Predictive Procedure for Compensatory Hyperhidrosis before Sympathectomy: Preliminary Findings

Jin Yong Jeong; Hyung Joo Park; Jae Kil Park; Keon Hyeon Jo; Young Pil Wang; Jongho Lee; Jae Seong Shin

doi:10.1055/s-0032-1331151

The Thoracic and Cardiovascular Surgeon, Inhaltsverzeichnis

Thorac Cardiovasc Surg 2014; 62(05): 434-438
DOI: 10.1055/s-0032-1331151

Original Thoracic

Georg Thieme Verlag KG Stuttgart · New York

Predictive Procedure for Compensatory Hyperhidrosis before Sympathectomy: Preliminary Findings

Jin Yong Jeong

¹Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Republic of Korea

,

Hyung Joo Park

²Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

,

Jae Kil Park

²Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

,

Keon Hyeon Jo

²Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

,

Young Pil Wang

²Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

,

Jongho Lee

³Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea

,

Jae Seong Shin

⁴Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University Medical Center, Ansan, Republic of Korea

› Institutsangaben

Abstract

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Abstract

Objective Compensatory hyperhidrosis is one of the most common and serious adverse effects following sympathectomy. We performed a local anesthetic procedure that predicts the occurrence and severity of compensatory hyperhidrosis, and evaluated the feasibility, safety, and efficacy of the procedure.

Methods and Methods From July 2009 to July 2010, 20 patients with severe primary palmar hyperhidrosis underwent predictive procedures. A sympathetic nerve block was obtained via thoracoscopic approach under local anesthesia. The patients were evaluated for compensatory hyperhidrosis 1 week after the procedure before deciding whether to proceed with sympathectomy.

Results Of the 20 patients, 17 patients proceeded with sympathectomy and 3 refused the final procedure. Following sympathectomy, the occurrence and severity of compensatory hyperhidrosis in the remaining 17 patients were statistically analyzed with two tailed paired t test, and there is no significant difference between the predictive and final procedures (t = 1.69, df = 16, p > 0.1).

Conclusion Predictive procedure using local anesthesia to detect compensatory hyperhidrosis before sympathectomy may be useful for helping patients to decide whether to undergo the operation.

Keywords

hyperhidrosis - thoracoscopy/video-assisted thoracoscopic sympathectomy - outcomes (includes mortality, morbidity) - compensatory hyperhidrosis - local anesthesia

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References
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