کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4303539 | 1288481 | 2009 | 6 صفحه PDF | دانلود رایگان |

Sympathectomy (ETS) is an effective treatment for hyperhidrosis (HH), but compensatory hyperhidrosis (CH) is a common side effect. We reviewed our experience with 200 patients.Two hundred patients were retrospectively analyzed. Patients completed a questionnaire regarding their postoperative symptoms [% improvement score (IS), CH score], and their level of dissatisfaction, which was assessed as a function of regretting the choice to undergo ETS. Significance set at P ≤ 0.05.There were 123 (61.5%) females. Mean age was 28.2 ± 7.4. Follow-up (mo) was 20.9 ± 12.1. One ganglion was transected in 112 (56%) patients (G1), and more than one in 88 (G2). Overall, 157 (78.5%) patients had CH, 88 (74.1%) patients in G1 and 74 (84.1%) in G2, P = 0.06. Patients in G2 had a higher CH score (4.1 ± 2.7 versus 3.0 ± 2.5, P < 0.01), and a higher number of patients regretting surgery (11.4% versus 3.6%, P = 0.05). Multivariate analysis showed age, high CH score, and surgery on T2 as independent predictors of patient's dissatisfaction (P < 0.05).Patients with more than one ganglion transected demonstrate a trend toward a higher incidence of CH, a significantly higher CH score, and are more dissatisfied with ETS. Age, surgery on T2, and high CH score are independent predictors of patient's dissatisfaction.
Journal: Journal of Surgical Research - Volume 156, Issue 1, September 2009, Pages 110–115