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Relationship between anxiety, depression and quality of life with the intensity of reflex sweating after thoracoscopic sympathectomy for treatment of primary hyperhidrosis / Relação entre ansiedade, depressão e qualidade de vida com a intensidade da sudorese reflexa após simpatectomia torácica por videocirurgia para tratamento da hiperidrose primária
Dias, Luciara Irene de Nadai; Miranda, Eliana Cristina Martins; Toro, Ivan Felizardo Contrera; Mussi, Ricardo Kalaf.
  • Dias, Luciara Irene de Nadai; Campinas State University. Faculty of Medical Sciences. Post-graduate Program in Surgery Sciences. Campinas. BR
  • Miranda, Eliana Cristina Martins; Campinas State University. Faculty of Medical Sciences. Post-graduate Program in Surgery Sciences. Campinas. BR
  • Toro, Ivan Felizardo Contrera; Campinas State University. Faculty of Medical Sciences. Post-graduate Program in Surgery Sciences. Campinas. BR
  • Mussi, Ricardo Kalaf; Campinas State University. Faculty of Medical Sciences. Post-graduate Program in Surgery Sciences. Campinas. BR
Rev. Col. Bras. Cir ; 43(5): 354-359, Sept.-Oct. 2016. tab, graf
Article in English | LILACS | ID: biblio-829597
ABSTRACT
ABSTRACT

Objective:

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.

Methods:

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".

Results:

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.

Conclusion:

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.
RESUMO
RESUMO

Objetivo:

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.

Métodos:

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".

Resultados:

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.

Conclusão:

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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Anxiety / Quality of Life / Reflex / Sweating / Sympathectomy / Thoracoscopy / Depression / Hyperhidrosis Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Campinas State University/BR

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Full text: Available Index: LILACS (Americas) Main subject: Anxiety / Quality of Life / Reflex / Sweating / Sympathectomy / Thoracoscopy / Depression / Hyperhidrosis Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Campinas State University/BR