Publication: Hiperhidrozis’in Tedavisinde Tek Port Bilateral Endoskopik Torakal Sempatektomi
Abstract
Amaç: Hiperhidrozis hastaların yaşam kalitesini etkileyenaşırı terleme bozukluğudur. Günümüzde endoskopiktorakal sempatektomi hastalığın güvenli ve etkili birşekilde çözümünü sunmaktadır. Bu çalışmada,hiperhidrozisin cerrahi tedavisinde tek port tekniği ileyapılan endoskopik torakal sempatektominin etkinliğinive sonuçlarını araştırmayı amaçladık.Gereç ve Yöntem: 2013 ile 2017 tarihleri arasındakliniğimize palmar hiperhidrozis ve/veya aksillerhiperhidrozis tanıları ile başvuran toplam 35 hastayabilateral endoskopik torakal sempatektomi ameliyatıuygulandı. Hastalar yaş, cinsiyet, uygulanan ameliyattekniği, ameliyatın süresi, ameliyat sırasında ve ameliyatsonrası gelişen komplikasyonlar, hastanede kalış süreleri,hasta memnuniyeti, 24. saat vizüel analog skala,kompansatris terleme, takip süresi ve nüks yönündenretrospektif olarak değerlendirildi.Bulgular: Hastaların yaş ortalaması 22.7 olup, 27’sierkek, 8’i kadın idi. Hastaların 19’unda avuç içi terlemesi,10’unda avuç içi ve koltuk altı terlemesi ve 6’sında sadecekoltuk altı terlemesi mevcuttu. Ameliyat süresi ortalama14.1 dakika ve hastanede kalış süresi ortalama 2.4 gün idi.Ameliyat sonrası 24. saat vizüel analog skala ağrı skoru3.2 idi. Ortalama takip süresi 13 ay ve takip süresiboyunca hastaların ikisinde (%5.7) kompansatris terlemegözlendi.Sonuç: Tek port torakoskopik sempatektomi palmar veaksiller hiperhidrozisin cerrahi tedavisinde etkili vegüvenilir bir yöntemdir.
Objective: Hyperhidrosis is an excessive sweating_x000D_ disorder that affects patients' quality of life. Today,_x000D_ endoscopic thoracic sympathectomy offers a safe and_x000D_ effective solution of the disease. In this study, we aimed_x000D_ to investigate the effectiveness and outcomes of the_x000D_ endoscopic thoracic sympathectomy by single-port_x000D_ technique in the surgical treatment of hyperhidrosis._x000D_ Materials and Methods: Between 2013 and 2017, a total_x000D_ of 35 patients admitted to our clinic with palmar and/or_x000D_ axillary hyperhidrosis underwent bilateral endoscopic_x000D_ thoracic sympathectomy. These cases were evaluated_x000D_ retrospectively with respect to age and sex, surgical_x000D_ technique, operation time, intraoperative and_x000D_ postoperative complications, duration of hospitalization,_x000D_ patient satisfaction, visual analog scale at 24th hour,_x000D_ compensatory sweating, follow-up time and recurrence._x000D_ Results: The mean age of the patients was 22.7, 27_x000D_ patients were male and 8 patients were female. There_x000D_ were palmar hyperhidrosis in 19 patients, both palmar_x000D_ and axillary hyperhidrosis in 10 and only axillary_x000D_ hyperhidrosis in 6. The average operative time was 14.1_x000D_ minutes, and the length of hospital stay was 2.4 days._x000D_ Visual analog scale pain score on postoperative 24th_x000D_ hours was 3.2. The mean follow-up period was 13_x000D_ months, and during the follow-up period, compensatory_x000D_ sweating was observed in two of the patients (5.7%)._x000D_ Conclusion: Single-port thoracoscopic sympathectomy_x000D_ is an effective and reliable method for surgical treatment_x000D_ of palmar and axillary sweating.
Objective: Hyperhidrosis is an excessive sweating_x000D_ disorder that affects patients' quality of life. Today,_x000D_ endoscopic thoracic sympathectomy offers a safe and_x000D_ effective solution of the disease. In this study, we aimed_x000D_ to investigate the effectiveness and outcomes of the_x000D_ endoscopic thoracic sympathectomy by single-port_x000D_ technique in the surgical treatment of hyperhidrosis._x000D_ Materials and Methods: Between 2013 and 2017, a total_x000D_ of 35 patients admitted to our clinic with palmar and/or_x000D_ axillary hyperhidrosis underwent bilateral endoscopic_x000D_ thoracic sympathectomy. These cases were evaluated_x000D_ retrospectively with respect to age and sex, surgical_x000D_ technique, operation time, intraoperative and_x000D_ postoperative complications, duration of hospitalization,_x000D_ patient satisfaction, visual analog scale at 24th hour,_x000D_ compensatory sweating, follow-up time and recurrence._x000D_ Results: The mean age of the patients was 22.7, 27_x000D_ patients were male and 8 patients were female. There_x000D_ were palmar hyperhidrosis in 19 patients, both palmar_x000D_ and axillary hyperhidrosis in 10 and only axillary_x000D_ hyperhidrosis in 6. The average operative time was 14.1_x000D_ minutes, and the length of hospital stay was 2.4 days._x000D_ Visual analog scale pain score on postoperative 24th_x000D_ hours was 3.2. The mean follow-up period was 13_x000D_ months, and during the follow-up period, compensatory_x000D_ sweating was observed in two of the patients (5.7%)._x000D_ Conclusion: Single-port thoracoscopic sympathectomy_x000D_ is an effective and reliable method for surgical treatment_x000D_ of palmar and axillary sweating.