Palmo-aksiller hiperhidrozis tedavisinde videotorakoskopik sempatektominin etkinliği: Yaşam kalitesi değişimi ve hasta memnuniyeti

Year 2023, , 132 - 140, 16.03.2023

Yunus Aksoy , Abidin Sehitogulları

https://doi.org/10.31832/smj.1211820

Abstract

GİRİŞ VE AMAÇ:
Primer hiperhidrozis, kişinin sosyal yaşantısını ciddi şekilde kısıtlayan aşırı terleme durumudur. Palmo-axiller hiperhidrozis nedeniyle videotorakoskopik sempatektomi uygulanan hastalarda postoperatif komplikasyonlar, hasta memnuniyeti ve yaşam kalitesi değişikliğini ortaya koymayı amaçladık.
YÖNTEM: primer palmo-axiller hiperhidrozis nedeniyle 251 videotorakoskopik sempatektomi ameliyatı uygulanan 126 hasta analiz edildi. Veriler, postoperatif komplikasyonlar ve yaşam kalitesini etkileyen faktörler açısından retrospektif incelendi. Kompansatuar hiperhidrozis insidansı ve hasta memnuniyeti ilişkisi analiz edildi.
BULGULAR: Hastaların %53.2 'ü (n:67) kadın ve % 46.8'i (n:59) erkek idi. Ortalama yaş 24.3±7 (mim.max:15-51), Body Mass Index 23.5±4 (min-max:16.9-34.9).Ortalama hastanede kalış süresi 1.3±0.9 gündü (Min-Max: 1-6). Toplam 13 (%10.3) hastada komplikasyon gözlendi. En sık görülen komplikasyon pnömotoraks idi (n:10). Postoperatif komplikasyonları etkileyen önemli prognostik faktör saptanmadı (p<0.05). Yirmi üç hastada (%18.3) kompansatuar hiperhidrozis gözlendi (hafif düzeyde n:14, orta düzeyde n:9). CH en sık sırt ve ayak bölgesinde izlendi (n:14). Kompansatuar hiperhidrozis ile hasta memnuniyeti arasında anlamlı ilişkili bulundu (p<0.001). Videotorakoskopik sempatektomi sonrası tüm hastaların yaşam kalitesinde istatistiksel olarak anlamlı iyileşme gözlendi (p<0.001).
SONUÇ: Videotorakoskopik sempatektomi palmo-aksiller hiperhidrozis hastalarında posteperatif yaşam kalitesini artırmaktadır. T3 ve T3-T4 seviyelerinde yapılan sempatektomilerde komplikasyon oranı düşük olup başarı şansı oldukça yüksektir. Kompansatuar hiperhidrozis şiddeti arttıkça hasta memnuniyeti azalır.

Keywords

Hyperhidrosis, sympathectomy, compensatory hyperhidrosis, thoracoscopy, quality of life

Supporting Institution

YOK

Project Number

YOK

Thanks

Sn prof. Dr. Ünal Erkorkmaz'a istatistiksel analiz desteği için teşekkür ederiz

Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction

Abstract

INTRODUCTION:
Primary hyperhidrosis is a condition of excessive sweating that severely limits a person's social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis.
METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life.
RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2% (n:67) of the patients were female and 46.8% (n:59) were male. The mean age was 24.3±7 (min-max:15-51), whereas the mean body mass index was 23.5±4 (min-max:16.9-34.9). The mean length of hospital stay was 1.3±0.9 days (Min-Max: 1-6). Complications were observed in a total of 13 (10.3%) patients. The most common complication was pneumothorax (n:10). Compensatory hyperhidrosis was observed in 23 patients (18.3%). A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction (p<0.001). A statistically significant improvement was observed in the quality of life of all patients after videothoracoscopic sympathectomy (p<0.001).
CONCLUSION: Videothoracoscopic sympathectomy improves the postoperative quality of life in patients with palmo-axillary hyperhidrosis. The complication rate is low, and the chance of success is quite high in sympathectomies performed at T3 and T3-T4 levels. As the severity of sweating increased, patient satisfaction decreased.

Keywords

compensatory hyperhidrosis, quality of life, Hyperhidrosis, sympathectomy, thoracoscopy

Project Number

YOK

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