Comparison of Treatment Results and Satisfaction Levels of Endoscopic Thoracic Sympathectomy Techniques Performed in Primary Focal Hyperhidrosis
Journal Title: The Medical Bulletin of Haseki - Year 2021, Vol 59, Issue 2
Abstract
Aim: This study aims to investigate whether the cauterization or clipping techniques performed in endoscopic thoracic sympathectomy surgery (ETS) in a tertiary center differ in terms of postoperative results and satisfaction level and to compare the results according to the surgical methods performed. Methods: In the study, the data of 94 cases treated with ETS due to primary focal hyperhidrosis in a thoracic surgery clinic between 2015 and 2018, were retrospectively analyzed. Patients consisted of two different surgical groups. The cauterization method was performed on 56 (59.6%) of the patients whereas the clipping was performed on 38 (40.4%) of them. The patients were compared in terms of recurrence, reflex sweating, and satisfaction, as well as demographic characteristics. Results: As a result of the Univariate Logistic Regression Analysis, it was found that the increase in age among all cases increased the risk of dissatisfaction with the treatment [odds ratio (OR): 1.11, 95% confidence interval (CI): 1.03-1.20, p=0.005] whereas the cauterization method (OR: 0.26, 95% CI: 0.09-0.77, p=0.015), absence of recurrence (OR: 0.03, 95% CI: 0.01-0.12, p<0.001), and absence of reflex sweating (OR: 0.09, 95% CI: 0.01-0.68, p=0.020) increased the satisfaction in all patients. Conclusion: The increase in age, the clipping method, the presence of recurrence, and the presence of reflexive sweating are the risks of decreasing the level of patient satisfaction.
Authors and Affiliations
Servet Ozdemir
Keywords
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- EP ID EP693404
- DOI 10.4274/haseki.galenos.2021.6713
- Views 72
- Downloads 0
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