1 Clinics Vol: 65(6):. DOI: 10.1590/S1807-59322010000600004

Is gender a predictive factor for satisfaction among patients undergoing sympathectomy to treat palmar hyperhidrosis?

Video-assisted thoracic sympathectomy (VATS) is currently the procedure of choise for the definitive treatment of primary hyperhidrosis because it is an effective, safe, and minimally invasive method. The aim of VATS treatment is to improve the quality of life through the reduction of excessive sudoresis. The purpose of this study was to assess the quality of life after VATS for treating palmar hyperhidrosis according to gender. METHODS: A total of 1044 patients who submitted to the surgical treatment for palmar hyperhidrosis from June 2000 to February 2008 were retrospectively evaluated. The patients were divided into two groups according to gender [719 (68.8%) females and 325 (31.2%) males]. RESULTS: There are no statistically significant differences between genders with regard to the quality of life in palmar hyperhidrosis patients (p = 0.726). In the interview that was performed 30 days after surgery, the quality of life in the two groups had improved, with no statistical difference between the groups. CONCLUSION: Patients with palmar hyperhidrosis present with an improvement in the quality of life after VATS regardless of gender.

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  1. Lear W, Kessler E, Solish N, Glaser DA. An epidemiological study of hyperhidrosis. Dermatol Surg.Jan;33(1 Spec No.):S , 69-75 (2007) .
  2. Alric P, Branchereau P, Berthet JP, Leger P, Mary H, Mary-Ane C. Video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: results in 102 cases. Ann Vasc Surg.16 , 708-13 (2002) .
  3. De Campos JRM, Kauffman P, Werebe E de C, Andrade Filho LO, Kusniek S, Wolosker N, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg.76 , 886-91 (2003) .
  4. Bachmann K, Standl N, Kaifi J, Busch P, Winkler E, Mann O, et al. Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach. Surg Endosc.23 , 1587-93 (2009) .
  5. Chwajol M, Barrenechea IJ, Chakraborty S, Lesser JB, Connery CP, Perin NI. Impact of compensatory hyperhidrosis on patient satisfaction after endoscopic thoracic sympathectomy. Neurosurgery.64:; discussion 518 , 511-8 (2009) .
  6. Sugimura H, Spratt EH, Compeau CG, Kattail D, Shargall Y. Thoracoscopic sympathetic clipping for hyperhidrosis: long-term results and reversibility. J Thorac Cardiovasc Surg.137:; discussion 1376-7 , 1370-6 (2009) .
  7. Chang YT, Li HP, Lee JY, Lin PJ, Lin CC, Kao EL, et al. Treatment of palmar hyperhidrosis: T(4) level compared with T(3) and T(2). Ann Surg.246 , 330-6 (2007) .
  8. Neumayer CH, Bischof G, Függer R, Imhof M, Jakesz R Plas EG, et al. Efficacy and safety of thoracoscopic sympathectomy for hyperhidrosis of the upper limb. Results of 734 sympathectomies. Ann Chir Gynaecol.90 , 2000-2 (2001) .
  9. de Campos JR, Wolosker N, Takeda FR, Kauffman P, Kuzniec S, Jatene FB, et al. The body mass index and level of resection: predictive factors for compensatory sweating after sympathectomy. Clin Auton Res.15 , 116-20 (2005) .
  10. Munia MA, Wolosker N, Kauffman P, de Campos JRM, Puech-Leão P. A randomized Trial of T3-T4 versus T4 sympathectomy for isolated axillary hyperhidrosis. J Vasc Surg.45 , 130-3 (2007) .
  11. Ribas Milanez de Campos J, Kauffman P, Wolosker N, Munia MA, de Campos Werebe E, Andrade Filho LO, et al. Axillary hyperhidrosis: T3/T4 versus T4 thoracic sympathectomy in a series of 276 cases. J Laparoendosc Adv Surg Tech A.16 , 598-603 (2006) .
  12. Yazbek G, Wolosker N, de Campos JR, Kauffman P, Ishy A, Puech-Leão P. Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion? J Vasc Surg.42 , 281-5 (2005) .
  13. Bachmann K, Standl N, Kaifi J, Busch P, Winkler E, Mann O, et al. Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach. Surg Endosc.23 , 1587-93 (2009) .
  14. Grunfeld A, Murray CA, Solish N. Botulinum toxin for hyperhidrosis: a review. Am J Clin Dermatol.10 , 87-102 (2009) .
  15. Shachor D, Jedeikin R, Olsfanger D, Bendahan J, Sivak G, Freund U. Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies. Arch Surg.129 , 241-4 (1994) .
  16. Lin CC, Wu HH. Lin-Telaranta classification: the importance of different procedures for different indications in sympathetic surgery. Ann Chir Gynaecol.90 , 161-6 (2001) .
  17. O'riordain DS, Maher M, Waldron DJ, O'Donovan B, Brady MP. Limiting the anatomic extent of upper thoracic sympathectomy for primary palmar hyperhidrosis. Surg Gynecol Obstet.176 , 151-4 (1993) .
  18. Doblas M, Gutierrez R, Fontcuberta J, Orgaz A, Lopez P, Criado E. Thoracodorsal sympathectomy for severe hyperhydrosis: posterior bilateral versus unilateral staged sympathectomy. Ann Vasc Surg.17 , 97-102 (2003) .
  19. Yazbek G, Wolosker N, Kauffman P, de Campos JR, Puech-Leão P, Jatene FB. Twenty Months of Evolution Following Sympathectomy on Patients with Palmar Hyperhidrosis: Sympathectomy at the T3 Level is Better than at the T2 Level. Clinics.64 , 743-9 (2009) .
  20. Munia MA, Wolosker N, Kaufmann P, de Campos JR, Puech-Leão P. Sustained benefit lasting one year from T4 instead of T3-T4 sympathectomy for isolated axillary hyperhidrosis. Clinics.63 , 771-4 (2008) .
  21. Wolosker N, Yazbek G, Ishy A, de Campos JR, Kauffman P, Puech-Leão P. Is sympathectomy at T4 level better than at T3 level for treating palmar hyperhidrosis? J Laparoendosc Adv Surg Tech A.18 , 102-6 (2008) .
  22. Wolosker N, Yazbek G, Milanez de Campos JR, Kauffman P, Ishy A, Puech-Leão P. Evaluation of plantar hyperhidrosis in patients undergoing video-assisted thoracoscopic sympathectomy. Clin Auton Res.17 , 172-6 (2007) .
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