The Experience of Uniportal Sympathectomy in Primary Hyperhidrosis

Year 2023, Volume: 8 Issue: 4, 38 - 41, 05.12.2023

Oğuzhan Turan , Mehmet Akif Tezcan , İbrahim Ethem Özsoy , Bayram Metin , Mehmet Akif Ekici

https://doi.org/10.55694/jamer.1367656

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

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

References

• 1. Connolly M, de Berker D. Management of primary hyperhidrosis: a summary of the different treatment modalities. American Journal of Clinical Dermatology. 2003;4(10):681-97.
• 2. Saiz-Sapena N, Vanaclocha V, Panta F, Kadri C, Torres W. Operative monitoring of hand and axillary temperature during endoscopic superior thoracic sympathectomy for the treatment of palmar hyperhidrosis. European Journal of Surgery. 2000;166(1):65-9.
• 3. Khalifa OYA, Hegab ASM. Optimum target in percutaneous upper thoracic thermocoagulation in primary hyperhidrosis. Ain-Shams Journal of Anaesthesiology. 2017;10(1):293.
• 4. Ng I, Yeo TT. Palmar hyperhidrosis: intraoperative monitoring with laser Doppler blood flow as a guide for success after endoscopic thoracic sympathectomy. Neurosurgery. 2003;Jan;52(1):127-30.
• 5. Dural K, Özpolat B, Günal N, Zorlu E, Salih K. Torakal sempatektomi etkinliğinin avuç içi ısı ölçme yöntemiyle ilişkisi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020;22(3):288-92.
• 6. Doft MA, Hardy KL, Ascherman JA. Treatment of hyperhidrosis with botulinum toxin. Aesthetic Surgery Journal. 2012;32:238-44.
• 7. Kreyden, OP. Iontophoresis for palmoplantar hyperhidrosis. J Cosmetic Dermatol. 2004. Dec;3(4):211-4.
• 8. Lin TS, Kuo SJ, Chou MC. Uniportal endoscopic thoracic sympathectomy for treatment of palmar and axillary hyperhidrosis: analysis of 2000 cases. Neurosurgery. 2002 Nov;51(5 Suppl):S84-S7.
• 9. Campos JR, Kauffman P. Video-assisted thoracic sympathectomy in the treatment of primary hyperhidrosis. J Bras Pneumol. 2007;33(3):15-7.
• 10. Gossot D, Galetta D, Pascal A, Debrosse D, Caliandro R, Girard P, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. The Annals of Thoracic Surgery. 2003;75(4):1075-9.
• 11. Chuang TY, Yen YS, Chiu JW, Chan RC, Chiang SC, Hsiao MP, et al. Intraoperative monitoring of skin temperature changes of hands before, during, and after endoscopic thoracic sympathectomy: using infrared thermograph and thermometer for measurement. Archives of Physical Medicine and Rehabilitation. 1997;78(1):85-8.
• 12. Franco CG, España A. Usefulness of bilateral sympathectomy using video-assisted thorascopic surgery in the treatment of essential hyperhidrosis. Actas Dermo-Sifiliográficas (English Edition). 2008;99(7):523-7.
• 13. Kao MC. Video endoscopic sympathectomy using a fiberoptic CO2 laser to treat palmar hyperhidrosis. Neurosurgery. 1992;30(1):131-5.