Quality of life in 243 patients with primary palmar hyperhidrosis after endoscopic thoracic sympathicotomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIN Qingcai ¹ , LIN Jianbo ^1,2 , TU Yuanrong ^1,2 ,  CHEN Jianfeng ^1,2 ,  LIN Min ^1,2

1. Graduate School of Fujian Medical University, Fuzhou, 350004, P. R. China;
2. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, P. R. China;

Corresponding author：

CHEN Jianfeng, Email: chenjianfeng2006@sina.com; LIN Min, Email: 1068919@qq.com

Keywords：

Primary palmar hyperhidrosis; endoscopic thoracic sympathicotomy; quality of life; compensatory hyperhidrosis

DOI：

10.7507/1007-9424.202104053

Video：

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Objective To evaluate the quality of life (QOL) in patients with primary palmar hyperhidrosis (PPH) after endoscopic thoracic sympathicotomy (ETS) and analyze the influencing factors. Methods A total of 243 patients (118 males and 125 females, with an average age of 21.99±6.31 years) with PPH who were successfully treated with ETS (only T3 level thoracic sympathicotomy) in our hospital from January 2017 to January 2018 were enrolled, and the World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) was used to assess the QOL scores before and after ETS. By establishing a linear regression model of gender, age, body mass index, compensatory hyperhidrosis (CH) and palm dryness, and the relationship between the changes of the QOL scores and various factors was studied. Results The total QOL score after surgery was higher than that before surgery (63.01±4.58 vs. 48.11±1.95, P<0.05). Compared with the negative group of CH, the QOL score decreased by 4.662 in the postoperative CH patients. For every grade of CH severity increasing, the QOL score decreased by 3.449. Compared with the negative group, the QOL scores decreased by 1.804 and 2.400 respectively for every grade of CH severity increasing in the patients with postoperative chest and back CH. Conclusion ETS can not only improve the symptoms of abnormal palmar hyperhidrosis, but also significantly improve the QOL. Severe chest and back CH is an important factor affecting the QOL of patients.

Citation： LIN Qingcai, LIN Jianbo, TU Yuanrong, CHEN Jianfeng, LIN Min. Quality of life in 243 patients with primary palmar hyperhidrosis after endoscopic thoracic sympathicotomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(3): 294-300. doi: 10.7507/1007-9424.202104053 Copy

1.	Tu YR, Li X, Lin M, et al. Epidemiological survey of primary palmar hyperhidrosis in adolescent in Fuzhou of People's Republic of China. Eur J Cardiothorac Surg, 2007, 31(4): 737-739.
2.	Wade R, Llewellyn A, Jones-Diette J, et al. Interventional management of hyperhidrosis in secondary care: A systematic review. Br J Dermatol, 2018, 179(3): 599-608.
3.	Dogru MV, Sezen CB, Girgin O, et al. Is there any relationship between quality of life and the level of sympathectomy in primary palmar hyperhidrosis? Single-center experience. Gen Thorac Cardiovasc Surg, 2020, 68(3): 273-279.
4.	Chen S, Zhang P, Chai T, et al. T3 versus T4 video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: A protocol for a systematic review and meta-analysis. Medicine (Baltimore), 2019, 98(42): e17272.
5.	Hasimoto EN, Cataneo DC, Reis TAD, et al. Hyperhidrosis: Prevalence and impact on quality of life. J Bras Pneumol, 2018, 44(4): 292-298.
6.	Chen J, Liu Y, Yang J, et al. Endoscopic thoracic sympathicotomy for primary palmar hyperhidrosis: A retrospective multicenter study in China. Surgery, 2019, 166(6): 1092-1098.
7.	Galadari H, Galadari I, Smit R, et al. Treatment approaches and outcomes associated with the use of abobotulinumtoxin A for the treatment of hyperhidrosis: A systematic review. J Am Acad Dermatol, 2020, 85(5): 1121-1129.
8.	Wolosker N, Faustino CB, de Campos JRM, et al. Comparative analysis of the results of videothoracoscopic sympathectomy in the treatment of hyperhidrosis in adolescent patients. J Pediatr Surg, 2020, 55(3): 418-424.
9.	Almeida ART, Ferrari F, Restrepo MVS, et al. Oxybutynin in primary hyperhidrosis: A long-term real-life study. Dermatol Ther, 2020, 33(6): e14344.
10.	Nachira D, Meacci E, Congedo MT, et al. Rib-oriented thoracoscopic sympathetic surgery for hyperhidrosis: Prospective long-term results and quality of life. Surg Laparosc Endosc Percutan Tech, 2021, 31(3): 307-312.
11.	Young P, Chimondeguy D, Montes Onganía A, et al. Bilateral video-assisted thoracic sympathicotomy for hiperhidrosis: Analysis of 102 patients. Medicina (B Aires), 2021, 81(1): 54-61.
12.	Ruan GJ, Thuppal S, Sawyer JD, et al. Compensatory hyperhidrosis and quality of life post sympathectomy for palmar hyperhidrosis. Am Surg, 2019, 85(4): 438-440.
13.	Wei Y, Xu ZD, Li H. Quality of life after thoracic sympathectomy for palmar hyperhidrosis: A meta-analysis. Gen Thorac Cardiovasc Surg, 2020, 68(8): 746-753.
14.	Horslen LC, Wilshire CL, Louie BE, et al. Long-term impact of endoscopic thoracic sympathectomy for primary palmar hyperhidrosis. Ann Thorac Surg, 2018, 106(4): 1008-1012.
15.	Gebitekin C, Melek H, Cetinkaya G, et al. Intercostal nerve reconstruction for severe compensatory hyperhidrosis: The Gebitekin technique. Ann Thorac Surg, 2021, 111(6): e443-e446.
16.	涂远荣, 林敏, 陈剑锋, 等. 胸交感神经切断术治疗原发性手汗症 2206 例: 10 年结果和分析. 中国微创外科杂志, 2017, 17(2): 99-103.
17.	Hajjar WM, Al-Nassar SA, Al-Sharif HM, et al. The quality of life and satisfaction rate of patients with upper limb hyperhidrosis before and after bilateral endoscopic thoracic sympathectomy. Saudi J Anaesth, 2019, 13(1): 16-22.
18.	涂远荣, 刘彦国, 中国手汗症微创治疗临床指南编写委员会. 中国手汗症微创治疗临床指南 (2021 年版). 中国胸心血管外科临床杂志, 2021, 28(10): 1133-1139.
19.	Gabes M, Jourdan C, Schramm K, et al. Hyperhidrosis Quality of Life Index (HidroQoL©): Further validation and clinical application in patients with axillary hyperhidrosis using data from a phase Ⅲ randomized controlled trial. Br J Dermatol, 2021, 184(3): 473-481.
20.	Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med, 1998, 28(3): 551-558.
21.	De Marinis M, Colaizzo E, Petrelli RA, et al. Alterations in cardiovascular autonomic function tests in idiopathic hyperhidrosis. Auton Neurosci, 2012, 167(1-2): 34-38.
22.	Wade R, Jones-Diette J, Wright K, et al. Hyperhidrosis quality of life measures: Review and patient perspective. J Dermatolog Treat, 2019, 30(3): 303-308.
23.	Parrish C, Waldbaum B, Coleman D, et al. Microwave thermolysis reduces generalized and social anxiety in young adults with axillary hyperhidrosis. Lasers Surg Med, 2020, 52(9): 842-847.
24.	Yamamoto H, Okada M. The management of compensatory sweating after thoracic sympathectomy. J Thorac Cardiovasc Surg, 2019, 158(5): 1481-1488.
25.	Faustino CB, Milanez de Campos JR, Kauffman P, et al. Analysis of the results of videotoracoscopic sympathectomy in the treatment of hyperhidrosis in patients 40 years or older. Ann Vasc Surg, 2020, 65: 107-112.
26.	Soares TJ, Dias PG, Sampaio SM. Impact of video-assisted thoracoscopic sympathectomy and related complications on quality of life according to the level of sympathectomy. Ann Vasc Surg, 2020, 63: 63-67.
27.	Qian K, Feng YG, Zhou JH, et al. Anxiety after sympathectomy in patients with primary palmar hyperhidrosis may prolong the duration of compensatory hyperhidrosis. J Cardiothorac Surg, 2018, 13(1): 54.

1. Tu YR, Li X, Lin M, et al. Epidemiological survey of primary palmar hyperhidrosis in adolescent in Fuzhou of People's Republic of China. Eur J Cardiothorac Surg, 2007, 31(4): 737-739.
2. Wade R, Llewellyn A, Jones-Diette J, et al. Interventional management of hyperhidrosis in secondary care: A systematic review. Br J Dermatol, 2018, 179(3): 599-608.
3. Dogru MV, Sezen CB, Girgin O, et al. Is there any relationship between quality of life and the level of sympathectomy in primary palmar hyperhidrosis? Single-center experience. Gen Thorac Cardiovasc Surg, 2020, 68(3): 273-279.
4. Chen S, Zhang P, Chai T, et al. T3 versus T4 video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: A protocol for a systematic review and meta-analysis. Medicine (Baltimore), 2019, 98(42): e17272.
5. Hasimoto EN, Cataneo DC, Reis TAD, et al. Hyperhidrosis: Prevalence and impact on quality of life. J Bras Pneumol, 2018, 44(4): 292-298.
6. Chen J, Liu Y, Yang J, et al. Endoscopic thoracic sympathicotomy for primary palmar hyperhidrosis: A retrospective multicenter study in China. Surgery, 2019, 166(6): 1092-1098.
7. Galadari H, Galadari I, Smit R, et al. Treatment approaches and outcomes associated with the use of abobotulinumtoxin A for the treatment of hyperhidrosis: A systematic review. J Am Acad Dermatol, 2020, 85(5): 1121-1129.
8. Wolosker N, Faustino CB, de Campos JRM, et al. Comparative analysis of the results of videothoracoscopic sympathectomy in the treatment of hyperhidrosis in adolescent patients. J Pediatr Surg, 2020, 55(3): 418-424.
9. Almeida ART, Ferrari F, Restrepo MVS, et al. Oxybutynin in primary hyperhidrosis: A long-term real-life study. Dermatol Ther, 2020, 33(6): e14344.
10. Nachira D, Meacci E, Congedo MT, et al. Rib-oriented thoracoscopic sympathetic surgery for hyperhidrosis: Prospective long-term results and quality of life. Surg Laparosc Endosc Percutan Tech, 2021, 31(3): 307-312.
11. Young P, Chimondeguy D, Montes Onganía A, et al. Bilateral video-assisted thoracic sympathicotomy for hiperhidrosis: Analysis of 102 patients. Medicina (B Aires), 2021, 81(1): 54-61.
12. Ruan GJ, Thuppal S, Sawyer JD, et al. Compensatory hyperhidrosis and quality of life post sympathectomy for palmar hyperhidrosis. Am Surg, 2019, 85(4): 438-440.
13. Wei Y, Xu ZD, Li H. Quality of life after thoracic sympathectomy for palmar hyperhidrosis: A meta-analysis. Gen Thorac Cardiovasc Surg, 2020, 68(8): 746-753.
14. Horslen LC, Wilshire CL, Louie BE, et al. Long-term impact of endoscopic thoracic sympathectomy for primary palmar hyperhidrosis. Ann Thorac Surg, 2018, 106(4): 1008-1012.
15. Gebitekin C, Melek H, Cetinkaya G, et al. Intercostal nerve reconstruction for severe compensatory hyperhidrosis: The Gebitekin technique. Ann Thorac Surg, 2021, 111(6): e443-e446.
16. 涂远荣, 林敏, 陈剑锋, 等. 胸交感神经切断术治疗原发性手汗症 2206 例: 10 年结果和分析. 中国微创外科杂志, 2017, 17(2): 99-103.
17. Hajjar WM, Al-Nassar SA, Al-Sharif HM, et al. The quality of life and satisfaction rate of patients with upper limb hyperhidrosis before and after bilateral endoscopic thoracic sympathectomy. Saudi J Anaesth, 2019, 13(1): 16-22.
18. 涂远荣, 刘彦国, 中国手汗症微创治疗临床指南编写委员会. 中国手汗症微创治疗临床指南 (2021 年版). 中国胸心血管外科临床杂志, 2021, 28(10): 1133-1139.
19. Gabes M, Jourdan C, Schramm K, et al. Hyperhidrosis Quality of Life Index (HidroQoL©): Further validation and clinical application in patients with axillary hyperhidrosis using data from a phase Ⅲ randomized controlled trial. Br J Dermatol, 2021, 184(3): 473-481.
20. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med, 1998, 28(3): 551-558.
21. De Marinis M, Colaizzo E, Petrelli RA, et al. Alterations in cardiovascular autonomic function tests in idiopathic hyperhidrosis. Auton Neurosci, 2012, 167(1-2): 34-38.
22. Wade R, Jones-Diette J, Wright K, et al. Hyperhidrosis quality of life measures: Review and patient perspective. J Dermatolog Treat, 2019, 30(3): 303-308.
23. Parrish C, Waldbaum B, Coleman D, et al. Microwave thermolysis reduces generalized and social anxiety in young adults with axillary hyperhidrosis. Lasers Surg Med, 2020, 52(9): 842-847.
24. Yamamoto H, Okada M. The management of compensatory sweating after thoracic sympathectomy. J Thorac Cardiovasc Surg, 2019, 158(5): 1481-1488.
25. Faustino CB, Milanez de Campos JR, Kauffman P, et al. Analysis of the results of videotoracoscopic sympathectomy in the treatment of hyperhidrosis in patients 40 years or older. Ann Vasc Surg, 2020, 65: 107-112.
26. Soares TJ, Dias PG, Sampaio SM. Impact of video-assisted thoracoscopic sympathectomy and related complications on quality of life according to the level of sympathectomy. Ann Vasc Surg, 2020, 63: 63-67.
27. Qian K, Feng YG, Zhou JH, et al. Anxiety after sympathectomy in patients with primary palmar hyperhidrosis may prolong the duration of compensatory hyperhidrosis. J Cardiothorac Surg, 2018, 13(1): 54.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Quality of life in 243 patients with primary palmar hyperhidrosis after endoscopic thoracic sympathicotomy

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