Evaluation of quality of life (QOL) of young patients with primary hyperhidrosis (PH) before and after endoscopic thoracic sympathectomy (ETS)

Lima, Sônia Oliveira; Neto, José Machado Moita; Fontes, Letícia Moreira; Figueiredo, Maria Bernadete Galrão de Almeida; Santos, Jessica Macêdo; Santana, Vanessa Rocha de

doi:10.1016/j.jaad.2015.10.048

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…This will reduce unnecessary hospital occupancy and avoidable costs. In this context, sympathectomy is a low-cost surgery 26 , with a cost of approximately 300 dollars per procedure, with little change in values during the pandemic despite the shortage of essential supplies.…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on sympathectomies in Brazil’s public health system

Sorbello,

Portela,

Girardi

et al. 2024

Preprint

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Objective: To analyze and compare the number of sympathectomies for the treatment of hyperhidrosis in the public health system (SUS - Unified Health System) before, during, and after the peak of the COVID-19 pandemic in Brazil. Method: A retrospective cross-sectional study, in accordance with the guidelines of the Research Ethics Committee, which analyzed the number of elective surgical procedures performed in SUS-Brazil, including the number of thoracic sympathectomies for the treatment of hyperhidrosis, in the 2 years prior to the COVID-19 pandemic (2018 and 2019) as well as in the 2 years of maximum prevalence (2020-2021) and in the 2 years following the peak of cases (2022-2023). The data analyzed was obtained from the database of the Department of Informatics of the Unified Health System (DATASUS). Results: The number of thoracic sympathectomies performed in the SUS during the years 2020 and 2021 significantly decreased, probably secondary to the allocation of resources to the care of COVID-19 patients. This was followed by a lower than expected increase in the number of sympathectomies compared to pre-pandemic data. Conclusion: The volume of sympathectomies, and consequently the surgical treatment of hyperhidrosis patients dependent on the SUS, have been extremely affected by the COVID-19 pandemic and remain in slow recovery, with no short-term prospect of returning to previous figures.

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Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on sympathectomies in Brazil’s public health system

Sorbello,

Portela,

Girardi

et al. 2024

Preprint

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The Use of an Objective Method (Continuous Exosomatic Electrodermal Activity Without External Stimuli) to Evaluate Patients With Hyperhidrosis Undergoing Video-Assisted Sympathectomy

Silveira,

Sorbello,

Wolosker

et al. 2024

Preprint

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2.ABSTRACTObjectiveTo objectively assess continuous exosomatic electrodermal activity without external stimuli in primary hyperhidrosis patients, before and after sympathectomy and compare it with responses to clinical investigation questionnaires.MethodIn a prospective study, 28 participants were divided into two groups. The first group consisted of 18 patients with palmoplantar hyperhidrosis who underwent sympathectomy on the fourth and fifth costal arches, bilaterally and sequentially. The second group, serving as a control, consisted of 10 patients. The assessment involved 2 self-explanatory questionnaires; the control group completed the questionnaires once, while the sympathectomy group completed them before surgery, one day and 30 days later. Sweating was objectively evaluated by measuring electrodermal activity (EDA) using the MP36R biosensor from Biopac Systems Inc. USA. This was done by carrying out measurements before surgery, on the first postoperative and on the thirtieth postoperative using an exosomatic technique and a constant electrical flow. Measurements were taken sequentially from the hands and feet, for 5 uninterrupted minutes at each site, after 10 minutes of rest, in a comfortable sitting position, without external stimuli, and in an air-conditioned environment. The study also collected anthropometric, clinical, and surgical data, and no significant sociodemographic differences were observed between the groups.ResultsIn the group that underwent thoracic sympathectomy, there was a significant improvement in quality of life and a reduction in palmar and plantar sweating, as assessed by the questionnaires. Electrodermal activity showed significantly higher levels in the hands and feet of patients with hyperhidrosis compared to the control group during the preoperative assessment. After surgery, there was a reduction in electrodermal activity in the hands, and 100% of the sample analyzed showed a decrease in sweating. As for the evaluation of the feet, 67% of the patients reported a reduction in sweating, and 44% showed a statistically significant decline in EDA.ConclusionContinuous exosomatic electrodermal activity without external stimuli is a suitable method for assessing patients with palmoplantar hyperhidrosis, with appropriate clinical correlation compared to the questionnaire’s answers quantifying sweating and quality of life.

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Evaluation of quality of life (QOL) of young patients with primary hyperhidrosis (PH) before and after endoscopic thoracic sympathectomy (ETS)

Cited by 2 publications

References 29 publications

Effects of the COVID-19 pandemic on sympathectomies in Brazil’s public health system

Effects of the COVID-19 pandemic on sympathectomies in Brazil’s public health system

The Use of an Objective Method (Continuous Exosomatic Electrodermal Activity Without External Stimuli) to Evaluate Patients With Hyperhidrosis Undergoing Video-Assisted Sympathectomy

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