Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Yunus Aksoy; Abidin Sehitogulları

Makale detayları

Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Yazarlar:

Yunus Aksoy | Abidin Sehitogulları

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.132-140

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284735

pISSN:

2146-409X

Anahtar kelimeler:

Özet:

 INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a persons social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2 n:67 of the patients were female and 46.8 n:59 were male. The mean age was 24.37 min-max:15-51, whereas the mean body mass index was 23.54 min-max:16.9-34.9. The mean length of hospital stay was 1.30.9 days Min-Max: 1-6. Complications were observed in a total of 13 10.3 patients. The most common complication was pneumothorax n:10. Compensatory hyperhidrosis was observed in 23 patients 18.3. A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction p0.001. A statistically significant improvement was observed in the quality of life of all patients after videothoracoscopic sympathectomy p0.001. CONCLUSION: Videothoracoscopic sympathectomy improves the postoperative quality of life in patients with palmo-axillary hyperhidrosis. The complication rate is low, and the chance of success is quite high in sympathectomies performed at T3 and T3-T4 levels. As the severity of sweating increased, patient satisfaction decreased.

 INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a persons social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2 n:67 of the patients were female and 46.8 n:59 were male. The mean age was 24.37 min-max:15-51, whereas the mean body mass index was 23.54 min-max:16.9-34.9. The mean length of hospital stay was 1.30.9 days Min-Max: 1-6. Complications were observed in a total of 13 10.3 patients. The most common complication was pneumothorax n:10. Compensatory hyperhidrosis was observed in 23 patients 18.3. A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction p0.001. A statistically significant improvement was observed in the quality of life of all patients after videothoracoscopic sympathectomy p0.001. CONCLUSION: Videothoracoscopic sympathectomy improves the postoperative quality of life in patients with palmo-axillary hyperhidrosis. The complication rate is low, and the chance of success is quite high in sympathectomies performed at T3 and T3-T4 levels. As the severity of sweating increased, patient satisfaction decreased.

 INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a persons social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2 n:67 of the patients were female and 46.8 n:59 were male. The mean age was 24.37 min-max:15-51, whereas the mean body mass index was 23.54 min-max:16.9-34.9. The mean length of hospital stay was 1.30.9 days Min-Max: 1-6. Complications were observed in a total of 13 10.3 patients. The most common complication was pneumothorax n:10. Compensatory hyperhidrosis was observed in 23 patients 18.3. A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction p0.001. A statistically significant improvement was observed in the quality of life of all patients after videothoracoscopic sympathectomy p0.001. CONCLUSION: Videothoracoscopic sympathectomy improves the postoperative quality of life in patients with palmo-axillary hyperhidrosis. The complication rate is low, and the chance of success is quite high in sympathectomies performed at T3 and T3-T4 levels. As the severity of sweating increased, patient satisfaction decreased.

 GİRİŞ VE AMAÇ: Primer hiperhidrozis, kişinin sosyal yaşantısını ciddi şekilde kısıtlayan aşırı terleme durumudur. Palmo-axiller hiperhidrozis nedeniyle videotorakoskopik sempatektomi uygulanan hastalarda postoperatif komplikasyonlar, hasta memnuniyeti ve yaşam kalitesi değişikliğini ortaya koymayı amaçladık. YÖNTEM: primer palmo-axiller hiperhidrozis nedeniyle 251 videotorakoskopik sempatektomi ameliyatı uygulanan 126 hasta analiz edildi. Veriler, postoperatif komplikasyonlar ve yaşam kalitesini etkileyen faktörler açısından retrospektif incelendi. Kompansatuar hiperhidrozis insidansı ve hasta memnuniyeti ilişkisi analiz edildi. BULGULAR: Hastaların 53.2 ü n:67 kadın ve  46.8i n:59 erkek idi. Ortalama yaş 24.37 mim.max:15-51, Body Mass Index 23.54 min-max:16.9-34.9.Ortalama hastanede kalış süresi 1.30.9 gündü Min-Max: 1-6. Toplam 13 10.3 hastada komplikasyon gözlendi. En sık görülen komplikasyon pnömotoraks idi n:10. Postoperatif komplikasyonları etkileyen önemli prognostik faktör saptanmadı p0.05. Yirmi üç hastada 18.3 kompansatuar hiperhidrozis gözlendi hafif düzeyde n:14, orta düzeyde n:9. CH en sık sırt ve ayak bölgesinde izlendi n:14. Kompansatuar hiperhidrozis ile hasta memnuniyeti arasında anlamlı ilişkili bulundu p0.001. Videotorakoskopik sempatektomi sonrası tüm hastaların yaşam kalitesinde istatistiksel olarak anlamlı iyileşme gözlendi p0.001. SONUÇ: Videotorakoskopik sempatektomi palmo-aksiller hiperhidrozis hastalarında posteperatif yaşam kalitesini artırmaktadır. T3 ve T3-T4 seviyelerinde yapılan sempatektomilerde komplikasyon oranı düşük olup başarı şansı oldukça yüksektir. Kompansatuar hiperhidrozis şiddeti arttıkça hasta memnuniyeti azalır.

Makale detayları

Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Yazarlar:

Yunus Aksoy | Abidin Sehitogulları

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.132-140

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284735

pISSN:

2146-409X

compensatory hyperhidrosis

quality of life

Hyperhidrosis

sympathectomy

thoracoscopy

Hyperhidrosis

sympathectomy

compensatory hyperhidrosis

thoracoscopy

quality of life

Sayı

Makale detayları

Yazarlar: Yunus Aksoy | Abidin Sehitogulları

Yayıncı: Sakarya University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Sakarya Tıp Dergisi Vol.13 Issue 1, pp.132-140

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001284735

pISSN: 2146-409X

Sayı

Yazarlar:

Yunus Aksoy | Abidin Sehitogulları

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.132-140

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284735

pISSN:

2146-409X