Journal article
Transection of More Than One Sympathetic Chain Ganglion for Hyperhidrosis Increases the Severity of Compensatory Hyperhidrosis and Decreases Patient Satisfaction 1
The Journal of surgical research, v 156(1), pp 110-115
2009
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
Metrics
Details
- Title
- Transection of More Than One Sympathetic Chain Ganglion for Hyperhidrosis Increases the Severity of Compensatory Hyperhidrosis and Decreases Patient Satisfaction 1
- Creators
- Benny Weksler - Thomas Jefferson University HospitalGayley Blaine - Thomas Jefferson University HospitalZemilson B.B. Souza - D’Or Institute for Research and EducationRodrigo Gavina - D’Or Institute for Research and Education
- Publication Details
- The Journal of surgical research, v 156(1), pp 110-115
- Publisher
- Elsevier; SAN DIEGO
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000269606300019
- Scopus ID
- 2-s2.0-68649085863
- Other Identifier
- 991021960637604721
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- Collaboration types
- International collaboration
- Web of Science research areas
- Surgery