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Quality of Life Changes Following Surgery for Hyperhidrosis
José Ribas Milanez de Campos1, Hugo Veiga Sampaio da Fonseca1, Nelson Wolosker2
1Thoracic Surgery Division, Heart Institute/Clinics Hospital from University of São Paulo Medical School, 44 Dr. Enéas de Carvalho Aguiar Av., São Paulo 05403-000, São Paulo, Brazil.
Abstract:
The best way to evaluate the impact of primary hyperhidrosis on quality of life (QL) is through specific questionnaires, avoiding generic models that do not appropriately evaluate individuals. QL improves significantly in the short term after sympathectomy. In the longer term, a sustained and stable improvement is seen, although there is a small decline in the numbers; after 5 and even at 10 years of follow-up it shows virtually the same numerical distribution. Compensatory hyperhidrosis is a major side effect and the main aggravating factor in postoperative QL, requiring attention to its management and prevention.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...