Factors affecting improvement and compensatory sweating after thoracoscopic sympathectomy for primary focal hyperhidrosis

Öz

Primary hyperhidrosis is a condition that is functionally and socially limiting. Thoracoscopic sympathectomy is an effective method for treating hyperhidrosis. However, compensatory sweating following sympathectomy remains a significant problem in clinical practice. The medical records of patients who underwent thoracoscopic sympathectomy between January 2022 and January 2025 were retrospectively analyzed. Demographic data, localization of the complaint, surgical procedure performed, postoperative outcomes, and compensatory sweating were evaluated. Eighty-two patients were included in the study. The affected areas were palmar in 37 patients (45.1%), axillary in 29 patients (35.3%), and palmar-axillary in 16 patients (19.5%). The mean age was 23.7 ± 7.3 years. Approximately 60.9% of the patients were female. The mean Body Mass Index was 21.3 ± 3.0 kg/m2. The Body Mass Index was highest in the axillary group at 4.4%. The statistical analysis revealed a significantly higher rate of improvement in the palmar hyperhidrosis group compared to the other groups (p=0.001). Furthermore, a statistically significant relationship was found between compensatory sweating and male gender (p=0.035), a body mass index above 25 (p=0.015), and the hyperhidrosis group with axillary localization (p=0.001). No statistically significant relationship was found between improvement and age, gender, and body mass index, or between compensatory sweating and age. Thoracoscopic sympathectomy is an effective method for controlling primary focal hyperhidrosis and is associated with compensatory sweating at a tolerable level.

Anahtar Kelimeler

• Primary hyperhidrosis
• Compensatory sweating
• sympathectomy

Primer fokal hiperhidrozis için torakoskopik sempatektomi sonrası iyleşme ve kompanzatuar terlemeyi etkileyen faktörler

Öz

Primer hiperhidrozis, fonksiyonel ve sosyal açıdan kısıtlayıcı bir durumdur. Torakoskopik sempatektomi, hiperhidrozis tedavisinde etkili bir yöntemdir. Ancak sempatektomi sonrası gelişen kompanzatuar terleme, klinik pratikte halen önemli bir sorun olmaya devam etmektedir. Ocak 2022–Ocak 2025 yılları arasında torakoskopik sempatektomi uygulanan hastaların tıbbi kayıtları geriye dönük olarak analiz edildi. Demografik veriler, şikâyetin lokalizasyonu, uygulanan cerrahi işlem, postoperatif sonuçlar ve kompanzatuar terleme değerlendirildi. Toplam 82 hasta çalışmaya dahil edildi. Etkilenen bölgeler 37 hastada palmar (%45.1), 29 hastada aksiller (%35.3) ve 16 hastada palmar-axiller (%19.5) idi. Ortalama yaş 23,7 ± 7,3 idi. Hastaların yaklaşık %60,9'ü kadın idi. Ortalama Vücut Kitle İndeksi 21,3 ± 3,0 kg/m2 idi. Aksiller grubunda Vücut Kitle indeksi %4.4 ile en yüksek orandaydı. Yapılan istatistiksel çalışma sonucunda Palmar hiperhidrozis grubunda diğer gruplara göre anlamlı düzeyde daha yüksek iyleşme saptandı (p=0.001). Ayrıca Kompanzatuar terleme ile erkek cinsiyet (p=0.035), Vücut kitle indeksinin 25 üzerinde olması (p=0.015) ve Aksiller lokalizasyonundaki hiperhidrozis grubu arasında (p=0.001) anlamlı düzeyde istatistiksel olarak ilişki saptandı. İyileşme ile yaş, cinsiyet ve vücut kitle indeksi arasında, kompanzatuar terleme ile yaş arasında istatistiksel olarak anlamlı ilişki saptanmad. Torakoskopik sempatektomi, primer fokal hiperhidrozisin kontrolünde etkili bir yöntemdir ve tolere edilebilir düzeyde kompansatuvar terleme ile ilişkilidir.

Anahtar Kelimeler

• Primer hiperhidrozis
• Kompanzatuar hiperhidrozis
• Sempatektomi

Destekleyen Kurum

Yok

Teşekkür

YOK

Kaynakça

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