hyperhidrosis
Conditions
Interventions
Group 1: 18 patients with primary hyperhidrosis who underwent sympathectomy surgery using the carbothorax technique. Group 2: 18 patients with primary hyperhidrosis who underwent sympathetic surgery u
Procedure/surgery
E01.370.388.250.840
Sponsors
Universidade Federal de SAão Paulo
Hospital Estadual de Diadema
Eligibility
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 40 years. ASA 1 and 2. Ability to understand the scales for assessing pain intensity and performing spirometry.
Exclusion criteria
Exclusion criteria: Previous respiratory diseases (both obstructive and restrictive). History of upper airway infection in the last 2 months prior to surgery. Smoking. Severe heart disease (NYHA class III or IV, acute coronary syndrome or tachyarrhythmias). Insulin-dependent diabetes mellitus. Obese morbid. Use of illicit drugs. Pregnancy. Previous lung surgery. Mechanical ventilation in the last 30 days. Contraindication for total intravenous anesthesia. Refusal of the patient to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary function was assessed in the immediate and late postoperative period through pulmonary spirometry exam between the two groups undergoing thoracic sympathectomy, with a similar FEV1 behavior in both groups, with no difference in the immediate postoperative period (p 0.291) and late (p 0.328), using ANOVA model of repeated measures. | — |
Secondary
| Measure | Time frame |
|---|---|
| Respiratory parameters were evaluated in the comparison between the two groups submitted to thoracic sympathectomy: oxygen saturation and expired CO2 being assessed through non-invasive monitoring and pH, PaO2, PaCO2, HCO3- and excess bases through arterial blood gases. blood, with an intraoperative pH drop (p 0.001) and an increase in PaCO2 (p 0.001), being verified by ANOVA model with repeated measures.;Intraoperative ventilatory parameters were evaluated in the comparison between the two groups submitted to thoracic sympathectomy: respiratory rate (p 0.082), airway pressure (p 0.999) and dynamic compliance (p 0.275), with no significant difference in no parameters, being verified by ANOVA model of repeated measures.;Hemodynamic parameters were evaluated in the intraoperative and immediate postoperative periods in the comparison between the two groups submitted to thoracic sympathectomy: mean arterial pressure and heart rate. In both groups, the patients presented hemodynamic stability with the same mean arterial pressure oscillation behavior, without significant difference, being verified by ANOVA model of repeated measures.;The quality of the surgical field was evaluated by the number of ribs viewed bilaterally during thoracoscopy in the comparison between the two groups. The group that underwent carbothorax sympathectomy had a significantly better surgical field than the apnea group, both on the right side (p 0.007) and on the left side (p 0.018), verified by t test.;Analgesia was evaluated in the immediate postoperative period using the visual analgesic scale and consumption of morphine. There was no difference in pain intensity between the groups submitted to thoracic sympathectomy (p 0.276), verified by Mann-Whitnney test, as well as there was no difference in relation to the consumption of morphine (p 0.999), verified by Fischer test .;The length of surgery (p 0.951), anesthesia (p 0.624) and postoperative recovery room (p 0.072) were evaluated, with no sig | — |
Countries
Brazil
Contacts
Public ContactLuiz Fernando dos Reis Falcão
Universidade Federal de SAão Paulo
Outcome results
None listed