Related Experiment Videos
[Thoracic sympathectomy in primary hyperhidrosis: patient satisfaction]
José Marcelo Galbis-Caravajal1, J Gabriel Sales-Badía, María Cuenca-Torres
1Servicio de Cirugía Torácica, Hospital de La Ribera, Alzira, Valencia, España. jgalbis@hospital-ribera.com
Cirugia Espanola
|June 7, 2006
Summary
Video-assisted thoracic sympathectomy for primary hyperhidrosis is safe and effective, with high patient satisfaction. However, satisfaction may decrease over time, suggesting alternative treatments like botulinic toxin for certain cases.
Area of Science:
- Cardiothoracic Surgery
- Surgical Outcomes
- Patient-Reported Outcomes
Context:
- Primary hyperhidrosis is a condition causing excessive sweating.
- Thoracic sympathectomy is a surgical option for severe hyperhidrosis.
- Long-term patient satisfaction and complication rates require evaluation.
Purpose:
- To assess patient satisfaction after thoracic sympathectomy for primary hyperhidrosis.
- To identify complications occurring at least 14 months post-surgery.
- To compare outcomes with alternative treatments.
Summary:
- A retrospective study evaluated 108 patients (87% female, mean age 29.7) undergoing thoracic sympathectomy.
- The most common complication was compensatory sweating (81.5%); other complications were infrequent.
- Overall patient satisfaction was high (90.7%), though it declined over time.
Impact:
- Video-assisted thoracic sympathectomy demonstrates safety and efficacy for primary hyperhidrosis.
- High satisfaction rates suggest its value, despite compensatory sweating.
- Botulinic toxin may be a preferred first-line therapy for axillary hyperhidrosis.