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

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Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorUniversidade Estadual de Campinas (UNICAMP)-
Autor(es): dc.creatorLima, Alexandre Garcia de [UNESP]-
Autor(es): dc.creatorDas-Neves-Pereira, Joao-Carlos [UNESP]-
Autor(es): dc.creatorMilanez de Campos, Jose Ribas [UNESP]-
Autor(es): dc.creatorJatene, Fabio Biscegli [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:03:45Z-
Data de disponibilização: dc.date.available2022-02-22T00:03:45Z-
Data de envio: dc.date.issued2020-12-09-
Data de envio: dc.date.issued2020-12-09-
Data de envio: dc.date.issued2011-04-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1510/icvts.2010.245720-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/194749-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/194749-
Descrição: dc.descriptionThe 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.-
Descrição: dc.descriptionState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Thorac & Cardiovasc Surg Postgrad Program, Sao Paulo, Brazil-
Descrição: dc.descriptionState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Dept Thorac Surg, Sao Paulo, Brazil-
Descrição: dc.descriptionState Univ Campinas UNICAMP, Sumare State Hosp, Dept Thorac Surg & Resp Endoscopy, Sao Paulo, Brazil-
Descrição: dc.descriptionState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Thorac & Cardiovasc Surg Postgrad Program, Sao Paulo, Brazil-
Descrição: dc.descriptionState Univ Sao Paulo USP, Sch Med, Heart Inst InCor, Dept Thorac Surg, Sao Paulo, Brazil-
Formato: dc.format554-557-
Idioma: dc.languageen-
Publicador: dc.publisherOxford Univ Press-
Relação: dc.relationInteractive Cardiovascular And Thoracic Surgery-
???dc.source???: dc.sourceWeb of Science-
Palavras-chave: dc.subjectHyperhidrosis-
Palavras-chave: dc.subjectSympathectomy-
Palavras-chave: dc.subjectSympathectomy/adverse effects-
Palavras-chave: dc.subjectSeasonal variations-
Título: dc.titleFactors affecting long-term satisfaction after thoracic sympathectomy for palmar and plantar hyperhidrosis. Is the sudomotor reflex the only villain?-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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