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Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis.

Mohebbi HA, Mehrvarz S, Manoochehry S - Trauma Mon (2012)

Bottom Line: We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain.There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.

View Article: PubMed Central - PubMed

Affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran ; Department of General Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Background: Primary hyperhidrosis (P.H.H.) is characterized by excessive sweating in certain parts of body. It's estimated prevalence is 0%-6.1% in different populations. In Asian population its prevalence is around 3%. In 57% of cases, there is a positive family history.

Objectives: To evaluate and compare the early and late satisfaction, outcomes and complications of thoracoscopic sympathectomy and sympathicotomy in the treatment of primary hyperhidrosis.

Materials and methods: From April 2007 to January 2011, we prospectively treated 60 primary hyperhidrosis patients via thoracoscopic surgery. The first 30 patients underwent sympathectomy and the next 30 patients underwent sympathicotomy. We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.

Results: The mean operative time was 66.3 minutes in sympathicotomy group and 110.8 minutes in sympathectomy group (P < 0.001). There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain. There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.

Conclusions: Because of shorter operative time, less C.S. and less adverse influence of C.S., sympathicotomy seems a better treatment for primary hyperhidrosis, compared with sympathectomy.

No MeSH data available.


Related in: MedlinePlus

Photos of Surgical Procedures. Left: Sympathectomy. Right: sympathicotomy
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fig632: Photos of Surgical Procedures. Left: Sympathectomy. Right: sympathicotomy

Mentions: The overall incidence of both early and late compensatory sweating was 90% in the sympathectomy group and 73.3% in the sympathicotomy group. (P = 0.001) Early and late satisfactions from surgery (according to sites of body) are summarized in Table 3. Six patients (20%) in the sympathectomy group and 4 patients (13.3%) in the sympathicotomy group had gustatory sweating (G.S.). There was no significant difference in G.S. between the two groups. (P = 0.652) There was no significant difference between the two groups in the incidence of pompholyx (Dyshidrotic eczema). Table 4 shows this data. Mean post-operative pain numbers in sympathectomy and sympathicotomy groups were 6.25 ± 2.31and 5.33 ± 1.84 (V.A.P.S.) respectively in early evaluations (P = 0.101). In late evaluations mean pain numbers were 2.3 ± 1.03 and 1.93±0.98 (P = 0.702). There were no significant differences between early and late adverse effects of C.S. on life in groups. This data is shown in figures 1 and 2. There were no other post-operative complications such as pneumothorax, hemothorax, Horner’s syndrome and recurrence in our patients during follow-up period (Figure 3).


Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis.

Mohebbi HA, Mehrvarz S, Manoochehry S - Trauma Mon (2012)

Photos of Surgical Procedures. Left: Sympathectomy. Right: sympathicotomy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860636&req=5

fig632: Photos of Surgical Procedures. Left: Sympathectomy. Right: sympathicotomy
Mentions: The overall incidence of both early and late compensatory sweating was 90% in the sympathectomy group and 73.3% in the sympathicotomy group. (P = 0.001) Early and late satisfactions from surgery (according to sites of body) are summarized in Table 3. Six patients (20%) in the sympathectomy group and 4 patients (13.3%) in the sympathicotomy group had gustatory sweating (G.S.). There was no significant difference in G.S. between the two groups. (P = 0.652) There was no significant difference between the two groups in the incidence of pompholyx (Dyshidrotic eczema). Table 4 shows this data. Mean post-operative pain numbers in sympathectomy and sympathicotomy groups were 6.25 ± 2.31and 5.33 ± 1.84 (V.A.P.S.) respectively in early evaluations (P = 0.101). In late evaluations mean pain numbers were 2.3 ± 1.03 and 1.93±0.98 (P = 0.702). There were no significant differences between early and late adverse effects of C.S. on life in groups. This data is shown in figures 1 and 2. There were no other post-operative complications such as pneumothorax, hemothorax, Horner’s syndrome and recurrence in our patients during follow-up period (Figure 3).

Bottom Line: We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain.There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.

View Article: PubMed Central - PubMed

Affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran ; Department of General Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.

ABSTRACT

Background: Primary hyperhidrosis (P.H.H.) is characterized by excessive sweating in certain parts of body. It's estimated prevalence is 0%-6.1% in different populations. In Asian population its prevalence is around 3%. In 57% of cases, there is a positive family history.

Objectives: To evaluate and compare the early and late satisfaction, outcomes and complications of thoracoscopic sympathectomy and sympathicotomy in the treatment of primary hyperhidrosis.

Materials and methods: From April 2007 to January 2011, we prospectively treated 60 primary hyperhidrosis patients via thoracoscopic surgery. The first 30 patients underwent sympathectomy and the next 30 patients underwent sympathicotomy. We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.

Results: The mean operative time was 66.3 minutes in sympathicotomy group and 110.8 minutes in sympathectomy group (P < 0.001). There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain. There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.

Conclusions: Because of shorter operative time, less C.S. and less adverse influence of C.S., sympathicotomy seems a better treatment for primary hyperhidrosis, compared with sympathectomy.

No MeSH data available.


Related in: MedlinePlus