Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis

Dias, Luciara Irene de Nadai; Miranda, Eliana Cristina Martins; Toro, Ivan Felizardo Contrera; Mussi, Ricardo Kalaf

doi:10.1590/0100-69912016005013

Cited by 17 publications

(16 citation statements)

References 15 publications

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“…All studies evaluating patients' quality of life as the focus showed similar results regarding patients' satisfaction with the outcome of hyperhidrosis elimination [4][5][6][7][8][9][10][11][12][13][14] (Table 1). In this study, 15 subjects underwent resympathectomy.…”

Section: Resultsmentioning

confidence: 97%

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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Section: Resultsmentioning

confidence: 97%

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Nicolini¹,

Costa²,

Montessi³

et al. 2019

Rev. Col. Bras. Cir.

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“…Baseline assessment reflected clinically elevated scores across most measures, with subsequent scores falling into the nonclinical range for both sweat symptoms and psychosocial functioning. Intervention studies have found improvements in psychosocial functioning with sympathectomy [6‐9] and botox [11‐13].…”

Section: Discussionmentioning

confidence: 99%

“…Due to the preponderance of social anxiety and negative emotional states among individuals with hyperhidrosis, several studies have examined the effects of treatments to reduce sweat production on psychosocial functioning. Sympathectomy has been associated with improved QOL [3‐6], reduced social stress and anxiety [6‐9], reduced psychiatric medication prescriptions [10], and decreased depressive symptoms [6,8]. Botulinum toxin treatment has likewise been shown to improve QOL [11], reduce social anxiety [12], and decrease negative mood states of anxiety and depression [11,13].…”

Section: Introductionmentioning

confidence: 99%

Microwave Thermolysis Reduces Generalized and Social Anxiety in Young Adults With Axillary Hyperhidrosis

et al. 2020

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Background and Objective: Hyperhidrosis (HH) is associated with impairments in quality of life (QOL) and elevated anxiety. Microwave thermolysis is a newer treatment that reduces sweating, yet effects on QOL and emotional symptoms have not been examined. Two treatment sessions are recommended to achieve 80% amelioration of clinical HH. We hypothesized that microwave thermolysis would reduce sweat severity, improve QOL, and reduce anxiety in young adults suffering from axillary HH in a prospective clinical trial. Study Design/Materials and Methods: We enrolled 24 young adults (mean age = 23.57 years, 54% female) with elevated scores on the Hyperhidrosis Disease Severity Scale. All participants received one session of microwave thermolysis, and 83% received two sessions. Participants completed measures of sweat severity, QOL, generalized anxiety, social anxiety, social avoidance, and anxious/depressive mood symptoms at baseline; post-first treatment; and following second treatment. Results: At baseline, all participants had severe sweating; 87.5% had impaired QOL, 75% had elevated social anxiety, 50% with generalized anxiety, 48% with social avoidance, and 38% with anxious/depressed mood. Paired samples t tests indicated significant improvements from baseline to first procedure, including decreased sweating (t(21) = 5.68, P < 0.001), improved QOL (t(23) = 4.97, P < 0.001), and decreased generalized anxiety (t(23) = 8.11, P < 0.001), social anxiety (t(22) = 4.55, P < 0.001), mood symptoms (t(21) = 3.81, P = 0.001), and social avoidance (t(22) = 3.12, P = 0.005). After second treatment, further improvements were noted in sweating (t(18) = 3.28, P = 0.004) and QOL (t(18) = 3.83, P = 0.003), and a marginal trend for generalized anxiety (t (19) = 1.96, P = 0.064). Conclusion: There were significant improvements in sweat severity, skin-specific QOL, generalized anxiety, social anxiety, anxious/depressive symptoms, and social avoidance. The majority of the psychosocial benefit appears to emerge after one treatment of microwave thermolysis, whereas the level of sweat severity and QOL continued to show further improvements after a second treatment. Results would suggest that although two microwave thermolysis sessions are needed for maximal treatment optimization of axillary HH, patients may experience significant benefits in improving psychosocial functioning after just one session. Lasers Surg. Med.

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“…11,12,13 However, only a few studies have assessed CS and if its intensity affects the QOL of patients, but the results were inconsistent. Dias et al 14 proposed that CS potentially worsens postoperative QOL. Chang and colleagues' 15 retrospective review reported that overall satisfaction of patients was inversely correlated with the severity of CS.…”

Section: Introductionmentioning

confidence: 99%

Does endoscopic thoracic sympathectomy improve the quality of life of patients with primary hyperhidrosis? A single center retrospective review

et al. 2021

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Background: Endoscopic thoracic sympathectomy (ETS) is renowned as an effective surgical treatment for primary hyperhidrosis (PHH) and believed to improve patients’ quality of life (QOL). This study aimed to evaluate the quality of life (QOL) of patients with PHH after ETS compared to before ETS, and to determine whether compensatory sweating (CS) affects QOL of patients. Methods: This is a single-centre retrospective review of patients who had undergone ETS at the National Heart Center [Institut Jantung Negara (IJN)], Malaysia. In total, 62 patients from January 2014 to December 2018 were recruited. Medical records were first reviewed for all relevant data, prior to making telephone interview to administer the questionnaire. A modified questionnaire with validated components was used to assess the patients’ QOL. Patient satisfaction, symptom resolution, recurrence and occurrence of CS were also asked during the interview. Data were analysed using IBM SPSS Statistics 25.0. Results: A total of 46 patients (response rate: 74.2%) completed the questionnaire, with 95.7% reporting improvement in the total QOL score (Mean difference = 113.54, SD=70.79, 95% CI = 95.52 – 134.57, p<0.001). There was remarkable symptom resolution for palmar HH as 97.8% reported dry hands, whereas majority of patients with palmar-plantar HH reported persistent sweating from feet HH. CS rate was 89.1%. In terms of severity of CS, 6 (14.6%) reported mild, 17 (41.5%) moderate, and 18 (43.9%) had severe CS. The severity of CS as well as the number of locations have a significant effect on the QOL reported (p=0.022 and p=0.008, respectively). Conclusion: ETS is an effective treatment for PHH in improving the QOL of patients, even long term. The occurrence of CS did not affect the QOL, but severity of CS and number of locations involved in CS affect the QOL of patients.

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Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis

Cited by 17 publications

References 15 publications

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Microwave Thermolysis Reduces Generalized and Social Anxiety in Young Adults With Axillary Hyperhidrosis

Does endoscopic thoracic sympathectomy improve the quality of life of patients with primary hyperhidrosis? A single center retrospective review

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