Quality of Life and Patient Satisfaction After Video-Assisted Thoracic Sympathicolysis for Essential Hyperhidrosis: A Follow-Up of 138 Patients

Vanderhelst, Eef; Keukeleire, Tom De; Verbanck, Sylvia; Vincken, Walter; Noppen, Marc

doi:10.1089/lap.2011.0258

Cited by 14 publications

(13 citation statements)

References 14 publications

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“…When it´s used the Campos et al 17 questionnaire 17 , interviewees reported significant harm to QoL in situations of greeting people with handshakes, writing, wearing socks and dancing socially. The data found were similar to those of other studies, which demonstrated intense discomfort and low selfesteem in patients with PH, besides a negative impact on QoL in social and professional settings 7,35,38,39,40,41,42 . PH, although it is a chronic disease, beginning in the first decades of life, with significant prevalence and negative biopsychosocial interference, remains unknown by the general population and professionals of the health area.…”

Section: Discussionsupporting

confidence: 90%

Impact of primary hyperhidrosis on the life of physical education academics of a university in the Brazilian Northeast

Campos

Figueiredo

Dias

et al. 2019

Motriz: rev. educ. fis.

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Aim: To assess the prevalence, quality of life (QoL), and the damages caused by PH, in the professional and personal scope of Physical Education academics with Primary Hyperhidrosis (PH). Methods: A descriptive, exploratory, qualitative and quantitative cross-sectional study was carried out. Twenty-five students from the physical education course at Tiradentes University, Aracaju-SE, were interviewed from August to November 2017. Validated questionnaires were used on PH's influence in academic activities and QoL. absolute and relative frequencies in the case of categorical variables and measures of trend and central variability in the case of numerical variables. Results: The prevalence of PH in students of Physical Education was 11.11%, mainly in combined sites, such as palmoplantar, and with no difference between the sexes. The symptoms started mostly during childhood and adolescence. Most of the interviewees (92%) reported difficulties with activities such as sports, use of personal protective equipment, handling of work equipment and instruments, and exacerbation in stress situations. They reported significant harm to QoL in situations of greeting people with handshakes, writing, wearing socks and dancing socially. Conclusion: Although PH is a disease that negatively impacts the QoL, it is still little known in the academic world with little demand for medical help. Therefore, it is necessary greater dissemination of the disease for its early diagnosis, related to the intensity of the sweating for a better therapeutic approach.

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Section: Discussionsupporting

confidence: 90%

Impact of primary hyperhidrosis on the life of physical education academics of a university in the Brazilian Northeast

Campos

Figueiredo

Dias

et al. 2019

Motriz: rev. educ. fis.

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“…This allows quality of life to be guaranteed for longer. Regardless of the resection level, however, the increase in QoL is substantial [24][25][26][27][28][29][30] (Table 2). In the T4 group, the prevalence of CH was markedly lower (53%) and none of these patients were dissatisfied.…”

Section: Resection Level and Resultsmentioning

confidence: 99%

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Nicolini¹,

Costa²,

Montessi³

et al. 2019

Rev. Col. Bras. Cir.

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Thoracic sympathectomy has been effective in relieving hyperhidrosis in several patients, with quality of life improvement. The knowledge of the clinical picture of each patient, as well as the possible postoperative complications, are fundamental to obtain good results. Thus, we performed a review of articles from the PubMed database published between 2005 and 2019 that presented, as the main topic, thoracoscopy sympathectomy for the treatment of hyperhidrosis, with the objective of evaluating the current state of art referring to postoperative quality of life, surgical time and its complications. From this analysis, we verified the importance of the level of sympathetic ganglion chain section in relation to results. The complication, although occurring, did not reduced the postoperative level of satisfaction or patients' quality of life. NicoliniVideo-assisted thoracic sympathectomy: literature review.

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“…CS is the most common complication of TS and severely diminishes the postoperative quality of life of the patient 2, 26 . The incidence and severity of CS were regarded as the most important indicators of operative success in most correlational studies.…”

Section: Discussionmentioning

confidence: 99%

“…Thoracoscopic sympathectomy (TS) has become the standard surgical treatment for palmar hyperhidrosis (PH) owing to its association with minimal trauma and low morbidity rates 1, 2 . Conventional surgery to transect the sympathetic chain at the T2–T3 or T2–T4 levels can improve the symptom of PH perfectly well.…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta-analysis of T2, T3 or T4, to evaluate the best denervation level for palmar hyperhidrosis

Zhang

et al. 2017

Sci Rep

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We systematically reviewed and compared the clinical outcomes of thoracoscopic sympathectomy (TS) at different denervation levels for palmar hyperhidrosis. We searched PubMed, Ovid MEDLINE, EMBASE, Web of Science, ScienceDirect, the Cochrane Library, Scopus and Google Scholar for relevant studies published during 1990–2016. Symptom resolution, patient satisfaction, compensatory sweating (CS), recurrence, dry hands and gustatory sweating were assessed. We selected 13 studies from 2228 for the final analysis. A comparison of T2 vs. T3 TS revealed that T3 TS reduced the risk of CS (95% confidence interval [CI]: 1.36–3.19, p = 0.0007) and moderate-to-severe CS (95% CI: 2.14–7.87, p < 0.0001). No significant differences were found in patient satisfaction, symptom resolution, and incidence of dry hands and gustatory sweating. A comparison of T3 vs. T4 TS revealed that T4 TS reduced the risk of CS (95% CI: 2.87–9.53, p < 0.00001), moderate-to-severe CS (95% CI: 2.54–5.83, p < 0.00001), dry hands (95% CI: 4.07–18.13, p < 0.00001) and gustatory sweating (95% CI: 1.53–7.32, p < 0.003), and improved patient satisfaction. No significant differences were found in symptom resolution and recurrence. T4 TS appears to be more useful than T3 or T2 TS for PH.

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Quality of Life and Patient Satisfaction After Video-Assisted Thoracic Sympathicolysis for Essential Hyperhidrosis: A Follow-Up of 138 Patients

Abstract: Thoracoscopic ablation of the sympathetic chain is an effective treatment for EH; CH occurs in the majority of patients, but only rarely impairs postoperative quality of life.

Cited by 14 publications

References 14 publications

Impact of primary hyperhidrosis on the life of physical education academics of a university in the Brazilian Northeast

Impact of primary hyperhidrosis on the life of physical education academics of a university in the Brazilian Northeast

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

A systematic review and meta-analysis of T2, T3 or T4, to evaluate the best denervation level for palmar hyperhidrosis

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