Case-Series: First experience outcome of t2 - t4 video-assisted thoracoscopic surgery (vats) sympathectomy bilateral for severe hyperhidrosis in Labuang Baji general hospital

Abstract

Introduction: Hyperhidrosis is a clinical condition that causes excessive sweating that exceeds physiological needs and can interfere with the patient's daily activities Methods: This research is a retrospective study based on medical record data from March 2022 – March 2023 at Labuang Baji Hospital. Six cases of severe hyperhidrosis who underwent a bilateral T2-T4 VATS sympathectomy procedure were subsequently conducted through cell phone interviews to assess complications of the procedure, the incidence of Compensatory Hyperhidrosis, length of stay in hospital and assess patient satisfaction after 1 year of undergoing the procedure. Result: Four of the patients experienced improvement and were very satisfied with undergoing the VATS sympathectomy procedure, one patient was quite satisfied and the other was dissatisfied because the complaint of compensatory hyperhidrosis (CH) experienced was more disturbing to the patient's activities than before surgery. Complications found besides pain are subcutis emphysema, pleural effusion and bleeding. All patients experienced CH, which predominated in the chest and back areas. Conclusion: Bilateral VATS sympathectomy in cases of severe hyperhidrosis is a minimally invasive procedure that can be recommended for the future. This action gives results, a good level of satisfaction and can improve patients' quality of life after surgery.