title: Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis.
abstract: to compare the intensity of reflex sweating with the degree of anxiety and its interference in the quality of life of patients undergoing Thoracoscopic (VATS) sympathectomy in the pre- and postoperative period.
  we evaluated 54 patients with a mean age of 26 years (16-49 years) undergoing sympathectomy in the R3-R4 level. We applied two questionnaires at three different times: "Quality of life in patients with primary hyperhidrosis" and "Scale for anxiety and depression".
  of the patients studied, 93% showed significant improvement in quality of life 30 days after surgery, the effects remaining after six months. There were no postoperative complications. The patient's level of anxiety is highly correlated with the intensity of reflex sweating after 30 and 180 days.
  Thoracoscopic sympathectomy improves quality of life of patients with primary hyperhidrosis, even with the emergence of reflex sweating. Anxiety directly relates to the intensity of reflex sweating, without compromising the degree of patient satisfaction.
  avaliar a intensidade de sudorese reflexa com o grau de ansiedade e sua interferência na qualidade de vida de indivíduos submetidos à simpatectomia por videotoracoscopia nos períodos pré e pós-operatório.
  foram avaliados 54 pacientes com média de idade de 26 anos (16 a 49 anos), submetidos à simpatectomia em nível R3-R4. Dois questionários foram aplicados em três momentos diferentes: "Qualidade de vida em pacientes com hiperidrose primária e "Escala para ansiedade e depressão".
  dos pacientes estudados, 93% mostrou melhora significativa na qualidade de vida após 30 dias da cirurgia, com os efeitos remanescentes após seis meses. Não houve complicações pós-operatórias. A análise mostrou que o nível de ansiedade do paciente é altamente correlacionado com a intensidade da sudorese reflexa após 30 e 180 dias.
  a simpatectomia torácica por videotoracoscopia melhora a qualidade de vida de pacientes com hiperidrose primária, mesmo com o surgimento de sudorese reflexa. A ansiedade está diretamente relacionada com a intensidade da sudorese reflexa, sem comprometer o grau de satisfação do paciente.
authors.affiliation: Post-graduate Program in Surgery Sciences, Faculty of Medical Sciences, Campinas State University (Unicamp), Campinas, SP, Brazil.
authors.forename: Luciara Irene DE Nadai
authors.initials: LI
authors.lastname: Dias
authors.affiliation: Post-graduate Program in Internal Medicine, Faculty of Medical Sciences, Campinas State University (Unicamp), Campinas, SP, Brazil.
authors.forename: Eliana Cristina Martins
authors.initials: EC
authors.lastname: Miranda
authors.affiliation: Post-graduate Program in Surgery Sciences, Faculty of Medical Sciences, Campinas State University (Unicamp), Campinas, SP, Brazil.
authors.forename: Ivan Felizardo Contrera
authors.initials: IF
authors.lastname: Toro
authors.affiliation: Post-graduate Program in Surgery Sciences, Faculty of Medical Sciences, Campinas State University (Unicamp), Campinas, SP, Brazil.
authors.forename: Ricardo Kalaf
authors.initials: RK
authors.lastname: Mussi
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000150:complications / Q000453:epidemiology*; D003863:Depression / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D011788:Quality of Life; D012018:Reflex; D013546:Sweating; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D055815:Young Adult