Abstract
to compare the intensity of reflex sweating with the degree of anxiety and its interference in the quality of life of patients undergoing Thoracoscopic (VATS) sympathectomy in the pre- and postoperative period. we evaluated 54 patients with a mean age of 26 years (16-49 years) undergoing sympathectomy in the R3-R4 level. We applied two questionnaires at three different times: "Quality of life in patients with primary hyperhidrosis" and "Scale for anxiety and depression". of the patients studied, 93% showed significant improvement in quality of life 30 days after surgery, the effects remaining after six months. There were no postoperative complications. The patient's level of anxiety is highly correlated with the intensity of reflex sweating after 30 and 180 days. Thoracoscopic sympathectomy improves quality of life of patients with primary hyperhidrosis, even with the emergence of reflex sweating. Anxiety directly relates to the intensity of reflex sweating, without compromising the degree of patient satisfaction. avaliar a intensidade de sudorese reflexa com o grau de ansiedade e sua interferência na qualidade de vida de indivíduos submetidos à simpatectomia por videotoracoscopia nos períodos pré e pós-operatório. foram avaliados 54 pacientes com média de idade de 26 anos (16 a 49 anos), submetidos à simpatectomia em nível R3-R4. Dois questionários foram aplicados em três momentos diferentes: "Qualidade de vida em pacientes com hiperidrose primária e "Escala para ansiedade e depressão". dos pacientes estudados, 93% mostrou melhora significativa na qualidade de vida após 30 dias da cirurgia, com os efeitos remanescentes após seis meses. Não houve complicações pós-operatórias. A análise mostrou que o nível de ansiedade do paciente é altamente correlacionado com a intensidade da sudorese reflexa após 30 e 180 dias. a simpatectomia torácica por videotoracoscopia melhora a qualidade de vida de pacientes com hiperidrose primária, mesmo com o surgimento de sudorese reflexa. A ansiedade está diretamente relacionada com a intensidade da sudorese reflexa, sem comprometer o grau de satisfação do paciente.
Highlights
Primary hyperhidrosis (PH) is a clinical condition defined as sweating, localized excessive, which mainly affects the hands, armpits, feet and face
32% of patients rated their quality of life (QOL) as very bad, 43% bad, 24% good and 2% very good
Before surgery they showed statistically significant differences when compared to the domains after 30 or 180 days, reflecting the effect of treatment (p
Summary
Primary hyperhidrosis (PH) is a clinical condition defined as sweating, localized excessive, which mainly affects the hands, armpits, feet and face. It has unknown etiology, occurring due to hyperactivity of the sympathetic nervous system. The literature reports an incidence of 1% and it is more frequent in young adult patients[1]. The first choice therapy, and the providing better outcomes in PH treatment, is the thoracoscopic sympathectomy[2,3]. The use of scores allows for better quality and refinement of diagnostic assessments and/or monitoring of patients in clinical trials[5] Its most common side effect is the reflex sweating (RS), characterized by increased sweating in other parts of the body such as the back, abdomen and thighs[4].
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