Predictors of outcome following endoscopic thoracic sympathectomy

摘要: Background Endoscopic thoracic sympathectomy (ETS) provides definitive management for primary focal hyperhidrosis and facial blushing. These conditions are debilitating not uncommon, but many clinicians avoid ETS due to the risk of complications, particularly compensatory sweating (CS). This retrospective cohort study aimed evaluate degree symptom resolution, patient satisfaction adverse reactions after identify subgroups patients more likely achieve a satisfactory outcome. Methods From 2004 2010, 210 underwent performed by single surgeon. responded questionnaire regarding levels satisfaction, resolution complications encountered, CS. Results Palmar (97%) scalp/facial (93%) demonstrated greater degrees than axillary (71%) blushing (P < 0.001). Rates severe CS were lowest in with palmar (8%) highest (26%) (44.5%) = 0.0003). The probability experiencing no was at young ages decreased age 0.0006). Satisfaction rates also fell as increased 0.004). (90%) (52%) 0.02). Discussion Patient following is among younger those undergoing procedure hyperhidrosis. Dissatisfaction arises from failure desired aim well development CS, which common older