Eficacia, complicaciones, efectos secundarios en pacientes intervenidos de simpatectomía videotoracoscópica por hiperhidrosis primaria, Hospital José Carrasco Arteaga, Cuenca 2013 - 2017

Abstract

Background: Hyperhidrosis is characterized by exaggerated sweating in one or several parts of the body, being primary when there is no known cause. This pathology generates a social problem that interferes with the daily activity and interpersonal relationships of the subjects who suffer it. Currently, video-assisted thoracoscopic access sympathectomy (VATS) is the treatment standard. Objective: to determine the efficacy, complications and side effects in the immediate postoperative period of patients with primary hyperhidrosis who underwent videothoracoscopic sympathectomy (VATS) at the José Carrasco Arteaga Hospital. Methodology and technique: an observational, descriptive study was carried out, in which the sample corresponded to 130 patients undergoing surgery for sympathectomy (VATS) in the "José Carrasco Arteaga" Hospital during the corresponding period from January 2013 to December 2017. Results: 130 patients analyzed, the majority were female (67.69%) with a 2 to 1 ratio, the average age was 28.85 years. The areas of greatest hyperhidrosis were combined, affecting 60% of the patients who underwent surgery. The site chosen most frequently for the section of the sympathetic chain was T2-T4 with 50.77%. A frequency of 13.08% complications was found; The adverse effect that occurred most frequently was compensatory sweating. The efficiency found of the procedure was 97.69%. Conclusions: Video-assisted thoracoscopic sympathectomy is a safe and effective procedure with a low percentage of complications and adverse effects.