Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis

Abstract Background Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kyung Jae Hur, Hyong Woo Moon, Yong Hyun Park, Woong Jin Bae, Hyuk Jin Cho, U-Syn Ha, Ji Youl Lee, Sae Woong Kim, Sung-Hoo Hong
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Primary plantar hyperhidrosis Retroperitoneoscopic lumbar sympathectomy Compensatory sweating Infrared thermography Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3fe5528825e649c5b3de6634fb5777ee
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3fe5528825e649c5b3de6634fb5777ee
record_format	dspace
spelling	oai:doaj.org-article:3fe5528825e649c5b3de6634fb5777ee2021-11-14T12:09:29ZRetroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis10.1186/s12893-021-01393-y1471-2482https://doaj.org/article/3fe5528825e649c5b3de6634fb5777ee2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01393-yhttps://doaj.org/toc/1471-2482Abstract Background Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedures of retroperitoneoscopic lumbar sympathectomy (RLS) for treatment of PPH. Methods RLS was performed 60 times in 30 patients (18 men, 12 women) with PPH in our institution from May 2019 to October 2020. All procedures were carried out by laparoscopy with retroperitoneal approach. Clinical data including patient demographics and perioperative, postoperative outcomes were evaluated. Recurrence of symptoms, and any adverse effects of surgery were evaluated after 7 to 30 days in outpatient clinic, and thereafter every 6 months. Results Mean age of patients was 33.6 (± standard deviation 10.8) years. Fourteen and fifteen patients were previously treated with medical therapy or endoscopic thoracic sympathectomy (ETS) respectively. Mean preoperative quality of life (QoL) score of patients was 91.8 (VERY BAD), but postoperative 12 months (QoL) score decreased to 29.1 (MUCH BETTER). There was no serious postoperative complication. During the mean 22 months of follow-up period, no compensatory sweating was observed. Conclusions RLS can be a safe and effective surgical treatment for severe PPH, especially for the patients with persistent plantar sweating even after conservative management and ETS. RLS also could be offered to surgeons who are familiar with retroperitoneal space anatomy as feasible surgical treatment for PPH.Kyung Jae HurHyong Woo MoonYong Hyun ParkWoong Jin BaeHyuk Jin ChoU-Syn HaJi Youl LeeSae Woong KimSung-Hoo HongBMCarticlePrimary plantar hyperhidrosisRetroperitoneoscopic lumbar sympathectomyCompensatory sweatingInfrared thermographySurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Primary plantar hyperhidrosis Retroperitoneoscopic lumbar sympathectomy Compensatory sweating Infrared thermography Surgery RD1-811
spellingShingle	Primary plantar hyperhidrosis Retroperitoneoscopic lumbar sympathectomy Compensatory sweating Infrared thermography Surgery RD1-811 Kyung Jae Hur Hyong Woo Moon Yong Hyun Park Woong Jin Bae Hyuk Jin Cho U-Syn Ha Ji Youl Lee Sae Woong Kim Sung-Hoo Hong Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
description	Abstract Background Primary plantar hyperhidrosis (PPH) is an idiopathic disease, characterized by excessive sweating of the feet. It leads to significant disturbance in private and professional daily lifestyle, due to excessive sweating. The aim of this study is to present the safety, efficacy and procedures of retroperitoneoscopic lumbar sympathectomy (RLS) for treatment of PPH. Methods RLS was performed 60 times in 30 patients (18 men, 12 women) with PPH in our institution from May 2019 to October 2020. All procedures were carried out by laparoscopy with retroperitoneal approach. Clinical data including patient demographics and perioperative, postoperative outcomes were evaluated. Recurrence of symptoms, and any adverse effects of surgery were evaluated after 7 to 30 days in outpatient clinic, and thereafter every 6 months. Results Mean age of patients was 33.6 (± standard deviation 10.8) years. Fourteen and fifteen patients were previously treated with medical therapy or endoscopic thoracic sympathectomy (ETS) respectively. Mean preoperative quality of life (QoL) score of patients was 91.8 (VERY BAD), but postoperative 12 months (QoL) score decreased to 29.1 (MUCH BETTER). There was no serious postoperative complication. During the mean 22 months of follow-up period, no compensatory sweating was observed. Conclusions RLS can be a safe and effective surgical treatment for severe PPH, especially for the patients with persistent plantar sweating even after conservative management and ETS. RLS also could be offered to surgeons who are familiar with retroperitoneal space anatomy as feasible surgical treatment for PPH.
format	article
author	Kyung Jae Hur Hyong Woo Moon Yong Hyun Park Woong Jin Bae Hyuk Jin Cho U-Syn Ha Ji Youl Lee Sae Woong Kim Sung-Hoo Hong
author_facet	Kyung Jae Hur Hyong Woo Moon Yong Hyun Park Woong Jin Bae Hyuk Jin Cho U-Syn Ha Ji Youl Lee Sae Woong Kim Sung-Hoo Hong
author_sort	Kyung Jae Hur
title	Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_short	Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_full	Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_fullStr	Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_full_unstemmed	Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
title_sort	retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3fe5528825e649c5b3de6634fb5777ee
work_keys_str_mv	AT kyungjaehur retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT hyongwoomoon retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT yonghyunpark retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT woongjinbae retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT hyukjincho retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT usynha retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT jiyoullee retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT saewoongkim retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis AT sunghoohong retroperitoneoscopiclumbarsympathectomyforthetreatmentofprimaryplantarhyperhidrosis
_version_	1718429398439297024

Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis

Ejemplares similares