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Bilateral single-port sympathectomy: long-term results and quality of life Ibrahim M; Menna C; Andreetti C; Ciccone AM; D'Andrilli A; Maurizi G; Pomes LM; Cassiano F; Venuta F; Rendina EABiomed Res Int 2013[]; 2013 (ä): 348017OBJECT: 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.|*Quality of Life[MESH]|Adult[MESH]|Female[MESH]|Humans[MESH]|Hyperhidrosis/epidemiology/pathology/*surgery[MESH]|Male[MESH]|Middle Aged[MESH]|Palmar Plate/surgery[MESH]|Patient Satisfaction[MESH]|Surveys and Questionnaires[MESH]|Sympathectomy/*methods[MESH]|Thoracic Surgery, Video-Assisted/*methods[MESH]|Treatment Outcome[MESH] |
