OBJECTIVE: To assess the outcome after transthoracic endoscopic sympathectomy (TES) for upper limb hyperhidrosis. DESIGN: Prospective cohort study. SETTING: District general hospital. SUBJECTS: Consecutive patients undergoing TES for upper limb hyperhidrosis over a fifteen month period. INTERVENTIONS: One-stage bilateral TES. MAIN OUTCOME MEASURES: Change in quality of life as shown by the Short Form-36 health assessment questionnaire. RESULTS: Sixteen patients (11 women and 5 men, median age 26 years) underwent operation without complications. At median follow-up of 6.2 months, symptomatic improvement was found in 26 of 32 limbs treated (82%). Truncal compensatory hyperhidrosis was reported by 13 patients but was severe in only three. There were significant improvements in social function (p = 0.01) and mental health (p = 0.025) as assessed by the SF-36. CONCLUSION: Despite a high incidence of compensatory hyperhidrosis, TES improved both the symptoms and overall quality of life in patients with upper limb hyperhidrosis.
OBJECTIVE: To assess the outcome after transthoracic endoscopic sympathectomy (TES) for upper limb hyperhidrosis. DESIGN: Prospective cohort study. SETTING: District general hospital. SUBJECTS: Consecutive patients undergoing TES for upper limb hyperhidrosis over a fifteen month period. INTERVENTIONS: One-stage bilateral TES. MAIN OUTCOME MEASURES: Change in quality of life as shown by the Short Form-36 health assessment questionnaire. RESULTS: Sixteen patients (11 women and 5 men, median age 26 years) underwent operation without complications. At median follow-up of 6.2 months, symptomatic improvement was found in 26 of 32 limbs treated (82%). Truncal compensatory hyperhidrosis was reported by 13 patients but was severe in only three. There were significant improvements in social function (p = 0.01) and mental health (p = 0.025) as assessed by the SF-36. CONCLUSION: Despite a high incidence of compensatory hyperhidrosis, TES improved both the symptoms and overall quality of life in patients with upper limb hyperhidrosis.
Authors: Nelson Wolosker; Jose R de Campos; Paulo Kauffman; Samantha Neves; Guilherme Yazbek; Fabio B Jatene; Pedro Puech-Leão Journal: Clin Auton Res Date: 2011-06-19 Impact factor: 4.435
Authors: Nelson Wolosker; Guilherme Yazbek; José Ribas Milanez de Campos; Paulo Kauffman; Augusto Ishy; Pedro Puech-Leão Journal: Clin Auton Res Date: 2007-06-12 Impact factor: 4.435
Authors: Jennifer Francesca Sciuchetti; Fabrizio Corti; Dario Ballabio; Marcello Costa Angeli Journal: Clin Auton Res Date: 2008-04 Impact factor: 4.435
Authors: Waseem M Hajjar; Sami A Al-Nassar; Heba M Al-Sharif; Dana M Al-Olayet; Wejdan S Al-Otiebi; Alanoud A Al-Huqayl; Adnan W Hajjar Journal: Saudi J Anaesth Date: 2019 Jan-Mar