Article ; Online: Thoracic sympathectomy for the treatment of primary axillary hyperhidrosis: systematic review and proportional meta-analysis.
2021 Volume 53, Issue 1, Page(s) 1216–1226
Abstract: Introduction: Primary hyperhidrosis is a disorder that involves excessive sweat production, which has a negative impact on the quality of life.: Objective: To evaluate the effectiveness and safety of video-assisted thoracoscopic sympathectomy (VATS) ... ...
Abstract | Introduction: Primary hyperhidrosis is a disorder that involves excessive sweat production, which has a negative impact on the quality of life. Objective: To evaluate the effectiveness and safety of video-assisted thoracoscopic sympathectomy (VATS) for treating primary axillary hyperhidrosis (PAH) and determine which level of ganglion resection offers the best outcome. Method: This was a systematic review and proportional meta-analysis of observational studies. The result was evaluated for satisfaction, control of symptoms, compensatory sweating and complications. A subgroup analysis was performed to compare the sympathetic trunk resection at high and low levels. Results: Thirteen studies were selected with a total of 1463 patients. The satisfaction rate was 92% (95% CI = 88-95%, Conclusion: This review demonstrated that thoracic sympathectomy by VATS is a viable and safe option for the treatment of PAH. There was no difference between high and lower levels of resection. However, the estimation of the effect is quite uncertain because the quality of evidence was extremely low.Key messagePure axillary hyperhidrosis has great potential to compromise quality of life.Surgery should be indicated only when clinical treatment fails.Thoracic sympathectomy by video-assisted thoracoscopy is a viable and safe option for the treatment of primary axillary hyperhidrosis. |
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MeSH term(s) | Humans ; Hyperhidrosis/psychology ; Hyperhidrosis/surgery ; Quality of Life ; Sympathectomy/methods ; Thoracic Surgery, Video-Assisted/methods ; Thoracoscopy ; Treatment Outcome |
Language | English |
Publishing date | 2021-08-07 |
Publishing country | England |
Document type | Journal Article ; Meta-Analysis ; Systematic Review |
ZDB-ID | 1004226-x |
ISSN | 1365-2060 ; 1651-2219 ; 0785-3890 ; 1743-1387 |
ISSN (online) | 1365-2060 ; 1651-2219 |
ISSN | 0785-3890 ; 1743-1387 |
DOI | 10.1080/07853890.2021.1953126 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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