Evidence map›Paper›PMID 33885020›Full record

ArticleJournal of minimal access surgery

Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results.

Harsh Vardhan Puri, Belal Bin Asaf, Sukhram Bishnoi, Mohan Venkatesh Pulle, Shikha Sharma, Arvind Kumar

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Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Harsh Vardhan PuriCentre For Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Belal Bin AsafCentre For Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Sukhram BishnoiCentre For Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Mohan Venkatesh PulleCentre For Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Shikha SharmaDepartment of Anesthesia, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Arvind KumarCentre For Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracoscopic bilateral dorsal sympathectomy is the standard of care for primary palmo-axillary hyperhidrosis. This study aims at studying the surgical outcomes with special emphasis on the incidence of compensatory hyperhidrosis (CH) after thoracoscopic dorsal sympathectomy. Post-procedural patient satisfaction as well as quality of life was measured and analysed. MATERIALS AND

methodsThis is a retrospective analysis of sixty thoracoscopic dorsal sympathectomy surgeries in thirty patients in a tertiary level thoracic surgery centre over 2 years. Various peri-operative variables were recorded and assessed. Incidence of CH was noted and analysed in relation to patient satisfaction and record was made of quality of life at the time of discharge, at 3 months and 1-year follow-up following surgery.

resultsWe performed sixty video-assisted thoracoscopic sympathectomies in 30 patients. The mean operative time was 44.93 ± 10 min. The mean hospital stay was 1 day. There were no immediate post-procedural complications. All the patients had complete resolution of palmar and axillary hyperhidrosis. Fifty per cent of our patients (15/30) had some degree of CH after surgery. Quality-of-life measurement showed very good satisfaction by 100% at discharge, by 93.3% at 3 months and at 1 year. Those 6.66% of patients were partially satisfied/not satisfied because of the presence of moderate-to-severe CH.

conclusionA significant percentage of the patients with primary palmo-axillary hyperhidrosis will be very satisfied with the procedure at 1 year after surgery despite 50% of them developing CH. Detailed counselling regarding CH in the pre-operative period would minimise the dissatisfaction rate after surgery.

Indexed as

Primary palmo-axillary hyperhidrosissurgical outcomesthoracoscopic dorsal sympathectomy

Identifiers

PMID33885020
PMCPMC8486074

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