Quality of life, before and after thoracic sympathectomy: report on 378 operated patients.

摘要: Abstract Background Thoracic sympathectomy is indicated to treat primary hyperhidrosis. The objective analyze the results and complications of thoracic propose a questionnaire assess quality life patients. Methods Between October 1995 March 2002, 378 patients were evaluated. Sixty-two percent female, with mean age 26.8 years old (range 9 70 old). There 57.4% palmar-plantar hyperhidrosis; 25% palmar, plantar, axillary 15.7% pure 6.5% craniofacial General anesthesia was used in 97.3%, epidural sedation 2.7%. sympathetic chain resected 12.5%, thermal ablation electrical scalpel performed 66.3%, harmonic 21.2% Results Successful sympathectomies 90.3% patients; follow-up from 1 60 months (mean 12.4 ± 8.3 months). recurrence rates 8.2% for palmar hyperhidrosis, 13.7% 27.5% which reoperated successfully. Improvement plantar hyperhidrosis also registered 58%. Horner's syndrome reported 1% regression half them after 30 days. No mortality or serious observed, nor need convert thoracotomy. Of total number patients, 93.4% answered questionnaire, 86.4% whom noted improvement procedure. Conclusions simple, effective, safe method treatment resulting an improved documents this change.