Isariya Jongekkasit, MD, Pornpeera Jitpratoom, MD, Angkoon Anuwong, MD, Soravith Vijitpornkul, MD, Warin Wachirapunyaukul, MD. Police General Hospital
INTRODUCTION: Hyperhidrosis is a condition that result in body excessive and unpleasant sweating which mainly occurs on feet, hands, face, head, and underarms. Primary Hyperhidrosis (PH) carries serious implications for an individual’s quality of life. Thoracosopic Sympathectomy is a minimally invasive procedure to treat primary palmar hyperhidrosis patients. There have been several debates on the levels of thoracoscopic sympathectomy for the great benefits to treat primary hyperhidrosis patients. The aim of this study is to explore short term outcomes at R4-5 level of thoracoscopic sympathectomy for primary palmar hyperhidrosis patients with particular attention to patient satisfaction and quality of life.
METHODS: Fifty patients with primary hyperhidrosis who underwent R4-5 thoracoscopic sympathectomy were deeply interviewed for surgery outcomes; symptom resolution, site, severity of compensatory hyperhidrosis (CH), recurrence, patient satisfaction and quality of life at before surgery, a month after surgery and last follow up day. Data were obtained by hospital records and telephone interview.
RESULTS: The age of fifty patients, comprised of 26 males and 24 of females, ranged from 14 to 48 years. The mean age of patient was 27.10 years (standard deviation = 8.364). The recurrence rate was 8% (n=4, 50% at 3 months, 25% at 5 months and 25% at 6 months after surgery). The mean of duration post operation days to last follow up days was 370.64 (SD = 98.09). Overall satisfaction score (1-5) was 4.620 (SD = .0624), while maximal satisfaction was achieved in 66%. The over dry hand occurred in 4% of patients. CH, the most common complication that occurred after thoracoscopic sympathectomy, was mainly found at trunk, back and thigh. No patient expressed dissatisfaction with the procedure as a consequence of this complications. It was found that the severity of sweating at hand, axilla and foot were decreased continually after surgery. All patient reported improvement of quality of life.
CONCLUSIONS: Thoracosopic sympathectomy is an effective procedure for primary palmar hyperhidrosis. Regarding short term outcomes of R4-5 thoracosopic sympathectomy were effectively improve patient’s quality of life and lessen compensatory sweating.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87241
Program Number: V056
Presentation Session: Thursday Exhibit Hall Theater (Non CME)
Presentation Type: EHVideo
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