Quality of life after single-port endoscopic thoracic sympathectomy using holmium laser for palmar hyperhidrosis at Thai Binh General Hospital
Main Article Content
Abstract
Introduction: Primary hyperhidrosis of the hands severely impacts the psychology, daily life, and social interaction of patients. Endoscopic thoracic sympathectomy (ETS) is currently the most effective treatment method. However, assessment of quality of life after surgery remains limited, especially in provincial hospitals. The objective of the study is to evaluate the quality of life (QOL) of patients following uniportal thoracic sympathectomy using Holmium laser energy.
Subjects and Methods: This prospective descriptive study included 145 patients with primary hyperhidrosis of the hands who underwent single-port 3mm thoracic endoscopic surgery using a holmium laser at Thai Binh Provincial General Hospital. Quality of life was assessed preoperatively and at 1, 3, and 6 months postoperatively in terms of social activities, personal activities, emotions, and special situations.
Results: 100% of patients experienced dry hands after surgery. Quality of life scores improved significantly across all criteria (p < 0.001). The percentage of patients rated as having a very good quality of life increased from 21.5% before surgery to 82.6% after surgery. The rate of compensatory sweating was 62.7%, but it was mostly mild and did not significantly affect overall satisfaction.
Conclusion: Single-port ETS surgery using a holmium laser is a safe and effective method that significantly improves the quality of life for patients with hyperhidrosis of the hands.
Keywords
hyperhidrosis of the hands, single-port ETS, holmium laser, quality of life
Article Details
References
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