دورية أكاديمية
Can we predict the compensatory hyperhidrosis following a thoracic sympathectomy?
| العنوان: | Can we predict the compensatory hyperhidrosis following a thoracic sympathectomy? |
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| المؤلفون: | Kara M; Department of Thoracic Surgery, Istanbul University School of Medicine, Istanbul, Turkey., Kose S; Department of Thoracic Surgery, Bakirkoy Research and Training Hospital, Istanbul, Turkey., Cayirci CE; Acibadem University School of Medicine, Istanbul, Turkey., Koksal A; Department of Neurology, Bakirkoy Research and Training Hospital, Istanbul, Turkey. |
| المصدر: | Indian journal of thoracic and cardiovascular surgery [Indian J Thorac Cardiovasc Surg] 2019 Apr; Vol. 35 (2), pp. 190-195. Date of Electronic Publication: 2018 Dec 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: India NLM ID: 8700105 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0973-7723 (Electronic) Linking ISSN: 09709134 NLM ISO Abbreviation: Indian J Thorac Cardiovasc Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: <2007->: New Delhi : Springer Original Publication: Kilpauk, Madras : Association of Thoracic and Cardiovascular Surgeons of India |
| مستخلص: | Background: Primary hyperhidrosis is a functionally and socially disabling condition resulting in social embarrassment and low quality of life. Thoracic sympathectomy is a definitive choice of treatment with favorable results. However, patients may face another embarrassing condition following surgery as compensatory hyperhidrosis which has no definitive treatment. The predictors of compensatory hyperhidrosis are controversial and remain unclear. Patients and Methods: A total of 74 patients underwent a videothoracoscopic sympathectomy for primary hyperhidrosis. We statistically analyzed our patients with correlations and uni-multivariate logistic regression models to outline the possible predictors of compensatory hyperhidrosis. Results: A total of 45 (60.8%) patients had compensatory hyperhidrosis. The correlations showed that patients, with age greater than 21 years ( P = 0.018), with body mass index (BMI) greater than 22 kg / m 2 ( P = 0.045), with isolated facial hyperhidrosis ( P = 0.044), and with smoking status ( P = 0.015), had significantly greater rates of compensatory hyperhidrosis. Similarly, the significant univariate predictors of compensatory hyperhidrosis were age > 21 ( P = 0.020), BMI > 22 kg / m 2 ( P = 0.048), and the presence of smoking status ( P = 0.015). Multivariate analysis revealed only smoking as a predictor within the threshold of significance ( P = 0.078). Conclusion: The clinical predictors of compensatory hyperhidrosis following a thoracic sympathectomy appear as older age, greater body mass index, and smoking. Competing Interests: Conflict of interestThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Our study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This is a retrospective study on a series of patients who underwent a thoracic sympathectomy for primary hyperhidrosis and “for this type of study formal consent is not required. (© Indian Association of Cardiovascular-Thoracic Surgeons 2018.) |
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| فهرسة مساهمة: | Keywords: Compensatory hyperhidrosis; Primary hyperhidrosis; Sympathectomy |
| تواريخ الأحداث: | Date Created: 20201016 Latest Revision: 20220417 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7525843 |
| DOI: | 10.1007/s12055-018-0769-1 |
| PMID: | 33061004 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 0973-7723 |
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| DOI: | 10.1007/s12055-018-0769-1 |