Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?

Detalhes bibliográficos
Autor(a) principal: Lima, Alexandre Garcia de [UNESP]
Data de Publicação: 2011
Outros Autores: Das-Neves-Pereira, Joao-Carlos [UNESP], Milanez de Campos, Jose Ribas [UNESP], Jatene, Fabio Biscegli [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1510/icvts.2010.245720
http://hdl.handle.net/11449/194749
Resumo: The main objective of this study was to determine if there are variations in the level of improvement of the palmar and plantar hyperhidrotic symptoms, as well as the incidence and intensity of the sudomotor reflex, throughout the seasons of the year, after thoracic sympathectomy for hyperhidrosis. The study also looks for the real impact of these variables in the long-term satisfaction. A cohort of 75 patients was followed through distinct seasons. A multivariate analysis was performed to identify possible variables responsible for dissatisfaction. Both the palmar (P=0.002) and plantar (P<0.001) symptoms and the presence and the intensity of the sudomotor reflex varies significantly throughout the seasons of the year. The sudomotor reflex was the main factor associated with low satisfaction in our patients in the summer (P=0.025) and winter (P<0.001) but in spring the lack of improvement in the hyperhidrosis in the foot was the unique factor related to dissatisfaction (P<0.001). The sudomotor reflex is the main negative factor in the summer and in the winter, independent of its intensity. However, at least in spring, the lack of removal of the plantar symptoms had a negative impact on satisfaction. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
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spelling Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?HyperhidrosisSympathectomySympathectomy/adverse effectsSeasonal variationsThe main objective of this study was to determine if there are variations in the level of improvement of the palmar and plantar hyperhidrotic symptoms, as well as the incidence and intensity of the sudomotor reflex, throughout the seasons of the year, after thoracic sympathectomy for hyperhidrosis. The study also looks for the real impact of these variables in the long-term satisfaction. A cohort of 75 patients was followed through distinct seasons. A multivariate analysis was performed to identify possible variables responsible for dissatisfaction. Both the palmar (P=0.002) and plantar (P<0.001) symptoms and the presence and the intensity of the sudomotor reflex varies significantly throughout the seasons of the year. The sudomotor reflex was the main factor associated with low satisfaction in our patients in the summer (P=0.025) and winter (P<0.001) but in spring the lack of improvement in the hyperhidrosis in the foot was the unique factor related to dissatisfaction (P<0.001). The sudomotor reflex is the main negative factor in the summer and in the winter, independent of its intensity. However, at least in spring, the lack of removal of the plantar symptoms had a negative impact on satisfaction. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.State Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Thorac & Cardiovasc Surg Postgrad Program, Sao Paulo, BrazilState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Dept Thorac Surg, Sao Paulo, BrazilState Univ Campinas UNICAMP, Sumare State Hosp, Dept Thorac Surg & Resp Endoscopy, Sao Paulo, BrazilState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Thorac & Cardiovasc Surg Postgrad Program, Sao Paulo, BrazilState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Dept Thorac Surg, Sao Paulo, BrazilOxford Univ PressUniversidade Estadual Paulista (Unesp)Universidade Estadual de Campinas (UNICAMP)Lima, Alexandre Garcia de [UNESP]Das-Neves-Pereira, Joao-Carlos [UNESP]Milanez de Campos, Jose Ribas [UNESP]Jatene, Fabio Biscegli [UNESP]2020-12-10T16:36:25Z2020-12-10T16:36:25Z2011-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article554-557http://dx.doi.org/10.1510/icvts.2010.245720Interactive Cardiovascular And Thoracic Surgery. Oxford: Oxford Univ Press, v. 12, n. 4, p. 554-557, 2011.1569-9293http://hdl.handle.net/11449/19474910.1510/icvts.2010.245720WOS:000309995500014Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInteractive Cardiovascular And Thoracic Surgeryinfo:eu-repo/semantics/openAccess2021-10-22T20:28:50Zoai:repositorio.unesp.br:11449/194749Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T15:59:52.609951Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
title Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
spellingShingle Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
Lima, Alexandre Garcia de [UNESP]
Hyperhidrosis
Sympathectomy
Sympathectomy/adverse effects
Seasonal variations
title_short Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
title_full Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
title_fullStr Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
title_full_unstemmed Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
title_sort Factors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?
author Lima, Alexandre Garcia de [UNESP]
author_facet Lima, Alexandre Garcia de [UNESP]
Das-Neves-Pereira, Joao-Carlos [UNESP]
Milanez de Campos, Jose Ribas [UNESP]
Jatene, Fabio Biscegli [UNESP]
author_role author
author2 Das-Neves-Pereira, Joao-Carlos [UNESP]
Milanez de Campos, Jose Ribas [UNESP]
Jatene, Fabio Biscegli [UNESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Universidade Estadual de Campinas (UNICAMP)
dc.contributor.author.fl_str_mv Lima, Alexandre Garcia de [UNESP]
Das-Neves-Pereira, Joao-Carlos [UNESP]
Milanez de Campos, Jose Ribas [UNESP]
Jatene, Fabio Biscegli [UNESP]
dc.subject.por.fl_str_mv Hyperhidrosis
Sympathectomy
Sympathectomy/adverse effects
Seasonal variations
topic Hyperhidrosis
Sympathectomy
Sympathectomy/adverse effects
Seasonal variations
description The main objective of this study was to determine if there are variations in the level of improvement of the palmar and plantar hyperhidrotic symptoms, as well as the incidence and intensity of the sudomotor reflex, throughout the seasons of the year, after thoracic sympathectomy for hyperhidrosis. The study also looks for the real impact of these variables in the long-term satisfaction. A cohort of 75 patients was followed through distinct seasons. A multivariate analysis was performed to identify possible variables responsible for dissatisfaction. Both the palmar (P=0.002) and plantar (P<0.001) symptoms and the presence and the intensity of the sudomotor reflex varies significantly throughout the seasons of the year. The sudomotor reflex was the main factor associated with low satisfaction in our patients in the summer (P=0.025) and winter (P<0.001) but in spring the lack of improvement in the hyperhidrosis in the foot was the unique factor related to dissatisfaction (P<0.001). The sudomotor reflex is the main negative factor in the summer and in the winter, independent of its intensity. However, at least in spring, the lack of removal of the plantar symptoms had a negative impact on satisfaction. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
publishDate 2011
dc.date.none.fl_str_mv 2011-04-01
2020-12-10T16:36:25Z
2020-12-10T16:36:25Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1510/icvts.2010.245720
Interactive Cardiovascular And Thoracic Surgery. Oxford: Oxford Univ Press, v. 12, n. 4, p. 554-557, 2011.
1569-9293
http://hdl.handle.net/11449/194749
10.1510/icvts.2010.245720
WOS:000309995500014
url http://dx.doi.org/10.1510/icvts.2010.245720
http://hdl.handle.net/11449/194749
identifier_str_mv Interactive Cardiovascular And Thoracic Surgery. Oxford: Oxford Univ Press, v. 12, n. 4, p. 554-557, 2011.
1569-9293
10.1510/icvts.2010.245720
WOS:000309995500014
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Interactive Cardiovascular And Thoracic Surgery
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 554-557
dc.publisher.none.fl_str_mv Oxford Univ Press
publisher.none.fl_str_mv Oxford Univ Press
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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