Journals / Haseki Tıp Bülteni / 2021 / Cilt: 59 - Sayı: 2

Comparison of Treatment Results and Satisfaction Levels of Endoscopic Thoracic Sympathectomy Techniques Performed in Primary Focal Hyperhidrosis

Pages
172–177
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Results: As a result of the Univariate Logistic Regression Analysis, it was found that the increase in age among all cases increased the risk of dissatisfaction with the treatment [odds ratio (OR): 1.11, 95% confidence interval (CI): 1.03-1.20, p=0.005] whereas the cauterization method (OR: 0.26, 95% CI: 0.09-0.77, p=0.015), absence of recurrence (OR: 0.03, 95% CI: 0.01-0.12, p<0.001), and absence of reflex sweating (OR: 0.09, 95% CI: 0.01-0.68, p=0.020) increased the satisfaction in all patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This study aims to investigate whether the cauterization or clipping techniques performed in endoscopic thoracic sympathectomy surgery (ETS) in a tertiary center differ in terms of postoperative results and satisfaction level and to compare the results according to the surgical methods performed.
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Key Findings & Data:Methods: In the study, the data of 94 cases treated with ETS due to primary focal hyperhidrosis in a thoracic surgery clinic between 2015 and 2018, were retrospectively analyzed.
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Conclusion & Impact:Results: As a result of the Univariate Logistic Regression Analysis, it was found that the increase in age among all cases increased the risk of dissatisfaction with the treatment [odds ratio (OR): 1.11, 95% confidence interval (CI): 1.03-1.20, p=0.005] whereas the cauterization method (OR: 0.26, 95% CI: 0.09-0.77, p=0.015), absence of recurrence (OR: 0.03, 95% CI: 0.01-0.12, p<0.001), and absence of reflex sweating (OR: 0.09, 95% CI: 0.01-0.68, p=0.020) increased the satisfaction in all patients.
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Özet

Aim: This study aims to investigate whether the cauterization or clipping techniques performed in endoscopic thoracic sympathectomy surgery (ETS) in a tertiary center differ in terms of postoperative results and satisfaction level and to compare the results according to the surgical methods performed. Methods: In the study, the data of 94 cases treated with ETS due to primary focal hyperhidrosis in a thoracic surgery clinic between 2015 and 2018, were retrospectively analyzed. Patients consisted of two different surgical groups. The cauterization method was performed on 56 (59.6%) of the patients whereas the clipping was performed on 38 (40.4%) of them. The patients were compared in terms of recurrence, reflex sweating, and satisfaction, as well as demographic characteristics. Results: As a result of the Univariate Logistic Regression Analysis, it was found that the increase in age among all cases increased the risk of dissatisfaction with the treatment [odds ratio (OR): 1.11, 95% confidence interval (CI): 1.03-1.20, p=0.005] whereas the cauterization method (OR: 0.26, 95% CI: 0.09-0.77, p=0.015), absence of recurrence (OR: 0.03, 95% CI: 0.01-0.12, p<0.001), and absence of reflex sweating (OR: 0.09, 95% CI: 0.01-0.68, p=0.020) increased the satisfaction in all patients. Conclusion: The increase in age, the clipping method, the presence of recurrence, and the presence of reflexive sweating are the risks of decreasing the level of patient satisfaction.

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Cite This Article

ÖZDEMİR, S. (2021). Comparison of Treatment Results and Satisfaction Levels of Endoscopic Thoracic Sympathectomy Techniques Performed in Primary Focal Hyperhidrosis. Haseki Tıp Bülteni, Cilt: 59 - Sayı: 2, 172–177. https://ajindex.com/articles/267755

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