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Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis
The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilat...
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| Published in: | Journal of vascular surgery 2017-12, Vol.66 (6), p.1806-1813 |
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| container_end_page | 1813 |
| container_issue | 6 |
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| container_title | Journal of vascular surgery |
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| creator | Lima, Sonia O. de Santana, Vanessa R. Valido, Daisy P. de Andrade, Renata L.B. Fontes, Leticia M. Leite, Victor Hugo O. Neto, José M. Santos, Jéssica M. Varjão, Lucas L. Reis, Francisco P. |
| description | The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilateral RLS in both sexes are also described in this study.
This is a longitudinal study of consecutive patients who sought specific treatment from a private practitioner for severe PPH as classified on the Hyperhidrosis Disease Severity Scale (HDSS) from October 2005 to October 2014. The patients were asked to report the symptoms of PPH experienced in the immediate preoperative period and to complete a standardized QoL questionnaire developed by de Campos at least 12 months after RLS. Disease outcomes, recurrence of symptoms, and any adverse effects of surgery were evaluated after 30 days and at least 12 months after RLS.
Lumbar sympathectomy was performed 116 times in 58 patients; 30 days after surgery, PPH was resolved in all patients. Three patients (5.2%) reported transient thigh neuralgia, and 19 (32.7%) reported transient paresthesia in the lower limbs. There were no reports of retrograde ejaculation. At a minimum of 12 months after RLS, 49 of the 58 patients had fully and correctly answered the follow-up questionnaire and noted a mild (HDSS 2) to moderate (HDSS 3) increase in pre-existing compensatory sweating. One patient had a PPH relapse within 6 months. Improvement in QoL due to the resolution of PPH was reported in 98% of the 49 patients. None of the operations necessitated a change in the laparotomy approach, and none of the patients died.
RLS is safe and effective for the treatment of severe PPH in both sexes. There were no reports of retrograde ejaculation after resection of L3 and L4 ganglia. There was a mild to moderate increase in compensatory sweating in about half of the patients, but without any regret or dissatisfaction for having undergone the surgery because of a significant improvement in QoL. |
| doi_str_mv | 10.1016/j.jvs.2017.05.126 |
| format | article |
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This is a longitudinal study of consecutive patients who sought specific treatment from a private practitioner for severe PPH as classified on the Hyperhidrosis Disease Severity Scale (HDSS) from October 2005 to October 2014. The patients were asked to report the symptoms of PPH experienced in the immediate preoperative period and to complete a standardized QoL questionnaire developed by de Campos at least 12 months after RLS. Disease outcomes, recurrence of symptoms, and any adverse effects of surgery were evaluated after 30 days and at least 12 months after RLS.
Lumbar sympathectomy was performed 116 times in 58 patients; 30 days after surgery, PPH was resolved in all patients. Three patients (5.2%) reported transient thigh neuralgia, and 19 (32.7%) reported transient paresthesia in the lower limbs. There were no reports of retrograde ejaculation. At a minimum of 12 months after RLS, 49 of the 58 patients had fully and correctly answered the follow-up questionnaire and noted a mild (HDSS 2) to moderate (HDSS 3) increase in pre-existing compensatory sweating. One patient had a PPH relapse within 6 months. Improvement in QoL due to the resolution of PPH was reported in 98% of the 49 patients. None of the operations necessitated a change in the laparotomy approach, and none of the patients died.
RLS is safe and effective for the treatment of severe PPH in both sexes. There were no reports of retrograde ejaculation after resection of L3 and L4 ganglia. There was a mild to moderate increase in compensatory sweating in about half of the patients, but without any regret or dissatisfaction for having undergone the surgery because of a significant improvement in QoL.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2017.05.126</identifier><identifier>PMID: 29169540</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cost of Illness ; Endoscopy - adverse effects ; Female ; Foot ; Ganglia, Sympathetic - physiopathology ; Ganglia, Sympathetic - surgery ; Humans ; Hyperhidrosis - diagnosis ; Hyperhidrosis - physiopathology ; Hyperhidrosis - surgery ; Longitudinal Studies ; Lumbosacral Region ; Male ; Patient Satisfaction ; Postoperative Complications - etiology ; Private Practice ; Quality of Life ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Surveys and Questionnaires ; Sweat Glands - innervation ; Sweating ; Sympathectomy - adverse effects ; Sympathectomy - methods ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of vascular surgery, 2017-12, Vol.66 (6), p.1806-1813</ispartof><rights>2017 Society for Vascular Surgery</rights><rights>Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-8c650804d4ffd2faadc04f44819b93017ff9bf76326e4feb9fa9cd02f702cac73</citedby><cites>FETCH-LOGICAL-c396t-8c650804d4ffd2faadc04f44819b93017ff9bf76326e4feb9fa9cd02f702cac73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29169540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lima, Sonia O.</creatorcontrib><creatorcontrib>de Santana, Vanessa R.</creatorcontrib><creatorcontrib>Valido, Daisy P.</creatorcontrib><creatorcontrib>de Andrade, Renata L.B.</creatorcontrib><creatorcontrib>Fontes, Leticia M.</creatorcontrib><creatorcontrib>Leite, Victor Hugo O.</creatorcontrib><creatorcontrib>Neto, José M.</creatorcontrib><creatorcontrib>Santos, Jéssica M.</creatorcontrib><creatorcontrib>Varjão, Lucas L.</creatorcontrib><creatorcontrib>Reis, Francisco P.</creatorcontrib><title>Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilateral RLS in both sexes are also described in this study.
This is a longitudinal study of consecutive patients who sought specific treatment from a private practitioner for severe PPH as classified on the Hyperhidrosis Disease Severity Scale (HDSS) from October 2005 to October 2014. The patients were asked to report the symptoms of PPH experienced in the immediate preoperative period and to complete a standardized QoL questionnaire developed by de Campos at least 12 months after RLS. Disease outcomes, recurrence of symptoms, and any adverse effects of surgery were evaluated after 30 days and at least 12 months after RLS.
Lumbar sympathectomy was performed 116 times in 58 patients; 30 days after surgery, PPH was resolved in all patients. Three patients (5.2%) reported transient thigh neuralgia, and 19 (32.7%) reported transient paresthesia in the lower limbs. There were no reports of retrograde ejaculation. At a minimum of 12 months after RLS, 49 of the 58 patients had fully and correctly answered the follow-up questionnaire and noted a mild (HDSS 2) to moderate (HDSS 3) increase in pre-existing compensatory sweating. One patient had a PPH relapse within 6 months. Improvement in QoL due to the resolution of PPH was reported in 98% of the 49 patients. None of the operations necessitated a change in the laparotomy approach, and none of the patients died.
RLS is safe and effective for the treatment of severe PPH in both sexes. There were no reports of retrograde ejaculation after resection of L3 and L4 ganglia. There was a mild to moderate increase in compensatory sweating in about half of the patients, but without any regret or dissatisfaction for having undergone the surgery because of a significant improvement in QoL.</description><subject>Cost of Illness</subject><subject>Endoscopy - adverse effects</subject><subject>Female</subject><subject>Foot</subject><subject>Ganglia, Sympathetic - physiopathology</subject><subject>Ganglia, Sympathetic - surgery</subject><subject>Humans</subject><subject>Hyperhidrosis - diagnosis</subject><subject>Hyperhidrosis - physiopathology</subject><subject>Hyperhidrosis - surgery</subject><subject>Longitudinal Studies</subject><subject>Lumbosacral Region</subject><subject>Male</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - etiology</subject><subject>Private Practice</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Sweat Glands - innervation</subject><subject>Sweating</subject><subject>Sympathectomy - adverse effects</subject><subject>Sympathectomy - methods</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kE9LxDAUxIMo7rr6AbxIj15aX9I0bfAki_9gQRA9hzRN2JR2U5NW6Lc3y64ePb3DmxlmfghdY8gwYHbXZu13yAjgMoMiw4SdoCUGXqasAn6KllBSnBYE0wW6CKEFwLioynO0IBwzXlBYovW7Hr0btLej22kXlBusSrqpr6VPwtwPctxqNbp-TozzydDJ3Rg_2zlatrbxLthwic6M7IK-Ot4V-nx6_Fi_pJu359f1wyZVOWdjWilWQAW0ocY0xEjZKKCG0grzmudxhDG8NiXLCdPU6JobyVUDxJRAlFRlvkK3h9zBu69Jh1H0NijdxU7aTUFgzipKC84hSvFBqmLD4LURg7e99LPAIPbsRCsiO7FnJ6AQkV303Bzjp7rXzZ_jF1YU3B8EOo78ttqLoKzeKd1YHxmJxtl_4n8AIvmBcw</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Lima, Sonia O.</creator><creator>de Santana, Vanessa R.</creator><creator>Valido, Daisy P.</creator><creator>de Andrade, Renata L.B.</creator><creator>Fontes, Leticia M.</creator><creator>Leite, Victor Hugo O.</creator><creator>Neto, José M.</creator><creator>Santos, Jéssica M.</creator><creator>Varjão, Lucas L.</creator><creator>Reis, Francisco P.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201712</creationdate><title>Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis</title><author>Lima, Sonia O. ; de Santana, Vanessa R. ; Valido, Daisy P. ; de Andrade, Renata L.B. ; Fontes, Leticia M. ; Leite, Victor Hugo O. ; Neto, José M. ; Santos, Jéssica M. ; Varjão, Lucas L. ; Reis, Francisco P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-8c650804d4ffd2faadc04f44819b93017ff9bf76326e4feb9fa9cd02f702cac73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cost of Illness</topic><topic>Endoscopy - adverse effects</topic><topic>Female</topic><topic>Foot</topic><topic>Ganglia, Sympathetic - physiopathology</topic><topic>Ganglia, Sympathetic - surgery</topic><topic>Humans</topic><topic>Hyperhidrosis - diagnosis</topic><topic>Hyperhidrosis - physiopathology</topic><topic>Hyperhidrosis - surgery</topic><topic>Longitudinal Studies</topic><topic>Lumbosacral Region</topic><topic>Male</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - etiology</topic><topic>Private Practice</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Sweat Glands - innervation</topic><topic>Sweating</topic><topic>Sympathectomy - adverse effects</topic><topic>Sympathectomy - methods</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lima, Sonia O.</creatorcontrib><creatorcontrib>de Santana, Vanessa R.</creatorcontrib><creatorcontrib>Valido, Daisy P.</creatorcontrib><creatorcontrib>de Andrade, Renata L.B.</creatorcontrib><creatorcontrib>Fontes, Leticia M.</creatorcontrib><creatorcontrib>Leite, Victor Hugo O.</creatorcontrib><creatorcontrib>Neto, José M.</creatorcontrib><creatorcontrib>Santos, Jéssica M.</creatorcontrib><creatorcontrib>Varjão, Lucas L.</creatorcontrib><creatorcontrib>Reis, Francisco P.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lima, Sonia O.</au><au>de Santana, Vanessa R.</au><au>Valido, Daisy P.</au><au>de Andrade, Renata L.B.</au><au>Fontes, Leticia M.</au><au>Leite, Victor Hugo O.</au><au>Neto, José M.</au><au>Santos, Jéssica M.</au><au>Varjão, Lucas L.</au><au>Reis, Francisco P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2017-12</date><risdate>2017</risdate><volume>66</volume><issue>6</issue><spage>1806</spage><epage>1813</epage><pages>1806-1813</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilateral RLS in both sexes are also described in this study.
This is a longitudinal study of consecutive patients who sought specific treatment from a private practitioner for severe PPH as classified on the Hyperhidrosis Disease Severity Scale (HDSS) from October 2005 to October 2014. The patients were asked to report the symptoms of PPH experienced in the immediate preoperative period and to complete a standardized QoL questionnaire developed by de Campos at least 12 months after RLS. Disease outcomes, recurrence of symptoms, and any adverse effects of surgery were evaluated after 30 days and at least 12 months after RLS.
Lumbar sympathectomy was performed 116 times in 58 patients; 30 days after surgery, PPH was resolved in all patients. Three patients (5.2%) reported transient thigh neuralgia, and 19 (32.7%) reported transient paresthesia in the lower limbs. There were no reports of retrograde ejaculation. At a minimum of 12 months after RLS, 49 of the 58 patients had fully and correctly answered the follow-up questionnaire and noted a mild (HDSS 2) to moderate (HDSS 3) increase in pre-existing compensatory sweating. One patient had a PPH relapse within 6 months. Improvement in QoL due to the resolution of PPH was reported in 98% of the 49 patients. None of the operations necessitated a change in the laparotomy approach, and none of the patients died.
RLS is safe and effective for the treatment of severe PPH in both sexes. There were no reports of retrograde ejaculation after resection of L3 and L4 ganglia. There was a mild to moderate increase in compensatory sweating in about half of the patients, but without any regret or dissatisfaction for having undergone the surgery because of a significant improvement in QoL.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29169540</pmid><doi>10.1016/j.jvs.2017.05.126</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cost of Illness Endoscopy - adverse effects Female Foot Ganglia, Sympathetic - physiopathology Ganglia, Sympathetic - surgery Humans Hyperhidrosis - diagnosis Hyperhidrosis - physiopathology Hyperhidrosis - surgery Longitudinal Studies Lumbosacral Region Male Patient Satisfaction Postoperative Complications - etiology Private Practice Quality of Life Recurrence Retrospective Studies Severity of Illness Index Surveys and Questionnaires Sweat Glands - innervation Sweating Sympathectomy - adverse effects Sympathectomy - methods Time Factors Treatment Outcome |
| title | Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis |
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