Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Authors : Yunus AKSOY, Abidin SEHİTOGULLARI

Pages : 132-140

Doi:10.31832/smj.1211820

View : 18 | Download : 12

Publication Date : 2023-03-16

Article Type : Research Paper

Abstract :INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a person\`s social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2% insert ignore into journalissuearticles values(n:67); of the patients were female and 46.8% insert ignore into journalissuearticles values(n:59); were male. The mean age was 24.3±7 insert ignore into journalissuearticles values(min-max:15-51);, whereas the mean body mass index was 23.5±4 insert ignore into journalissuearticles values(min-max:16.9-34.9);. The mean length of hospital stay was 1.3±0.9 days insert ignore into journalissuearticles values(Min-Max: 1-6);. Complications were observed in a total of 13 insert ignore into journalissuearticles values(10.3%); patients. The most common complication was pneumothorax insert ignore into journalissuearticles values(n:10);. Compensatory hyperhidrosis was observed in 23 patients insert ignore into journalissuearticles values(18.3%);. A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction insert ignore into journalissuearticles values(p<0.001);. A statistically significant improvement was observed in the quality of life of all patients after videothoracoscopic sympathectomy insert ignore into journalissuearticles values(p<0.001);. CONCLUSION: Videothoracoscopic sympathectomy improves the postoperative quality of life in patients with palmo-axillary hyperhidrosis. The complication rate is low, and the chance of success is quite high in sympathectomies performed at T3 and T3-T4 levels. As the severity of sweating increased, patient satisfaction decreased.
Keywords : Hyperhidrosis, sympathectomy, compensatory hyperhidrosis, thoracoscopy, quality of life