Background: In this study, we evaluated the cardiopulmonary and psychosocial effects of endoscopic thoracal sympathectomy (ETS) by clipping procedure at the level of Th4 and effects of ETS on quality of life of patients with hyperhidrosis.
Methods: We performed a prospective study in 52 patients complaining of local sweating who applied to our clinic. Cardiac maximal treadmill stress test (CMTST), pulmonary function tests, Beck anxiety-depression inventory, Liebowitz social anxiety scale and SF-36 quality of life questionnaires were administered at preoperative period and postoperative 6th month.
Results: In the pulmonary function test, we found a minimal decrease in FEV1, and FEV1/FVC. There were no significant change in 'resting pulse rate', 'resting systolic and diastolic blood pressures' during CMTST between before and after operation. There was a significant difference in peak heart rate before CMTST, post-exercise diastolic blood pressure, and age-predictive maximal heart rate between before and after clipping procedure. In the SF-36 questionnaire, all parameters were improved. In the Beck depression-anxiety inventory and the Liebowitz social anxiety scale significant improvement was achieved in all parameters.
Conclusion: ETS by clipping procedure at the Th4 level is advised to be a safe and effective method for management of hyperhidrosis patients.
Keywords: Cardiopulmonary functions; Hyperhidrosis; Psychosocial functions; Sympathectomy.
Cardiopulmonary Effects Following Endoscopic Thoracic Sympathectomy for Primary HyperhidrosisJM Cruz et al. Eur J Cardiothorac Surg 36 (3), 491-6. PMID 19502080.These cardiopulmonary effects observed 6 months after ETS in the treatment of patients with PH are all in normal ranges and are not relevant in cardiopulmonary function. …
Does Endoscopic Thoracic Sympathectomy Through Clipping Procedure Have Early Effects on Electrocardiographic Parameters?F Candas et al. Indian J Med Res 145 (4), 498-502. PMID 28862182.Our study showed that ETS through clipping procedure had positive effects on the mechanisms of arrhythmia by reducing HR, QTcd, TpTe and TpTe dispersion parameters of ECG …
Thoracoscopic Sympathetic Clipping for Hyperhidrosis: Long-Term Results and ReversibilityH Sugimura et al. J Thorac Cardiovasc Surg 137 (6), 1370-6; discussion 1376-7. PMID 19464450.When compared with endoscopic thoracic sympathetic clipping at the T2 or T2+3 levels, endoscopic thoracic sympathetic clipping at the T3+4 level was associated with a hig …
Limited Endoscopic Thoracic Sympathetic Block for Hyperhidrosis of the Upper Limb: Reduction of Compensatory Sweating by Clipping T4C Neumayer et al. Surg Endosc 18 (1), 152-6. PMID 14625754. - ReviewETS 2-4 and ESB 4 have similar success rates in the treatment of upper limb hyperhidrosis. The major side effects of compensatory and gustatory sweating were effectively …
Evidence-based Review of the Surgical Management of HyperhidrosisHJ Henteleff et al. Thorac Surg Clin 18 (2), 209-16. PMID 18557593. - ReviewThe great majority of the currently available evidence supporting sympathectomy for primary hyperhidrosis is observational, coming from a variety of prospective and restr …