Avaliação da qualidade de vida em pacientes com hiperidrose axilar, palmar e áxilo - palmar submetidos à simpaticotomia

Abstract

To evaluate the quality of life in patients with axillary, palmar and palmar - soft hyperhidrosis submitted to bilateral videothoracoscopic sympathectomy with cauterization at R4 - R5 levels in the pre and postoperative periods. A qualitative retrospective observational study of the before and after method through the analysis of medical records and the application of questionnaires, from January 2013 to July 2015 in patients of the discipline of Thoracic Surgery, Hospital Universitário Pedro Ernesto (HUPE), State University of Rio de January (UERJ). A total of 47 patients participated in the study. The appearance of compensatory sweating was observed in 13 patients. The post-procedure satisfaction index was 97.8%. Quality of life after the procedure was 73.3% and all domains showed a statistically significant difference. In the present study, the results suggested that bilateral video-assisted thoracoscopic sympatyotomy at R4-R5 levels is a valid and safe procedure for the treatment of primary focal hyperhidrosis with axillary, palmar and axillary-palmar symptoms and with low rates of compensatory sweating. The results are within the reported occurrence in the literature by other types of interruption and levels studied, and the satisfaction index of the studied patients was high. In the evaluation of patients' quality of life in the pre- and post-procedure period, each of the evaluated items showed a significant difference between the time before and after the procedure. With this, and with the score of each item evaluated in their research, it is possible to verify the influence of the procedure in the important improvement of the quality of life of the patients of the sample.