P144. Quality of Life and Satisfaction Level Following Thoracoscopic Sympathectomy: A 10 Year Follow-up
Presented During: Thoracic Poster Session IV*
Chest diseases hospital
Kuwait, NA
Kuwait - Contact Me
Poster Presenter
Bachelors of Basic Medical Sciences, BMSc.
Degree in Medicine (MD), Faculty of Medicine, Kuwait University
Thoracic and Foregut Surgery Department, Chest Diseases Hospital, Kuwait
Monday, May 8, 2023: 3:27 PM - 3:30 PM
3 Minutes
Los Angeles Convention Center
Room: Exhibit Hall
Description
Objectives: Thoracoscopic (VATS) sympathectomy is considered one of the best treatment modalities for primary hyperhidrosis; however, this procedure is still surrounded by controversy with regards to its operative approaches, post-operative complications, and level of satisfaction in patients post-sympathectomy. The purpose of the study is to evaluate post-operative complications and level of satisfaction in 10-year follow-up, post VATS cauterizing sympathectomy.
Methods: this is a retrospective single institute review that enrolled patients undergoing single-staged cauterizing sympathectomy in a tertiary care center over the past 10 years. The rate of short-term, long-term complications was assessed by conducting a chart review. Level of patients' satisfaction was evaluated using quality of life questioner.
Results: total of 47 patients agreed to participate in our study, with males constituting 55.3% of the cohort. Majority of the study group 48.9% had a positive family history of hyperhidrosis in 1st degree relative, and 42.5% had failed a trial of Botox injection to maintain a long symptom-free period. Post-operatively, 31 patients had compensatory hyperhidrosis, mostly were in the back (61.7%) and stomach (48.9%), legs (31.8%); with median time to event of 32 days.
Thirty patients (63.8%) completed pre-operative and 10-year follow up post-operative personalized quality of life assessment, revealing significant improvement in the quality of life in all domains of questionnaire post-operatively (p-value <0.001), except wearing colored cloths.
Conclusion: VATS sympathectomy is a curative treatment in patients with primary hyperhidrosis with limited post-operative complications and significant upgrade in the quality of life post-operatively.
Methods: this is a retrospective single institute review that enrolled patients undergoing single-staged cauterizing sympathectomy in a tertiary care center over the past 10 years. The rate of short-term, long-term complications was assessed by conducting a chart review. Level of patients' satisfaction was evaluated using quality of life questioner.
Results: total of 47 patients agreed to participate in our study, with males constituting 55.3% of the cohort. Majority of the study group 48.9% had a positive family history of hyperhidrosis in 1st degree relative, and 42.5% had failed a trial of Botox injection to maintain a long symptom-free period. Post-operatively, 31 patients had compensatory hyperhidrosis, mostly were in the back (61.7%) and stomach (48.9%), legs (31.8%); with median time to event of 32 days.
Thirty patients (63.8%) completed pre-operative and 10-year follow up post-operative personalized quality of life assessment, revealing significant improvement in the quality of life in all domains of questionnaire post-operatively (p-value <0.001), except wearing colored cloths.
Conclusion: VATS sympathectomy is a curative treatment in patients with primary hyperhidrosis with limited post-operative complications and significant upgrade in the quality of life post-operatively.
Presentation Duration
2 minute presentation; 1 minute discussion.