[Thoracoscopic sympathectomy for palmar XXXX . Immediate results and postoperative quality of life].

@entity1 @entity1119 @entity548 @entity3190
OBJECTIVE: Primary palmar @entity1119 is a socially and occupationally debilitating disorder characterized by excessive sweating. The purpose of this study was to evaluate the results, complications, and degree of satisfaction among @entity1 who underwent video-assisted bilateral thoracoscopic sympathectomy of the second and third ganglia (T2-T3) to treat primary palmar @entity1119 at the Department of General and Thoracic Surgery of the Hospital Universitario Virgen Macarena in Seville, Spain. MATERIAL AND METHOD: A study of 226 thoracoscopic sympathectomies was undertaken based on case histories and a prospective pre- and postoperative questionnaire survey. The sample was composed of 113 @entity1 (47 males and 66 females), ranging in age from 14 to 50 years, with primary @entity1119 , in some cases severe. Bilateral video-assisted thoracoscopic T2-T3 sympathectomy was performed under general anesthesia in all cases. Follow up included a questionnaire on pre- and postoperative quality of life and degree of satisfaction. Descriptive statistics on the surgical procedure, quality of life, and postoperative changes were compiled and frequency analyzed. A nonparametric Wilcoxon test for paired variables was performed to contrast significant differences between pre- and postoperative quality of life related to @entity1119 and its complications. RESULTS: The therapeutic success rate was 100%. Complications were seen in 14.2% of the cases and included hemothorax in two, hemopneumothorax in three, @entity548 in two, and minimal apical airspace in nine. Of the 106 @entity1 who were monitored over a period of 6 to 12 months through follow-up interviews and questionnaires, 67% developed @entity3190 , 95% reported improvement in quality of life, and 4% experienced no change in quality of life, mainly because of the emergence of @entity3190 . Of the @entity1 interviewed, 97.2% said that they would undergo the operation again. CONCLUSION: Video-assisted thoracoscopic sympathectomy for the treatment of primary palmar @entity1119 is effective, with low rates of morbidity and no mortality. Despite the appearance of postoperative changes such as @entity3190 , @entity1 satisfaction with the procedure is high and their quality of life improves.
