{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:00Z","timestamp":1740126840838,"version":"3.37.3"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Improvement in quality of life (QOL) and patient satisfaction after endoscopic thoracic sympathotomy (ETS) in patients with primary hyperhidrosis may be affected by various factors. We examined whether the preoperative sweating severity of primary hyperhidrosis sites affects postoperative results.<\/jats:p><jats:p>\n          Methods\u2003The records of 112 patients who underwent bilateral ETS were reviewed retrospectively. The patients were divided into three groups according to the sweating severity score obtained from all primary hyperhidrosis sites (primary hyperhidrosis severity score [PHSS]) and analyzed comparatively. Group A (PHSS\u2009=\u20091\u20134) included 22 patients, Group B (PHSS\u2009=\u20095\u20138) 36 patients, and Group C (PHSS \u2265 9) 54 patients. Outcome measures included QOL prior to surgery, improvement in QOL after surgery, degree of clinical improvement, presence, severity, localization, and site number of reflex sweating (RS) and general patient satisfaction after 6 months of surgery.<\/jats:p><jats:p>\n          Results\u2003The preoperative QOL of patients with higher PHSS (groups B, C) was worse than other patients (group A). More than 91% of all patients had any level improvement in QOL, and over 96% had slight or great clinical improvement. RS developed in 80% of the patients, mostly in the back, very severe in 8%, and in median two different body areas. The overall patient satisfaction rate was more than 95%. There was no significant difference between the three groups in terms of all postoperative results.<\/jats:p><jats:p>\n          Conclusion\u2003Preoperative sweating severity of primary hyperhidrosis sites does not affect post-sympathotomy results. Surgeons should not be worried when deciding upon surgery, even in patients with high sweating severity.<\/jats:p>","DOI":"10.1055\/s-0040-1716389","type":"journal-article","created":{"date-parts":[[2020,12,25]],"date-time":"2020-12-25T00:00:10Z","timestamp":1608854410000},"page":"159-166","source":"Crossref","is-referenced-by-count":0,"title":["Does the Sweating Severity of Primary Hyperhidrosis Sites Affect Post-Sympathotomy Results?"],"prefix":"10.1055","volume":"70","author":[{"given":"H\u00fcsey\u00edn Ula\u015f","family":"\u00c7\u0131nar","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicana International Samsun Hospital, Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7620-4497","authenticated-orcid":false,"given":"Bur\u00e7in","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ondokuz Mayis University Medical School, Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,12,24]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.jaad.2010.03.013","article-title":"Clinical differentiation of primary from secondary hyperhidrosis","volume":"64","author":"H W Walling","year":"2011","journal-title":"J Am Acad Dermatol"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1016\/j.jtcvs.2014.08.025","article-title":"Expanded level of sympathectomy and incidence or severity of compensatory hyperhidrosis","volume":"148","author":"M P Teivelis","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1590\/abd1806-4841.20175551","article-title":"Epidemiologic analysis of prevalence of the hyperhidrosis","volume":"92","author":"F A Estevan","year":"2017","journal-title":"An 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Wolosker","year":"2010","journal-title":"Clinics (S\u00e3o Paulo)"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1016\/j.jvs.2009.11.078","article-title":"Quality of life before surgery is a predictive factor for satisfaction among patients undergoing sympathectomy to treat hyperhidrosis","volume":"51","author":"N Wolosker","year":"2010","journal-title":"J Vasc Surg"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1007\/s00464-015-4335-2","article-title":"Long-term results of a randomized controlled trial of T2 versus T2-T3 ablation in endoscopic thoracic sympathectomy for palmar hyperhidrosis","volume":"30","author":"W Ong","year":"2016","journal-title":"Surg Endosc"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1055\/s-0038-1667317","article-title":"Number of preoperative hyperhidrosis sites does not affect the sympathectomy postoperative results and compensatory 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hyperhidrosis","volume":"45","author":"M A Munia","year":"2007","journal-title":"J Vasc Surg"},{"issue":"03","key":"ref38","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1590\/S1806-37132009000300004","article-title":"Compensatory sweating after thoracoscopic sympathectomy: characteristics, prevalence and influence on patient satisfaction","volume":"35","author":"C AA Ara\u00fajo","year":"2009","journal-title":"J Bras Pneumol"},{"issue":"05","key":"ref39","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1177\/1090820X11410869","article-title":"Definitive diagnosis and management of axillary hyperhidrosis: the VapoMeter and suction-assisted arthroscopic shaving","volume":"31","author":"D L Larson","year":"2011","journal-title":"Aesthet Surg J"}],"container-title":["The Thoracic and Cardiovascular 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