL) score decreased to 29.1 (MUCH BETTER). There was no serious postoperative complication. During the mean 22 months of follow-up period, no compensatory sweating was observed. CONCLUSIONS: RLS can be a safe and effective surgical treatment for severe PPH, especially for the patients with persistent plantar sweating even after conservative management and ETS. RLS also could be offered to surgeons who are familiar with retroperitoneal space anatomy as feasible surgical treatment for PPH.
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spelling pubmed-85903202021-11-15 Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis Hur, Kyung Jae Moon, Hyong Woo Park, Yong Hyun Bae, Woong Jin Cho, Hyuk Jin Ha, U-Syn Lee, Ji Youl Kim, Sae Woong Hong, Sung-Hoo BMC Surg Research BACKGROUND: Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedures of retroperitoneoscopic lumbar sympathectomy (RLS) for treatment of PPH. METHODS: RLS was performed 60 times in 30 patients (18 men, 12 women) with PPH in our institution from May 2019 to October 2020. All procedures were carried out by laparoscopy with retroperitoneal approach. Clinical data including patient demographics and perioperative, postoperative outcomes were evaluated. Recurrence of symptoms, and any adverse effects of surgery were evaluated after 7 to 30 days in outpatient clinic, and thereafter every 6 months. RESULTS: Mean age of patients was 33.6 (± standard deviation 10.8) years. Fourteen and fifteen patients were previously treated with medical therapy or endoscopic thoracic sympathectomy (ETS) respectively. Mean preoperative quality of life (QoL) score of patients was 91.8 (VERY BAD), but postoperative 12 months (QoL) score decreased to 29.1 (MUCH BETTER). There was no serious postoperative complication. During the mean 22 months of follow-up period, no compensatory sweating was observed. CONCLUSIONS: RLS can be a safe and effective surgical treatment for severe PPH, especially for the patients with persistent plantar sweating even after conservative management and ETS. RLS also could be offered to surgeons who are familiar with retroperitoneal space anatomy as feasible surgical treatment for PPH. BioMed Central 2021-11-12 /pmc/articles/PMC8590320/ /pubmed/34772374 http://dx.doi.org/10.1186/s12893-021-01393-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Hur, Kyung Jae
Moon, Hyong Woo
Park, Yong Hyun
Bae, Woong Jin
Cho, Hyuk Jin
Ha, U-Syn
Lee, Ji Youl
Kim, Sae Woong
Hong, Sung-Hoo
Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_full Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_fullStr Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_full_unstemmed Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_short Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_sort retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590320/
https://www.ncbi.nlm.nih.gov/pubmed/34772374
http://dx.doi.org/10.1186/s12893-021-01393-y
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