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Published: 2023-06-20
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DOI: https://doi.org/10.52852/tcncyh.v167i6.1650
Issue
Vol. 167 No. 6 (2023)
Section
Các bài báo
How to Cite
Sơn, T. Q., Hùng, T. M., Học, T. H., Liên, N. H., Trường, M. T., Trường, T. V., Anh, N. P., Khánh, N. G., & Thắng, N. T. (2023). 8. Long-term follow-up in the quality of life pre and post endoscopic thoracic sympathectomy in 165 palmar hyperhidrosis patients. Journal of Medical Research, 167(6), 59-69. https://doi.org/10.52852/tcncyh.v167i6.1650

8. Long-term follow-up in the quality of life pre and post endoscopic thoracic sympathectomy in 165 palmar hyperhidrosis patients

Tran Que Son, Tran Manh Hung, Tran Hieu Hoc, Nguyen Hong Lien, Mac The Truong, Trieu Van Truong, Nguyen Phuong Anh, Ngo Gia Khanh, Nguyen Toan Thang

Main Article Content

Abstract

Palmar hyperhidrosis (PH) deteriorates patient’s quality of life (QoL). Endoscopic thoracic sympathectomy (ETS) is a proven therapy option for PH. We aimed to investigate the short-term outcome of ETS by comparing their preoperative and postoperative QoL. This study enrolled 165 patients with PH who underwent ETS between January 2020 and December 2022 at Bachmai Hospital. All patients were surveyed with a questionnaire adapted from the Campos Quality-of-life Questionnaire for Evaluation of Hyperhidrosis and compared to their preoperative results. Grade II, III, and IV hyperhidrosis were 7.2%, 36.3% and 56.5%, respectively. The sympathetic group burned R2+R3, R2+R3+R4 on the right side was 16.3% vs 83.7%, and on the left was 13.9% vs 86.1%. Compensatory hyperhidrosis (CH) and severe CH occurred in 92.1% and 30.3%, respectively. There was a difference in QoL before and after surgery (86.6 vs 37.02, p = 0.000). The extremely satisfied, partially satisfied and not satisfied rates were 69.5%, 29.5% and 1%, respectively. The patient's QoL did not differ between the extremely satisfied and partially satisfied + dissatisfied groups (p = 0.799). Conclusions: ETS appears to be a safe and effective treatment for PH. Improvement in QoL sustained for a long-term period after receiving ETS.

Article Details

Keywords

Hyperhidrosis, Patient Satisfaction, Quality of Life, Ribs, Sympathectomy, Thoracic Surgery

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