Analysis of the results of videotoracoscopic sympathectomy in the treatment of hyperhidrosis in patients 40 years or older

Faustino, Carolina Brito, Milanez de Campos, Jose Ribas, Kauffman, Paulo, Leiderman, Dafne, Tedde, Miguel, Cucato, Gabriel, Fernandes, Paulo Pêgo, Leão, Pedro Puech and Wolosker, Nelson (2020) Analysis of the results of videotoracoscopic sympathectomy in the treatment of hyperhidrosis in patients 40 years or older. Annals of Vascular Surgery, 65. pp. 107-112. ISSN 0890-5096

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Abstract

OBJECTIVE: Several factors that could influence the efficacy and satisfaction of patients after bilateral thoracic sympathectomy (VATS) in the treatment of hyperhidrosis (HH) have been studied, but no studies in the literature have specifically analyzed the effectiveness of treatment and variations in the quality of life of patients aged 40 years or older compared to those of young adult patients (19-40 years).

METHODS: We retrospectively analyzed 2431 hyperhidrosis patients who underwent bilateral VATS and divided the patients into the following groups: a group <40 years old (1760 patients) and a group ≥40 years (142 patients). Variables included quality of life prior to surgery, improvement in quality of life after surgery, clinical improvement in sweating, presence of severe compensatory hyperhidrosis and general satisfaction at one month after surgery.

RESULTS: We observed that all surgical patients presented with poor or very poor quality of life before surgery, with similar proportions in both groups. In the postoperative period, we observed improvement in quality of life in more than 90% of the patients, with no significant difference noted between the two groups of patients. More than 90% of the patients in this series had great clinical improvement in the main hyperhidrosis site, with no significant difference between the two groups. Severe compensatory hyperhidrosis occurred in 23.8% of the patients in this series, with no significant difference between the two groups.

CONCLUSIONS: Patients 40 years of age or older benefit just as much as younger patients from VATS performed to treat primary hyperhidrosis, presenting excellent, significant surgical results.

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