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

TitleCompensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experience
Authors
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
Citation
Surgical Practice, 2007, v. 11 n. 3, p. 98-101 How to Cite?
Abstract
Objective: 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.
Persistent Identifierhttp://hdl.handle.net/10722/125433
ISSN
2013 Impact Factor: 0.172
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, ACYen_HK
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorHo, Pen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorCheng, SWKen_HK
dc.date.accessioned2010-10-31T11:31:09Z-
dc.date.available2010-10-31T11:31:09Z-
dc.date.issued2007en_HK
dc.identifier.citationSurgical Practice, 2007, v. 11 n. 3, p. 98-101en_HK
dc.identifier.issn1744-1625en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125433-
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.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASHen_HK
dc.relation.ispartofSurgical Practiceen_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subjectCompensatory sweatingen_HK
dc.subjectPrimary hyperhidrosisen_HK
dc.subjectThoracoscopic sympathectomyen_HK
dc.titleCompensatory sweating after thoracoscopic sympathectomy for primary hyperhidrosis: Single institute experienceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1744-1625&volume=11&issue=3&spage=98&epage=101&date=2007&atitle=Compensatory+sweating+after+thoracoscopic+sympathectomy+for+primary+hyperhidrosis:+Single+institute+experienceen_HK
dc.identifier.emailChan, ACY: acchan@hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityChan, ACY=rp00310en_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1744-1633.2007.00355.xen_HK
dc.identifier.scopuseid_2-s2.0-34547475670en_HK
dc.identifier.hkuros175039en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34547475670&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue3en_HK
dc.identifier.spage98en_HK
dc.identifier.epage101en_HK
dc.identifier.isiWOS:000254624100002-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridChan, ACY=15828849100en_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.citeulike1468525-

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