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Biomed Res Int. 2013;2013:348017. doi: 10.1155/2013/348017. Epub 2013 Dec 8.

Bilateral single-port sympathectomy: long-term results and quality of life.

Author information

1
Division of Thoracic Surgery, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome "Sapienza", Via di Grottarossa 1035, 00189 Rome, Italy.
2
Division of Thoracic Surgery, "G. Mazzini" Hospital of Teramo, Faculty of Medicine and Surgery, University of L'Aquila, Piazza Italia 1, 64100 Teramo, Italy.
3
Division of Thoracic Surgery, Policlinico Umberto I Hospital, Faculty of Medicine and Pharmacy, University of Rome "Sapienza", Viale del Policlinico 155, 00186 Rome, Italy.
4
Division of Thoracic Surgery, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome "Sapienza", Via di Grottarossa 1035, 00189 Rome, Italy ; Fondazione Eleonora Lorillard Spencer Cenci, Via Di Casal de' Pazzi 10, 00156 Rome, Italy.

Abstract

OBJECT:

Video-assisted thoracoscopic sympathectomy is a safe, effective, and minimally invasive procedure for primary hyperhidrosis. This study aims to evaluate long-term results and patients' quality of life and investigate potential variables responsible for compensatory sweating after one-stage bilateral single-port thoracoscopic sympathectomy.

METHODS:

Between 2005 and 2011, 260 consecutive bilateral thoracoscopic sympathectomies were performed in 130 patients for primary palmar and axillary hyperidrosis through one-port access. Residual pain, postoperative complications, recurrence of symptoms, heart rate adjustment, and quality of life were analyzed. Multivariate analysis was performed.

RESULTS:

No operative mortality and conversion to open surgery were recorded. Mean operative time was 38 ± 5 minutes. Mean hospital stay was 1.1 ± 0.6 days. Eight patients (6%) had unilateral pneumothorax. Twenty-five cases (19%) were complicated by compensatory sweating. Winter and fall were identified as protective factors for compensatory sweating occurrence. Decreased heart rate was observed 1 year after surgery and permanently over the time. No recurrence during the follow-up period (31.5 months) was observed and 90% of patients showed improved quality of life.

CONCLUSIONS:

One-stage bilateral miniuniportal thoracoscopic sympathectomy is a valid and safe treatment for primary hyperhidrosis, achieving definitive and esthetic results, with excellent patients' satisfaction. Compensatory sweating may potentially occur in a season-dependent manner.

PMID:
24383050
PMCID:
PMC3870625
DOI:
10.1155/2013/348017
[Indexed for MEDLINE]
Free PMC Article

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