Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis

Arquivos de Neuro-Psiquiatria

Leandro Pretto Flores¹ 

[1] ,Hospital Santa Helena Unit of Neurosurgery

关键词: hyperhidrosis;    video-assisted thoracic sympathectomy;    ganglia;    sympathetic;    neuroendoscopy;    hiperidrose;    simpatectomia torácica vídeo-assistida;    gânglios simpáticos;    neuroendoscopia;   

DOI  :  10.1590/S0004-282X2012000600003

来源: SciELO

【 摘 要 】

OBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS: Analysis of the outcomes obtained from 36 patients regarding the rate of resolution of the symptoms and the compensatory sweating (CS). All subjects were followed-up for 36 months. RESULTS: Good outcomes were observed in 98.6% for palmar and 60% for axillary hyperhidrosis (p=0.0423), respectively. Of the subjects, 86% reported some postoperative episode of CS, however only 45% (p=0.0031) still noticed it at the end of the follow-up period. CONCLUSIONS: VATS is effective for the excessive palmar sweating, whereas it is fully efficient for only two thirds of the cases sustaining associated axillar hyperhidrosis. CS is expected as a rule following the proposed operative protocol, however it is usually self-limited.

【 授权许可】

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