Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492011000400004
Jornal Vascular Brasileiro
Original Article

Is age group a predictive factor for satisfaction among patients undergoing sympathectomy to treat hyperhidrosis?

A idade é um fator preditivo de satisfação entre pacientes submetidos à simpatectomia para o tratamento da hiper-hidrose?

José Ribas Milanez de Campos; Nelson Wolosker; Marco Antonio Soares Munia; Guilherme Yazbek; Paulo Kauffman; Pedro Puech-Leão; Fábio Biscegli Jatene

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Abstract

OBJECTIVE: Video-assisted thoracic sympathectomy is currently the procedure of choice for the definitive treatment of primary hyperhidrosis, because it is an effective, safe, and minimally invasive method. In the search for better quality of life indexes, all researchers look for predictive factors indicating better surgical outcomes. Failure in the primary treatment, postoperative compensatory hyperhidrosis, body mass index over 25, level of resection of the sympathetic chain, and extent of resection are some of the factors that may negatively influence the results. The objective of this study was to compare, according to the age group, the quality of life after bilateral thoracic sympathectomy for treatment of primary hyperhidrosis in a cohort of 1,644 patients. METHODS: From February 2000 to October 2008, data were collected from 1,644 patients with palmar (71%) or axillary (29%) hyperhidrosis who underwent video-assisted thoracic sympathectomy. The patients were divided into three groups according to their ages. The first group consisted of patients up to 17 years-old, the second from 18 to 30 years-old, and the third of over 30 years-old. All patients had a body mass index of less than 25. RESULTS: In the evaluation 30 days after surgery, improvement of the quality of life in the three groups was observed. There was no significant difference between the age groups. In the present study, 91.9% of the patients presented compensatory hyperhidrosis, with no difference between the age groups. CONCLUSIONS: Patients with primary hyperhidrosis experience quality of life improvement after thoracic sympathectomy regardless of their age.

Keywords

hyperhidrosis, sympathectomy, quality of life, age

Resumo

OBJETIVO: A simpatectomia torácica por videotoracoscopia é atualmente o procedimento de escolha para o tratamento definitivo da hiper-hidrose palmar, pois é um método eficaz, seguro e minimamente invasivo. Na busca de melhores índices de qualidade de vida, os pesquisadores procuram por fatores preditivos de bom resultado cirúrgico. A falência do tratamento inicial, a hiper-hidrose compensatória, o índice de massa corpóreo acima de 25, o nível de ressecção ganglionar e a extensão da ressecção são alguns dos fatores que podem influenciar negativamente os resultados. O objetivo deste estudo foi comparar a qualidade de vida dos pacientes submetidos à simpatectomia torácica, de acordo com a faixa etária, numa coorte com 1.644 pacientes. MÉTODOS: De fevereiro de 2000 a outubro de 2008, foram colhidos dados de 1.644 pacientes portadores de hiper-hidrose palmar (71%) ou axilar (29%), submetidos à simpatectomia torácica por videotoracoscopia. Os pacientes foram divididos em três grupos de acordo com a idade. O primeiro grupo foi de pacientes com até 17 anos, o segundo de 18 a 30 anos, e o terceiro com pacientes com mais de 30 anos de idade. Todos os pacientes tinham índice de massa corpóreo menor que 25. RESULTADOS: Numa avaliação 30 dias após o procedimento, a melhora da qualidade de vida foi obtida nos três grupos. Não houve diferença estatística entre as diferentes faixas etárias. Neste estudo, 91,9% dos pacientes apresentaram algum grau de hiper-hidrose compensatória, novamente sem diferença entre os grupos. CONCLUSÕES: Pacientes portadores de hiper-hidrose primária apresentam melhora da qualidade de vida após o procedimento cirúrgico independentemente de sua idade.

Palavras-chave

hiper-hidrose, simpatectomia, qualidade de vida, idade

References

Alric P, Branchereau P, Berthet JP, Leger P, Mary H, Mary-Ane C. Video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: results in 102 cases. Ann Vasc Surg.. 2002;16:708-13.

De Campos JRM, Kauffman P, Werebe E de C, Andrade Filho LO, Wolosker N. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg.. 2003;76:886-91.

Sugimura H, Spratt EH, Compeau CG, Kattail D, Shargall Y. Thoracoscopic sympathetic clipping for hyperhidrosis: long-term results and reversibility. J Thorac Cardiovasc Surg.. 2009;137:1370-6.

Neumayer CH, Bischof G, Függer R, Imhof M, Jakesz R, Plas EG. Efficacy and safety of thoracoscopic sympathectomy for hyperhidrosis of the upper limb: Results of 734 sympathectomies. Ann Chir Gynaecol.. 2001;90:2000-2.

de Campos JR, Wolosker N, Takeda FR, Kauffman P, Kuzniec S, Jatene FB. The body mass index and level of resection: predictive factors for compensatory sweating after sympathectomy. Clin Auton Res.. 2005;15:116-20.

Sugimura H, Spratt EH, Compeau CG, Kattail D, Shargall Y. Thoracoscopic sympathetic clipping for hyperhidrosis: long-term results and reversibility. J Thorac Cardiovasc Surg.. 2009;137:1370-6.

Araújo CA, Azevedo IM, Ferreira MA, Ferreira HP, Dantas JL, Medeiros AC. Compensatory sweating after thoracoscopic sympathectomy: characteristics, prevalence and influence on patient satisfaction. J Bras Pneumol.. 2009;35:213-20.

Munia MA, Wolosker N, Kauffman P, de Campos JRM, Puech-Leão P. A randomized Trial of T3-T4 versus T4 sympathectomy for isolated axillary hyperhidrosis. J Vasc Surg.. 2007;45:130-3.

de Campos JRM, Kauffman P, Wolosker N, Munia MA, de Campos Werebe E, Andrade Filho LO. Axillary hyperhidrosis: T3/T4 versus T4 thoracic sympathectomy in a series of 276 cases. J Laparoendosc Adv Surg Tech A.. 2006;16:598-603.

Munia MA, Wolosker N, Kaufmann P, de Campos JR, Puech-Leão P. Sustained benefit lasting one year from T4 instead of T3-T4 sympathectomy for isolated axillary hyperhidrosis. Clinics. 2008;63:771-4.

Wolosker N, Yazbek G, Ishy A, de Campos JR, Kauffman P, Puech-Leão P. Is sympathectomy at T4 level better than at T3 level for treating palmar hyperhidrosis?. J Laparoendosc Adv Surg Tech A. 2008;18:102-6.

Drott C, Gothberg G, Claes G. Endoscopic transthoracic sympathectomy: an efficient and safe method for the treatment of hyperhidrosis. J Am Acad Dermatol.. 1995;33:78-81.

Shachor D, Jedeikin R, Olsfanger D, Bendahan J, Sivak G, Freund U. Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis: A review of 290 sympathectomies. Arch Surg.. 1994;129:241-4.

Lin CC, Wu HH. Lin-Telaranta classification: the importance of different procedures for different indications in sympathetic surgery. Ann Chir Gynaecol.. 2001;90:161-6.

Jaffer U, Weedon K, Cameron AEP. Factors affecting outcome following endoscopic thoracic sympathectomy. Br J Surg.. 2007;94:1108-12.

Leseche G, Castier Y, Thabut G, Petit MD, Combes M, Cerceau O. Endoscopic transthoracic sympathectomy for upper limb hyperhidrosis: limited sympathectomy does not reduce postoperative compensatory sweating. J Vasc Surg.. 2003;37:124-8.

Yazbek G, Wolosker N, de Campos JR, Kauffman P, Ishy A, Puech-Leão P. Palmar hyperhidrosis--which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?. J Vasc Surg.. 2005;42:281-5.

O'riordain DS, Maher M, Waldron DJ, O'donovan B, Brady MP. Limiting the anatomic extent of upper thoracic sympathectomy for primary palmar hyperhidrosis. Surg Gynecol Obstet.. 1993;176:151-4.

Doblas M, Gutierrez R, Fontcuberta J, Orgaz A, Lopez P, Criado E. Thoracodorsal sympathectomy for severe hyperhydrosis: posterior bilateral versus unilateral staged sympathectomy. Ann Vasc Surg.. 2003;17:97-102.

Yazbek G, Wolosker N, Kauffman P, de Campos JR, Puech-Leão P, Jatene FB. Twenty Months of Evolution Following Sympathectomy on Patients with Palmar Hyperhidrosis: Sympathectomy at the T3 Level is Better than at the T2 Level. Clinics. 2009;64:743-9.

Wolosker N, Yazbek G, Milanez de Campos JR, Kauffman P, Ishy A, Puech-Leão P. Evaluation of plantar hyperhidrosis in patients undergoing video-assisted thoracoscopic sympathectomy. Clin Auton Res.. 2007;17:172-6.

Amir M, Arish A, Weinstein Y. Impairment in quality of life among patients seeking surgery for hyperhidrosis (excessive sweating): Preliminary results. Isr Psychiatry Relat Sci.. 2000;37:25-31.

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