Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis.
J Cardiothorac Surg
; 15(1): 133, 2020 Jun 10.
Article
em En
| MEDLINE
| ID: mdl-32522214
ABSTRACT
PURPOSES:
We compared two different surgical methods evaluating the effectiveness of procedures and the quality of life (QoL) of patients.METHODS:
From January 2010 to November 2017 we carried out 476 biportal video-assisted thoracoscopic surgery (VATS) approaches of sympathetic chain in 238 patients. One hundred and twenty-nine (54%) patients underwent conventional sympathectomy (CS) while 109 (46%) patients underwent sympathicotomy associated with the division of the rami communicantes (MWT). Quality of Life (QoL) was classified as follows from 20 to 35 excellent; from 36 to 51 very good; from 52 to 68 good; from 69 to 84 poor; and > 84 very poor.RESULTS:
We noticed statistical significant reduction of complications comparing CS with MWT approaches (chest pain from 36.4 to 4.5%; paresthesias from 8.5 to 3.6%; bradycardia from 28.6 to 10%, respectively). The preoperative and postoperative QoL index evaluation revealed a statistically significant improvement after surgery (CS 86 ± 2 versus 35 ± 1, p = 0.00001; MWT 85 ± 1 versus 33 ± 2, p = 0.00001), with general satisfaction of the two techniques.CONCLUSION:
Modified Wittmoser method seems to be a valid alternative to conventional sympathectomy, minimizing the percentage rate of complications and showing significant effectiveness in the quality of life improvement.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Simpatectomia
/
Hiperidrose
Tipo de estudo:
Etiology_studies
Aspecto:
Patient_preference
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Cardiothorac Surg
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Itália