Sequential Extended Thoracoscopic Sympathicotomy for Palmo-Axillo-Plantar Hyperhidrosis

Elalfy, Khaled; Emile, Sameh Hany; Elfeki, Hossam; Elmetwally, Ahmed; Farag, Mohamed; Gado, Waleed

doi:10.1016/j.athoracsur.2017.04.035

Cited by 7 publications

(5 citation statements)

References 37 publications

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“…Palmar HH reportedly affects manual activities and handling objects such as knitting, driving, opening doors, playing sports, hand shaking, electrical shocks in those with mechanical occupations, and corrosion of commonly touched objects [ 31 ]. In one study, patients with plantar HH had impairment of physical tasks such as putting on socks, wearing sandals, and walking barefoot as identified by elevated Keller scores, a tool used to measure pre- and post-operative QoL in patients receiving sympathectomy [ 17 , 32 ]. Other symptoms of plantar HH include instability of feet using open shoes or heels, sprains, formation of sweat puddles, and a frequent need to change socks [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Palmar HH reportedly affects manual activities and handling objects. Elalfy et al 2017 [ 32 ] Keller Pre-post interventional study 42 Patients with palmo-axillo-plantar HH had elevated Keller scores in all domains plantar (i.e., impairment in tasks such as putting on socks, wearing sandals, and walking barefoot), axillary, and palmar. Shayesteh et al 2017 [ 33 ] HDSS, SF-36 Retrospective study 188 5.5% sought medical healthcare help for problems.…”

Section: Methodsmentioning

confidence: 99%

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The Impact of Hyperhidrosis on Quality of Life: A Review of the Literature

2023

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Hyperhidrosis is a condition of excessive sweating, which can have profound physical and mental effects. Hyperhidrosis is a significantly impactful and distressing illness that warrants equal attention as other more well-known dermatologic conditions. However, because of a lack of awareness among the public, stigma, and difficulty with access to treatments (due to cost or insurance coverage), patients are less likely to be diagnosed and treated. In hyperhidrosis, quality-of-life surveys can be useful for determining the magnitude of symptoms and to evaluate treatment outcomes. The purpose of this study was to conduct a narrative literature review to investigate the impact of hyperhidrosis on quality of life. A total of 49 articles investigating the impact of primary hyperhidrosis on quality of life were selected for the review. Hyperhidrosis is a potentially debilitating illness that affects multiple domains of patients’ lives including their psychological, physical, and social functioning. Despite the significant impacts, patients with hyperhidrosis are less likely to seek care. Here, we explore these impacts, and disparities in care, in more detail.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The Impact of Hyperhidrosis on Quality of Life: A Review of the Literature

2023

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“…Better visualization of the stellate ganglion and its preservation to avoid development of post-operative Horner's syndrome. [11] As noted in many studies, the plantar domain affects considerable part of those patients of about 45% [4]; while others reported incidence of plantar domain of 70 to 100 % of patients with primary hyperhidrosis; latter researchers used extended technique of ablation from R3 to R12 to manage those cases [12]. In the Society of Thoracic Surgeons 2011 Expert Consensus for the Surgical Treatment of Hyperhidrosis [13], no recommendations for plantar domain management were noted.…”

Section: Discussionmentioning

confidence: 99%

Palmo-Plantar Hyperhidrosis: Does Drainless One-port Thoracoscopic Sympathectomy (DOTS) help?

Aly

Soliman

Zaid

et al. 2020

Preprint

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Objectives: Primary hyperhidrosis (PH) still impacts negatively the patients' quality of life (QoL). Progressively, it leads to poorer QoL regardless of gender; finally, it ends up causing psycho-social and professional embracement to patients. The thoracoscopic sympathectomy (TS) has been used safely and effectively for control of palmar hyperhidrosis; but it is still questionable in palmo-plantar type. We assessed the benefits of drainless one-port thoracoscopic sympathectomy (DOTS) in palmo-plantar and palmar hyperhidrosis. Methods: This prospective study comprised 213 consecutive patients with PH who underwent bilateral simultaneous DOTS. We used the Hyperhidrosis Disease Severity Scale (HDSS) scoring system for assessment of quality of life pre-and post-operatively. Follow up continued for one-year interval for quality of life, recurrence, and compensatory hyperhidrosis. Results: All patients experienced immediate complete resolution of hyperhidrosis postoperatively. Recurrence encountered in one patient during first 6 months. All patients had improved quality of life postoperatively; but at the end of 1-year follow up, 2.8 % of patients were still suffering moderate to severe impaired QoL. Mean hospital stay was 31.79±17.5 hours. We found significant longer hospital stay in palmar group than palmo-plantar group. There was no significant difference between both groups in neither operative time, recurrence, nor compensatory hyperhidrosis. Conclusions: DOTS offers better quality of life for patients with primary hyperhidrosis even the palmo-plantar type. The palmo-plantar type benefits similarly to the palmar type. In palmo-plantar hyperhidrosis, we should rethink again about post-operative plantar hyperhidrosis; it is accepted redistribution compensatory hyperhidrosis rather than a miserable recurrence. Introduction: Hyperhidrosis is a sweat glands' benign functional disorder. Usually, it presents by heat or emotional stimulated excessive sweating beyond the physiological needs. Moreover, it causes psycho-social and professional embracement that negatively impacts the quality of life (QoL). [1-3] Hyperhidrosis may be primary or secondary. The etiology of primary hyperhidrosis (PH) is still unknown. It affects about 0.6 to 1% in the general population. The most usual sites or domains of hyperhidrosis are the hands in 25% of cases, armpit in 20% and both in 55%, while plantar hyperhidrosis noted in 45% of cases. [2, 4] Management of those patients includes many medications as topical medication and botulinum toxin injection. [5] In 1920s, the trans-thoracotomy surgical treatment started to appear in medical practice with significant patient morbidity so, it failed to generate widespread acceptance. [6] Evolving thoracoscopy approach enhanced the thoracoscopic sympathectomy to become the surgical technique of choice for treating PH. This minimally invasive procedure is simple and safe, with a high success rate with low morbidity and short hospital stay.[7] Although being an effective method for management of PH,...

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“…Concerning the importance of the palmo-plantar type, the plantar domain affects considerable part (about 45%) of those patients with PH [4]. Other studies reported incidence of plantar domain of 70 to 100% in patients with PH; the latter researchers used extended technique of ablation from R3 to R12 to manage those cases [25]. In the Society of Thoracic Surgeons 2011 Expert Consensus for the Surgical Treatment of Hyperhidrosis [26], no recommendations for plantar domain management were noted.…”

Section: Discussionmentioning

confidence: 99%

Uniportal video-assisted thoracoscopic drainless sympathectomy for palmar and palmo-plantar hyperhidrosis: an institutional experience

et al. 2020

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Background Primary hyperhidrosis (PH) still impacts negatively the patient’s quality of life (QoL). Progressively, it leads to poorer QoL regardless of gender. The endoscopic thoracic sympathectomy has been used safely and effectively for control of palmar hyperhidrosis, but it is still questionable in palmo-plantar type. We assessed the benefits of uniportal drainless thoracoscopic sympathectomy (UDTS) for palmo-plantar hyperhidrosis patients compared to palmar ones. This prospective study comprised 213 consecutive patients with PH. They underwent bilateral simultaneous UDTS. We used the Hyperhidrosis Disease Severity Scale (HDSS) scoring system for assessment of QoL pre- and postoperatively. Follow-up was continued for 1-year that was aiming to detect the QoL improvement, recurrence, and compensatory hyperhidrosis (CH). Results All patients experienced immediate complete resolution of hyperhidrosis postoperatively. Recurrence was encountered in one patient during the first 6 months. All patients had improved QoL postoperatively, but at the end of 1-year follow-up, 2.8% of patients were still suffering moderate to severe impaired QoL. Mean hospital stay was 31.79 ± 17.5 h. We found significant longer hospital stay in palmar group than palmo-plantar group. There was no significant difference between both groups in neither operative time, recurrence, nor CH. Conclusions UDTS offers better QoL for patients with PH even the palmo-plantar type. The palmo-plantar type benefits similarly to the palmar type in terms of comparable postoperative QoL and CH incidence.

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Sequential Extended Thoracoscopic Sympathicotomy for Palmo-Axillo-Plantar Hyperhidrosis

Cited by 7 publications

References 37 publications

The Impact of Hyperhidrosis on Quality of Life: A Review of the Literature

The Impact of Hyperhidrosis on Quality of Life: A Review of the Literature

Palmo-Plantar Hyperhidrosis: Does Drainless One-port Thoracoscopic Sympathectomy (DOTS) help?

Uniportal video-assisted thoracoscopic drainless sympathectomy for palmar and palmo-plantar hyperhidrosis: an institutional experience

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