RESUMO
RESUMEN Introducción: La hiperhidrosis es un trastorno primario caracterizado por sudación excesiva, que afecta con mayor frecuencia las palmas de las manos. La enfermedad trae consigo limitaciones que interfieren en las relaciones sociales, laborales, interpersonales y afectivas del individuo, y genera desde etapas tempranas de la vida, afectación psíquica dada fundamentalmente por complejos y disminución de la autoestima. Objetivo: Determinar cómo influye la simpaticotomía videotoracoscópica en el nivel de vida de los pacientes con diagnóstico de Hiperhidrosis palmar. Métodos: Se realizó un estudio retrospectivo, transversal y descriptivo de 82 pacientes con diagnóstico de Hiperhidrosis palmar, a los cuales se les realizó Simpaticotomía videotoracoscópica uniportal. Se aplicó la encuesta de Rivas-Milanez que evalúa la calidad de vida antes y después de la cirugía. Resultados: Predominó el sexo femenino, el nivel de satisfacción de los pacientes fue del 97,6 por ciento, se presentó sudoración compensatoria en el 34,1 por ciento de los operados y la mejoría de la calidad de vida fue del 93,2 por ciento. La sudoración compensatoria fue bien tolerada en la mayoría de los pacientes. Conclusiones: La simpaticotomía videotoracoscópica en la hiperhidrosis palmar logra mejorar la calidad de vida de los pacientes(AU)
ABSTRACT Introduction: Hyperhidrosis is a primary disorder characterized by excessive sweating, affecting most frequently the palms of the hands. The disease brings about limitations that interfere in the individual's social, occupational, interpersonal and affective relationships, and produces, from the early stages of life, psychic damage manifested fundamentally through complexes and a decrease in self-esteem. Objective: To determine how videothoracoscopic sympathicotomy influences the living standard of patients diagnosed with palmar hyperhidrosis. Methods: A retrospective, cross-sectional and descriptive study was carried out in 82 patients with a diagnosis of palmar hyperhidrosis, who were performed single-port videothoracoscopic sympathicotomy. We applied the Rivas-Milanez survey, which evaluates quality of life before and after surgery. Results: The female sex predominated, the level of satisfaction of the patients was 97.6 percent, compensatory sweating occurred in 34.1 percent of the intervened patients, and improvement of quality of life was 93.2 percent. Compensatory sweating was tolerated well in most patients. Conclusions: Videothoracoscopic sympathicotomy in palmar hyperhidrosis is an adequate treatment for improving the quality of life of patients(AU)
Assuntos
Humanos , Feminino , Satisfação Pessoal , Qualidade de Vida , Hiperidrose/diagnóstico , Fatores Socioeconômicos , Epidemiologia Descritiva , Estudos Transversais , Estudos Retrospectivos , Cirurgia Vídeoassistida/métodosRESUMO
PURPOSE: To develop a new experimental model of lower cost for training in videosurgery. METHODS: This project was performed at the Nucleus of Experimental Surgery of the Bahiana School of Medicine and Public Health, based on previous models described in the literature and under the supervision of the full professor of Operative Technique and Experimental Surgery II. It was made a model cube-shaped, made of wood, with holes distributed in various locations, rubber stoppers for the holes and lined externally with carpet, and internally with laminate. RESULTS: The new experimental model is of low cost and reproduces quite faithfully several videosurgical procedures. CONCLUSION: Medical schools interested in the subject may adopt the new model for training in videosurgery without the need of high costs for making and using these models.
OBJETIVO: Desenvolver um novo modelo experimental de baixo custo para treinamento em videocirurgia MÉTODOS: Este projeto foi conduzido no Núcleo de Cirurgia Experimental da Escola Bahiana de Medicina e Saúde Pública, baseado em modelos prévios descritos na literatura e sob a supervisão do professor titular de Técnica Operatória e Cirurgia Experimental II. Foi feito um modelo em formato de cubo, de madeira, com furos distribuídos em vários locais, tampas de borracha para os orifícios e forrado externamente com carpete e internamente com laminado. RESULTADOS: O novo modelo experimental desenvolvido é de baixo custo e reproduz de forma bastante fiel diversos procedimentos videocirúrgicos. CONCLUSÃO: Faculdades médicas interessadas no tema poderão adotar o novo modelo para o treinamento em videocirurgia sem que sejam necessários gastos elevados para a confecção e o uso desses modelos.