Simpatectomia lombar retroperitonioscópica no tratamento da hiperidrose plantar

Abstract

Introduction: Primary hyperidrosis (HP) is idiopathic and affects one or more regions of the body. It occurs mainly on palms, soles, armpits and face. Helders of plantar HP suffer not only from excessive sweating, but also from associated problems, leading to significant limitations on professional and personal lifestyle, with reduction on quality of life. The treatment aims stopping the sweting on soles, and surgical treatment is the only definitive one. Methods: Retrospective study of longitudinal design by convenience with 58 pacientes Who searched specific treatment for severe plantar primary hyperidrosis within October 2005 until March 2014. After at least 12 months of the surgery, a questionary which evaluated the surgical result of plantar hyperidrosis was applied, and also compensatory sweating, retrograde ejaculation, and relapse. Resultados: 116 lumbar sympathectomies were performed in 58 patients, out of which 36 belonged to female gender. Effective results were achieved in 57 patients, and 26 out of the total referred worsening of compensatory sweating. There was no history of retrograde ejaculation, and there was only one relapse. Conclusion: Lumbar retroperitonioscopic simpathectomy is safe and effective for the treatment of plantar primary hyperidrosis grave on both genders.