Evaluation of the effectiveness of thoracic sympathectomy in the treatment of primary hyperhidrosis of hands and armpits using the measurement of skin resistance
| Autor: | Beata Rzepkowska-Misiak, Piotr Misiak, Jacek Kordiak, Szymon Wcisło, Lukasz Piskorz, Jacek Smigielski, Sławomir Jabłoński, Marian Brocki |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Original Paper medicine.diagnostic_test Hyperhidrosis business.industry Urology medicine.medical_treatment Gold standard Significant difference Gastroenterology Complete remission skin resistance Obstetrics and Gynecology thoracoscopy Resection Surgery Sympathectomy medicine Thoracoscopy medicine.symptom business Skin conductance sympathectomy primary hyperhidrosis |
| Zdroj: | Videosurgery and other Miniinvasive Techniques |
| ISSN: | 2299-0054 1895-4588 |
| Popis: | Introduction: Hyperhidrosis is excessive sweating beyond the needs of thermoregulation. It is disease which mostly affects young people, often carrying a considerable amount of socio-economic implications. Thoracic sympathectomy is now considered to be the "gold standard" in the treatment of idiopathic hyperhidrosis of hands and armpits. Aim: Assessment of early effectiveness of thoracic sympathectomy using skin resistance measurements performed before surgery and in the postoperative period. Material and methods: A group of 20 patients with idiopathic excessive sweating of hands and the armpit was enrolled in the study. Patients underwent two-stage thoracic sympathectomy with resection of Th2-Th4 ganglions. The skin resistance measurements were made at six previously designated points on the day of surgery and the first day after the operation. Results: In all operated patients we obtained complete remission of symptoms on the first day after the surgery. Inhibition of sweating was confirmed using the standard starch iodine (Minor) test. At all measurement points we obtained a statistically significant increase of skin resistance, assuming p < 0.05. To check whether there is a statistically significant difference in the results before and after surgery we used sequence pairs Wilcoxon test. Conclusions: Thoracic sympathectomy is an effective curative treatment for primary hyperhidrosis of hands and armpits. Statistically significant increase of skin resistance in all cases is a good method of assessing the effectiveness of the above surgery in the early postoperative period. |
| Databáze: | OpenAIRE |
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