Expanded level of sympathectomy and incidence or severity of compensatory hyperhidrosis

Teivelis, Marcelo Passos; Varella, Andrea Yasbek Monteiro; Wolosker, Nelson

doi:10.1016/j.jtcvs.2014.08.025

Cited by 13 publications

(11 citation statements)

References 7 publications

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“…The first is thoracic sympathectomy, a low risk surgery with high success rate, but that generates compensatory HH in almost all patients to a greater or lesser degree. 1 , 13 The second one is drug therapy with oxybutynin hydrochloride, an antimuscarinic drug that has been shown to be a good treatment alternative for HH in all its manifestations. 14 Studies have shown that patients who receive oxybutynin as a form of treatment have improved quality of life both in the short and in the long term in all major sites (palmar, facial, plantar and axillary) and also in unusual places (such as back and inguinal regions).…”

Section: Discussionmentioning

confidence: 99%

“…Hyperhidrosis (HH) is a disease characterized by excessive sweating - in addition to the physiologically necessary - which occurs mainly in the palms of the hands, armpits, soles and face, but can also affect the abdomen, chest, back, inguinal regions and lower limbs. 1 , 2 HH has an unknown etiology and is associated with intense emotional, occupational and social stress. It usually begins in childhood or adolescence and entails an important impairment in the quality of life of individuals who have it.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiologic analysis of prevalence of the hyperhidrosis

Estevan

Wolosker

et al. 2017

An. Bras. Dermatol.

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BackgroundThe present paper aims to study the prevalence of the various manifestations of hyperhidrosis in patients who sought treatment in a specialized ambulatory in the state of São Paulo.ObjectivesOpposite to previous studies, this paper studies the different combinations of sweating sites, not being restricted to the main complaint site of the patients, but taking into consideration secondary complaints patients may present.MethodsThis was a retrospective approach of a database containing more than 1200 patients in which were mapped: combination of sweating sites, age of onset, age spectrum, mean age, body mass index and gender of patients. Patients were categorized into four groups based on their main sweating site - palmar, plantar, axillary and facial.ResultsWe concluded that hyperhidrosis appears frequently in more than one site, being the main complaint that affects the most patients palmar hyperhidrosis, which appears early in the patients during adolescence. When there are two sites of sweating, the most frequent combination is palmar + plantar, and when there are three sites of sweating the most frequent combinations are palmar + plantar + axillary and axillary + palmar + plantar.Study limitationsThis research has casuistics limited to a single care service for patients with hyperhidrosis.ConclusionIt is necessary to keep in mind that the disease manifests itself mainly in more than one location, with different intensities in each of the patients, generating a significant impairment of their quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Epidemiologic analysis of prevalence of the hyperhidrosis

Estevan

Wolosker

et al. 2017

An. Bras. Dermatol.

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“…Several factors that influence efficacy and patient satisfaction after bilateral thoracic sympathectomy include body mass index, 2 levels of resection, 7,8 quality of life before surgery, and the number of resected sympathetic ganglion. 9 To the best of our knowledge, there are no studies in the literature that specifically analyze the results of sympathectomy in patients over 40 years of age and compare surgical outcomes with those of young adult patients (19-40 years).…”

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confidence: 99%

Analysis of the Results of Videotoracoscopic Sympathectomy in the Treatment of Hyperhidrosis in Patients 40 Years or Older

Faustino

Campos

Kauffman

et al. 2020

Annals of Vascular Surgery

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“…Predictive factors for compensatory hyperhidrosis include resection at higher levels and higher body mass index. 34,38 Regarding the surgical technique, in general terms, surgery is performed with the patient in a semi-Fowler's position at 45° to the floor. Two small incisions of approximately 1.0 cm are made in each hemithorax.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Current treatment options for craniofacial hyperhidrosis

et al. 2020

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Hyperhidrosis (HH) is characterized by sweating exceeding the amount necessary to meet the thermal regulation and physiological needs of the body. Approximately 9.41% of individuals with HH have craniofacial hyperhidrosis (FH). The present study aims to review the most current data in the literature regarding craniofacial hyperhidrosis, including pathophysiology, diagnosis and clinical presentation, treatment options (clinical and surgical), and outcomes. VATS (videothoracoscopy sympathectomy) is considered the gold standard for definitive treatment of axillary or palmar hyperhidrosis. Recently, several studies have shown the usefulness of clinical treatment with oxybutynin hydrochloride, leading to clinical improvement of HH in more than 70% of users. Both clinical and surgical treatment of craniofacial hyperhidrosis have good results. However, surgical treatment of FH is associated with more complications. Clinical treatment with oxybutynin hydrochloride yields good results and can be the first therapeutic option. When the patient is not satisfied with this treatment and has good clinical conditions, surgical treatment can be used safely.

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Expanded level of sympathectomy and incidence or severity of compensatory hyperhidrosis

Cited by 13 publications

References 7 publications

Epidemiologic analysis of prevalence of the hyperhidrosis

Epidemiologic analysis of prevalence of the hyperhidrosis

Analysis of the Results of Videotoracoscopic Sympathectomy in the Treatment of Hyperhidrosis in Patients 40 Years or Older

Current treatment options for craniofacial hyperhidrosis

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