Métodos de intervención de simpatectomía toracoscópica en los pacientes con hiperhidrosis del Hospital Teodoro Maldonado Carbo y propuesta de implementación en Clínica del Día.

Abstract

Hyperhidrosis is characterized by being an excess of sweating without stimulus that justifies it. This condition affects approximately 2.8% of the population; being more frequent between 25 and 64 years. The pathology in question has a great impact on the psychosocial level of patients since they are usually victims of mockery and discrimination. There are several therapeutic alternatives for this pathology from the pharmacological to the surgical, this research work focuses on the evaluation of two methods of intervention for thoracoscopic sympathectomy in patients with hyperhidrosis at Hospital Teodoro Maldonado Carbo, a technique that involves the interruption of nerve conduction through the sympathetic chain to avoid innervation of the sweat glands. The general objective is to identify the perceived effectiveness of patients with hyperhidrosis undergoing two types of thoracoscopic sympathectomy surgery: inpatient or ambulatory in patients treated at the Specialties Hospital "Dr. Teodoro Maldonado Carbo "in 2017. The methodological approach of this research work is descriptive, observational, retrospective-prospective, developed in the Cardiothoracic Surgery Department of Hospital Teodoro Maldonado Carbo between 2015 and 2016. The statistical results of this study They showed average figures similar to the ranges presented in international studies based on the questionnaire of quality of life of Ribas - Milanez (2013), concluding that the applied techniques positively impact on the quality of life of patients undergoing any of the surgical techniques.