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Long-term efficiency of endoscopic thoracic sympathicotomy: survey 10 years after surgery
- Source :
- Interactive cardiovascular and thoracic surgery. 8(1)
- Publication Year :
- 2008
-
Abstract
- Immediate and short-term results of endoscopic thoracic sympathectomy (ETS) for primary hyperhidrosis are good. Adverse effects have been identified clearly and are supposed to decrease with time. In this institutional report, the long-term results of ETS with regard to efficacy, side effects and patient satisfaction are presented. Fifteen patients were included and mean follow-up time was 12+/-2 years. ETS success rate, rate of compensatory sweating and degree of patient satisfaction were assessed. We detected 8 patients (53%) complaining about a decent to moderate recurrence of hand sweating and compensatory and gustatory sweating were observed in 9 (60%) and 5 (33%) patients, respectively. Reported side effects related to surgery were paresthesias of the upper limb and the thoracic wall in 8 patients (53%) and recurrent pain in the axillary region in one. At an average 12 years after surgery, 47% of patients were satisfied with the treatment results, 40% were disappointed. Six patients (40%) affirmed they would ask for the operation if it were to be redone. Our findings indicate that results of ETS deteriorate and compensatory sweating does not improve with time. It is mandatory to inform patients of the potential long-term adverse effects before surgery.
- Subjects :
- Pulmonary and Respiratory Medicine
Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
medicine.medical_treatment
Young Adult
Patient satisfaction
Patient Education as Topic
Recurrence
medicine
Humans
Hyperhidrosis
Sympathectomy
Adverse effect
Retrospective Studies
business.industry
Thoracic Surgery, Video-Assisted
Endoscopic thoracic sympathectomy
Middle Aged
Gustatory sweating
Surgery
medicine.anatomical_structure
Treatment Outcome
Patient Satisfaction
Anesthesia
Health Care Surveys
Female
Long Term Adverse Effects
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Thoracic wall
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 8
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Accession number :
- edsair.doi.dedup.....54af5272a77c358f3bb8187b6960fcdd