Hyperhidrosis treated with thoracic sympathectomy in the highlands. Hospital III ESSALUD Juliaca.

Abstract

Primary hyperhidrosis is a disorder of excessive sweat production in the palms of the hands and frequently in the armpits, face and soles of the feet. Epidemiological studies have calculated an approximate incidence in the young population between 0.1 and 0.3%. It was carried out in the period between September 2008 and June 2010, the patients were recruited in the thoracic and cardiovascular surgery office of Hospital III Juliaca belonging to Social Security at 3850 meters above sea level, Province of San Román of the Department of Puno in Peru. Twenty-two thoracoscopic bilateral sympathectomy operations were performed, 9 were women and 13 men, the mean age was 37.9 with a range between 17 and 61. Operative incidences were pleural adhesions 9%, alveolopleural fistula 5%, the patient with alveolopleural fistula was necessary use chest drainage for 4 days, and in patients with adhesions, chest drainage was left for 1 day. The average length of stay was 2.3 days, with a range of 1 to 5 days. Postoperative complaints were compensatory sweating 36%, partial recurrence 9%, neuralgia 9%, dizziness 5%. Satisfaction after a year of operation 100%.