Akademik Veri Yönetim Sistemi
European Archives of Medical Research, cilt.38, sa.3, ss.178-182, 2022 (Hakemli Dergi)
Objective: Pathological excessive sweating that can occur in specific parts for else throughout the body is known as hyperhidrosis. Although there are different medical and surgical options, medical treatment applied to many patients provides temporary relief. With advances in surgical techniques, the most commonly used surgical treatment method is endoscopic thoracic sympathectomy (ETS). In this study, we examined the results of ETS operations performed in our clinic considering the current literature. Methods: Between 15.03.2011 and 30.10.2020, 45 single-port ETS operations were performed on 23 patients due to palmar and/or axillary hyperhidrosis. Patients’ demographic data, complaints, complications, therapeutic results, and post-treatment satisfaction were evaluated. Results: Thirteen of the 23 patients were male and 10 were female, with average age of 25. Ten patients were operated for palmar hyperhidrosis, two for axillary hyperhidrosis, and 11 for axillary and palmar hyperhidrosis. Forty-five thoracic sympathectomy operations were performed with bilateral single port ETS in the same session in all but one of the 23 patients. Mean operative time was 28 min, and hospitalization time was 1.1 (0-8) days. Two patients exhibited compensatory sweating during follow-up, and one patient showed rebound sweating. At follow-up, 91% of patients (21) were satisfied with their operations. Conclusion: Endoscopically-assisted single-port thoracic sympathectomy appears to be a reliable and practicable technique for treating hyperhidrosis, with effective results, high patient satisfaction, and early discharge time. We believe that the most important advantages of this technique are an early return to normal life, less pain, and a positive return to social life.