Transection of More Than One Sympathetic Chain Ganglion for Hyperhidrosis Increases the Severity of Compensatory Hyperhidrosis and Decreases Patient Satisfaction1

Benny Weksler, Gayley Blaine, Zemilson B B Souza, Rodrigo Gavina

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Sympathectomy (ETS) is an effective treatment for hyperhidrosis (HH), but compensatory hyperhidrosis (CH) is a common side effect. We reviewed our experience with 200 patients. Two hundred patients were retrospectively analyzed. Patients completed a questionnaire regarding their postoperative symptoms [% improvement score (IS), CH score], and their level of dissatisfaction, which was assessed as a function of regretting the choice to undergo ETS. Significance set at P ≤ 0.05. There were 123 (61.5%) females. Mean age was 28.2 ± 7.4. Follow-up (mo) was 20.9 ± 12.1. One ganglion was transected in 112 (56%) patients (G1), and more than one in 88 (G2). Overall, 157 (78.5%) patients had CH, 88 (74.1%) patients in G1 and 74 (84.1%) in G2, P = 0.06. Patients in G2 had a higher CH score (4.1 ± 2.7 versus 3.0 ± 2.5, P < 0.01), and a higher number of patients regretting surgery (11.4% versus 3.6%, P = 0.05). Multivariate analysis showed age, high CH score, and surgery on T2 as independent predictors of patient's dissatisfaction (P < 0.05). Patients with more than one ganglion transected demonstrate a trend toward a higher incidence of CH, a significantly higher CH score, and are more dissatisfied with ETS. Age, surgery on T2, and high CH score are independent predictors of patient's dissatisfaction.

Original languageEnglish (US)
Pages (from-to)110-115
Number of pages6
JournalJournal of Surgical Research
Volume156
Issue number1
DOIs
StatePublished - Sep 1 2009
Externally publishedYes

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Hyperhidrosis
Sympathetic Ganglia
Ganglia
Sympathectomy
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Transection of More Than One Sympathetic Chain Ganglion for Hyperhidrosis Increases the Severity of Compensatory Hyperhidrosis and Decreases Patient Satisfaction1 . / Weksler, Benny; Blaine, Gayley; Souza, Zemilson B B; Gavina, Rodrigo.

In: Journal of Surgical Research, Vol. 156, No. 1, 01.09.2009, p. 110-115.

Research output: Contribution to journalArticle

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abstract = "Sympathectomy (ETS) is an effective treatment for hyperhidrosis (HH), but compensatory hyperhidrosis (CH) is a common side effect. We reviewed our experience with 200 patients. Two hundred patients were retrospectively analyzed. Patients completed a questionnaire regarding their postoperative symptoms [{\%} improvement score (IS), CH score], and their level of dissatisfaction, which was assessed as a function of regretting the choice to undergo ETS. Significance set at P ≤ 0.05. There were 123 (61.5{\%}) females. Mean age was 28.2 ± 7.4. Follow-up (mo) was 20.9 ± 12.1. One ganglion was transected in 112 (56{\%}) patients (G1), and more than one in 88 (G2). Overall, 157 (78.5{\%}) patients had CH, 88 (74.1{\%}) patients in G1 and 74 (84.1{\%}) in G2, P = 0.06. Patients in G2 had a higher CH score (4.1 ± 2.7 versus 3.0 ± 2.5, P < 0.01), and a higher number of patients regretting surgery (11.4{\%} versus 3.6{\%}, P = 0.05). Multivariate analysis showed age, high CH score, and surgery on T2 as independent predictors of patient's dissatisfaction (P < 0.05). Patients with more than one ganglion transected demonstrate a trend toward a higher incidence of CH, a significantly higher CH score, and are more dissatisfied with ETS. Age, surgery on T2, and high CH score are independent predictors of patient's dissatisfaction.",
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