A long-term evaluation of postoperative moist hands after R4/R4+5 sympathectomy for primary palmar hyperhidrosis
| Autor: | Jun Liu, Jun Wang, Wenhan Weng, Yanguo Liu, Guanchao Jiang, Jianfeng Li |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Pulmonary and Respiratory Medicine Surgical results medicine.medical_specialty business.industry Palmar hyperhidrosis Incidence (epidemiology) medicine.medical_treatment Compensatory hyperhidrosis Surgery Lower incidence 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Sympathectomy 030220 oncology & carcinogenesis Medicine Original Article medicine.symptom Surgical treatment business |
| Zdroj: | Journal of thoracic disease. 10(3) |
| ISSN: | 2072-1439 |
| Popis: | Background Thoracoscopic R4 sympathectomy has been recommended as a safe and effective surgical treatment procedure for primary palmar hyperhidrosis (PPH). However, approximately half of patients presented postoperative moist hands (PMH), and recurrence occurred individually. Therefore, more thorough long-term results should be evaluated. Methods Between January 2005 and December 2014, 506 consecutive patients with palmar hyperhidrosis treated with either R4 or R4+5 were retrospectively reviewed and followed-up. Results A total of 451 patients (89.1%) completed the follow-up with an average follow-up time of 30.7±25.4 months. Palmar sweating completely ceased in 178 patients (39.5%), whereas 215 (47.7%) achieved greater than 50% improvement, 43 (9.5%) achieved 20-50% improvement. Fifteen individuals (3.3%) experienced recurrence. The frequency of individuals achieving 100% improvement was significantly higher in the group R4+5 than in the group R4 (60.9% vs. 27.8%, respectively; P |
| Databáze: | OpenAIRE |
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