Primer Hiperhidroziste Uniportal Sempatektomi Deneyimimiz

Abstract

Amaç: Bu çalışma, primer hiperhidrozis (aşırı terleme) tanısı konan hastalarda tek port sempatektomi (uniportal sempatektomi) ameliyatının etkinliğini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: 2019-2023 yılları arasında Kayseri Şehir Hastanesi’nde primer hiperhidrozis tanısı alan 58 hastaya tek port sempatektomi operasyonu yapılmıştır. Hastaların sonuçları değerlendirilmiştir. Bulgular: Hastalarımızın, %57’si el terlemesi şikayeti ile başvuran hastalardan oluşmaktadır. Bu hastaların postoperatif komplikasyonlar incelendiğinde %24’ünde refleks terleme görülmüştür. Hastaların %12’sinde ise tüp torakostomi ihtiyacı gözlenmiştir. Hastalarımıza uyguladığımız yaşam kalitesi anketiyle memnuniyet değerlendirilmiş olup buna göre hastaların %86’sı genel olarak memnun kalmıştır. Sonuç: Tek port sempatektomi, primer hiperhidrozisli hastalarda etkili bir tedavi yöntemi olabilir. Bu yöntem, her iki sempatik zincire aynı anda müdahale etme olanağı sunar. Ayrıca postoperatif dönemde ağrı, kozmetik ve maliyet açısından avantajlar sağlamaktadır

Keywords

• Hiperhidrozis
• VATS
• Sempatektomi

The Experience of Uniportal Sympathectomy in Primary Hyperhidrosis

Abstract

Aim: The purpose of this study is to evaluate the effectiveness of uniportal sympathectomy surgery in patients diagnosed with primary hyperhidrosis (excessive sweating). Material and Methods: Between 2019 and 2023, 58 patients diagnosed with primary hyperhidrosis underwent uniportal sympathectomy surgery at Kayseri City Hospital. The outcomes of these patients were assessed. Results: Our patients primarily consist of those presenting with complaints of palmar hyperhidrosis, accounting for 57% of cases. Upon examining postoperative complications, we have observed that 24% experienced compensatory sweating. Additionally, 12% required tube thoracostomy. Patient satisfaction was assessed using a quality of life survey, which indicated that 86% of patients were generally satisfied with their outcomes. Conclusion: Uniportal sympathectomy can be an effective treatment method for patients with primary hyperhidrosis. This method allows simultaneous intervention to both sympathetic chains. Furthermore, it offers advantages in terms of postoperative pain, cosmetic outcomes, and costs.

Keywords

• Hyperhidrosis
• VATS
• sympathectomy

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