Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?

Abstract The main objective of this study was to determine if there are variations in the level of improvement of the palmar and plantar hyperhidrotic symptoms, as well as the incidence and intensity of the sudomotor reflex, throughout the seasons of the year, after thoracic sympathectomy for hyperh...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2011-04, Vol.12 (4), p.554-557
Main Authors: de Lima, Alexandre Garcia, Das-Neves-Pereira, João-Carlos, de Campos, José Ribas Milanez, Jatene, Fabio Biscegli
Format: Article
Language:English
Subjects:
Brazil
Chi-Square Distribution
Foot
Hand
Humans
Hyperhidrosis - physiopathology
Hyperhidrosis - surgery
Patient Satisfaction
Prospective Studies
Quality of Life
Reflex
Seasons
Surveys and Questionnaires
Sweating
Sympathectomy - adverse effects
Sympathectomy - methods
Thoracic Vertebrae
Time Factors
Treatment Outcome
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Summary:Abstract The main objective of this study was to determine if there are variations in the level of improvement of the palmar and plantar hyperhidrotic symptoms, as well as the incidence and intensity of the sudomotor reflex, throughout the seasons of the year, after thoracic sympathectomy for hyperhidrosis. The study also looks for the real impact of these variables in the long-term satisfaction. A cohort of 75 patients was followed through distinct seasons. A multivariate analysis was performed to identify possible variables responsible for dissatisfaction. Both the palmar (P=0.002) and plantar (P
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2010.245720