Article: Compensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experience

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TitleCompensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experience
AuthorsChan, ACY1
Ting, ACW1
Ho, P1
Poon, JTC1
Cheng, SWK1
KeywordsCompensatory sweating
Primary hyperhidrosis
Thoracoscopic sympathectomy
Issue Date2007
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
CitationSurgical Practice, 2007, v. 11 n. 3, p. 98-101 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1744-1633.2007.00355.x
AbstractObjective: To investigate the incidence and impact of compensatory sweating (CS) after thoracoscopic sympathectomy (TS) for primary hyperhidrosis. Methods: From June 1994 to February 2005, bilateral TS were performed for 50 patients with primary hyperhidrosis. A questionnaire to evaluate the outcome of hyperhidrosis, the severity of postoperative compensatory sweating, and its impact on social function was conducted via telephone interview in May 2005. A scoring system from zero to 100% was used to quantify the outcome of hyperhidrosis. The effect on social function and level of satisfaction with the outcome of TS was assessed. Results: Thirty-six patients completed the questionnaire (overall response rate 72%). The mean age was 28 years. Thirty-four patients experienced improvement in primary hyperhidrosis within the first week after TS and 35 patients experienced sustainable symptomatic improvement on long-term follow up. Compensatory sweating occurred in 31 patients (86%). Nineteen of 26 patients (73%) who had been followed up for more than 1 year experienced no change in CS. Five other patients had worsening of CS over time. Only two patients reported either improvement or resolution of CS during the study period. Nevertheless, CS had no or a mild effect on the social function in the majority of patients (68%) and most patients (94%) were satisfied with the outcome of the operation. Conclusion: Thoracoscopic sympathectomy is an effective treatment for primary hyperhidrosis. Despite the frequent occurrence and persistence of compensatory sweating, thoracoscopic sympathectomy was considered by most patients to be a satisfactory treatment option for this disturbing condition. © 2007 The Authors; Journal compilation © 2007 College of Surgeons of Hong Kong.
ISSN1744-1625
2011 Impact Factor: 0.149
2011 SCImago Journal Rankings: 0.030
DOIhttp://dx.doi.org/10.1111/j.1744-1633.2007.00355.x
ISI Accession Number IDWOS:000254624100002
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChan, ACY
dc.contributor.authorTing, ACW
dc.contributor.authorHo, P
dc.contributor.authorPoon, JTC
dc.contributor.authorCheng, SWK
dc.date.accessioned2010-10-31T11:31:09Z
dc.date.available2010-10-31T11:31:09Z
dc.date.issued2007
dc.description.abstractObjective: To investigate the incidence and impact of compensatory sweating (CS) after thoracoscopic sympathectomy (TS) for primary hyperhidrosis. Methods: From June 1994 to February 2005, bilateral TS were performed for 50 patients with primary hyperhidrosis. A questionnaire to evaluate the outcome of hyperhidrosis, the severity of postoperative compensatory sweating, and its impact on social function was conducted via telephone interview in May 2005. A scoring system from zero to 100% was used to quantify the outcome of hyperhidrosis. The effect on social function and level of satisfaction with the outcome of TS was assessed. Results: Thirty-six patients completed the questionnaire (overall response rate 72%). The mean age was 28 years. Thirty-four patients experienced improvement in primary hyperhidrosis within the first week after TS and 35 patients experienced sustainable symptomatic improvement on long-term follow up. Compensatory sweating occurred in 31 patients (86%). Nineteen of 26 patients (73%) who had been followed up for more than 1 year experienced no change in CS. Five other patients had worsening of CS over time. Only two patients reported either improvement or resolution of CS during the study period. Nevertheless, CS had no or a mild effect on the social function in the majority of patients (68%) and most patients (94%) were satisfied with the outcome of the operation. Conclusion: Thoracoscopic sympathectomy is an effective treatment for primary hyperhidrosis. Despite the frequent occurrence and persistence of compensatory sweating, thoracoscopic sympathectomy was considered by most patients to be a satisfactory treatment option for this disturbing condition. © 2007 The Authors; Journal compilation © 2007 College of Surgeons of Hong Kong.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationSurgical Practice, 2007, v. 11 n. 3, p. 98-101 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1744-1633.2007.00355.x
dc.identifier.citeulike1468525
dc.identifier.doihttp://dx.doi.org/10.1111/j.1744-1633.2007.00355.x
dc.identifier.epage101
dc.identifier.hkuros175039
dc.identifier.isiWOS:000254624100002
dc.identifier.issn1744-1625
2011 Impact Factor: 0.149
2011 SCImago Journal Rankings: 0.030
dc.identifier.issue3
dc.identifier.openurl
dc.identifier.scopuseid_2-s2.0-34547475670
dc.identifier.spage98
dc.identifier.urihttp://hdl.handle.net/10722/125433
dc.identifier.volume11
dc.languageeng
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
dc.publisher.placeAustralia
dc.relation.ispartofSurgical Practice
dc.relation.referencesReferences in Scopus
dc.rightsThe definitive version is available at www3.interscience.wiley.com
dc.subjectCompensatory sweating
dc.subjectPrimary hyperhidrosis
dc.subjectThoracoscopic sympathectomy
dc.titleCompensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experience
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong