Calidad de vida en pacientes con hiperhidrosis primaria sometidos a simpatectomía videotoracoscópica

Abstract

Quality of life after videothoracic simpathectomy in patients with primary hyperhidrosisIntroduction: Primary hyperhidrosis is characterized by excessive sweating that exceeds the physiological needs to maintain thermal homeostasis of the body. This study aims to assess the change in quality of life of patients operated on videothoracoscopic sympathectomy. Materials and Methods: We included all patients operated with this technique in the period between 2004 and 2010, in FACh Hospital. A standardized cuestionary was used to measure severity of hyperhidrosis and quality of life during pre and postoperative. Results: 61 patients, 57% female and mean age of 25 years. Preoperative sweating was barely tolerable or unacceptable in 81%, and preoperative quality of life was poor or very poor in 82% of patients. After surgery sweating was never noticed or tolerable at 85% and the quality of life was better in 84% of patients. 78% of patients developed compensatory sweating; however the 87% were satisfi ed with the outcome of surgery. Conclusion: Videothoracoscopic sympathectomy offers excellent results that are measurable in terms of improvement of quality of life, but often associated with the phenomenon of compensatory sweating. Despite the development of this sequel, the majorities of operated patients are satisfi ed with the surgical results and improve their quality of life.

Enhancing Quality of Life: Pre- and Postoperative Assessment in Idiopathic Hyperhidrosis Patients

“…Regarding the location of the CH, the study by Soto et al aligns with our findings, with the back and abdomen being the most common areas affected [ 11 ]. In Latin America, studies like that of Zamarin et al reported rates as high as 78% in patients, affecting primarily more than one body segment, with the back being the most affected [ 5 ].…”

“…In Cuba, the study by Soto et al did not report any of these complications [ 11 ], while the study by Zacarías et al recorded complications in 1.1% of patients [ 23 ]. Even in the study by Zamarin et al in Chile, the rate of these complications was 3.2% [ 5 ]. Among these studies, bleeding was the most common complication, whereas, in our registry, there was only one case of hemothorax.…”

“…Hyperhidrosis generates patient discomfort, embarrassment with social exposure, and impairment in social and emotional relationships, which significantly affects the quality of life (QOL) of patients [ 5 ]. In addition, it alters domains such as nutrition, perception/cognition, self-perception, role/relationships, coping/stress tolerance, safety/security, and comfort [ 6 ].…”

Evaluación de la satisfacción con el resultado clínico después de 10 años de simpatectomía videotoracoscópica bilateral para el manejo de la hiperhidrosis primaria

“…En los estudios latinoamericanos, el seguimiento a largo plazo no sobrepasa los ocho años 6,[14][15][16][17][18][19][20] . A nivel global, los estudios con mayor seguimiento son el de Askari, et al 3 , con 51 pacientes evaluados en promedio durante 77 meses (rango 6 a 189 meses), después de la simpatectomía torácica bilateral, y el de Zacherl, et al 10 , con 293 pacientes con seguimiento mayor de 15 años.…”

Estandarización de una técnica en el tiempo y su impacto en los resultados para hiperhidrosis palmar primaria

“…Preocupación de sociedades científicas, congresos mundiales y grandes avances en general, pero algunos aspectos no cuentan con suficiente evidencia 1,2 . La cirugía se presenta como la opción curativa, más allá del sudor compensatorio y otros efectos secundarios potenciales, pero se reportan diferencias tanto anestésicas como quirúrgicas [3][4][5][6] . En relación a tales controversias se generan las siguientes interrogantes que constituyen nuestro problema a investigar: -Qué tipo de anestesia: ¿anestesia general con tubo endotraqueal simple y oxigenación en apnea es efectiva y segura para este procedimiento?…”