Results:
Between April 2108 and August 2019, 213 patients (61.5% females)
underwent DOTS. They were 20.83±4.12 years old. 37.1% had plantar
domain of hyperhidrosis. Patient characteristics are enlisted in Table
1.
Average overall hospital stay was 31.79±17.5 hours entailing the whole
patient’s stay within hospital from admission till discharge.
Unfortunately, some patients suffered few complications (Table 2) as
pneumothorax in 6 (2.8%) patients from which 2 (0.9%) patients only
require intercostal chest tube (ICT) insertion. No Horner’s syndrome
cases, wound infection, nor mortality were encountered in our series.
Compensatory hyperhidrosis started to appear in our patients in 6-months
and one-year follow-up visits; the overall incidence was 35.7% of
patients. Domains and percentages are grouped in Table 2. Moreover, we
had one patient presented with recurrence only in one side on the
one-month follow-up visit (0.5%), he refused to undergo a redo
procedure again because it was affecting his left non-dominant limb so
according to his words ”it is not affecting my daily life to force me to
go for surgery again”.
All patients experienced immediate complete resolution of hyperhidrosis
postoperatively; however, during the 1-year follow-up interval, 1
(0.5%) patient was still suffering moderate impaired QoL at 6-months
follow-up compared to 6 (2.8%) patients at one-year follow-up (Table
2).
Comparing the 79 (37.1%) patients with plantar domain (palmo-plantar
group) to the remaining patients (palmar group) in the study group
(Table 3), we detect significant higher body mass index (BMI) and longer
hospital stay in palmar group. On the other side, we got no significant
difference between both groups in operative time, recurrence,
compensatory hyperhidrosis neither percent nor domains, nor
postoperative HDSS score at 6-months and one-year intervals.