title: Improvement in quality of life after bilateral transthoracic endoscopic sympathectomy for palmar hyperhydrosis.
abstract: OBJECTIVE
  To evaluate the efficacy of bilateral transthoracic endoscopic sympathectomy (TES), in alleviating symptoms and improving quality of life for patients in Hawaii.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Patients who had undergone TES were evaluated by phone interview and the SF-36 questionnaire to assess improvements in symptoms and the development of compensatory hyperhydrosis. SF-36 scores were divided into 8 scales and evaluated by one-tailed t-test.
  
  
  RESULTS
  Since 1999, eight patients (five women and three men, mean age 27.4 years old, range 15-41 yrs) underwent TES without significant complication. Length of hospital stay was less than one day for all patients except one, who stayed four days. Estimated operative blood lost was less than 100 ml and no blood transfusions were required. No Horner's syndrome was suffered. After a mean follow-up of 7.0 months (range 1.2-15.8 months), none of the patients had recurrent symptoms in the palms but all reported moderate compensatory hyperhydrosis located mainly in the trunk and lower extremities (two patients). SF-36 scores showed significant improvements in social functioning (p < 0.005), mental health (p < 0.049), and role-physical (p < 0.020) along with an increase in bodily pain (p < 0.012).
  
  
  CONCLUSIONS
  Although TES resulted in some bodily pain and compensatory hyperhydrosis; these elements were outweighed by the improvement in palmar symptoms, social, mental, and role physical functioning, and overall quality of life.
authors: W T
authors: WT
authors: Lau
authors: J D
authors: JD
authors: Lee
authors: C R
authors: CR
authors: Dang
authors: L
authors: L
authors: Lee
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D015171:Ganglionectomy / Q000379:methods*; D006801:Humans; D006945:Hyperhidrosis / Q000523:psychology / Q000601:surgery*; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D013906:Thoracoscopy