21 de Fevereiro de 2020 - 23:02
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HYPERHIDROSIS / FAQ
Hyperhidrosis - Excessive perspiration


Frequently Asked Questions
1. What patients have the indication to be submitted to THORACIC VIDEOTHORACOSCOPY SYMPATHECTOMY?

A. Patients with low and medium degree of hyperhidrosis can be treated in a conservative way, with antiperspiration creams, iontophoresis machines and, in an armpit hyperhidrosis case, with botulinic toxin. All patients that have their social, affective and professional life affected by hyperhidrosis, whether it is by not being able to salute people, in the palmar hyperhidrosis case, by not being able to give interviews because of the “sweat spots” under their armpits, etc., can be submitted to THORACIC SYMPATHECTOMY. IT IS THE PATIENT ITSELF THAT INDICATES THE SURGERY AFTER ANALYZING ALL INFORMATION GIVEN BY THE ASSISTANT DOCTOR.


2. Is it necessary to make an appointment with Dr. Marlos to be operated?

A. Yes, Dr. Marlos exams all patients personally. Although the first contact can be done by e-mail and telephone, in a way to obtain information to know the examinations needed and the surgery date. It is not possible to be submitted to a surgical procedure without a previous appointment with Dr. Marlos.


3. Why doctors, in a general way, do not know and do not provide information about Hyperhidrosis?

A. Medicine has a wide range of activity. It is impossible to be a doctor that has all knowledge about all diseases. There has been a great progress in the last ten years regarding Hyperhidrosis and its treatment, in a special way the THORACIC SYMPATHECTOMY treatment with the release of hundreds of publications related to this subject in the world medical literature. The not expert press has been a model to be followed and of major importance in the broadcasting of knowledge about Hyperhidrosis. Dermatologists, endocrinologists, general physicians, etc… have been obtaining information to orient the treatment as well as to send their patients to an evaluation with a SURGEON WITH VIDEOTHORACOSCOPY OR VIDEO-ASSISTED THORACIC SURGERY HABILITATION.


4. Who isn’t the suitable candidate for a THORACIC SYMPATHECTOMY procedure?

A. Specially patients that claim to “PERSPIRATE THROUGH ALL BODY”. People that have PALMAR, PLANTAR AND ARMPIT HYPERHIDROSIS and perspirate through their thorax, abdomen, groin and legs are not suitable candidates to SYMPATHECTOMY because they develop SEVERE COMPENSATORY HYPERHIDROSIS. Patients with CRANIO-FACIAL HYPERHIDROSIS, therefore patients with indication for SYMPATHECTOMY at level of T2 must be oriented regarding the possibility of SEVERE COMPENSATORY HYPERHIDROSIS in the post-operatory period too.
Patients with generalized hyperhidrosis must be investigated concerning other diseases such as diabetes, tuberculosis, hypoglycemia and hyperthyreodism.
Patients with previous thoracic surgery, inflammatory pleuro-pulmonar diseases, previous thoracic trauma can be submitted to the surgical procedure since properly investigated and elucidated since the pleural adherences may difficult or even forbid the procedure, therefore being relative contraindication.


5. Does any surgeon can perform THORACIC VIDEOTHORACOSCOPY SYMPATHECTOMY?

A.NO. Only surgeons with habilitation in the THORACIC VIDEOTHORACOSCOPY SYMPATHCTOMY and VIDEO-ASSISTED THORACIC SURGERY procedures. DR. MARLOS is TITLE HOLDER IN THORACIC SURGERY of the SOCIEDADE BRASILEIRA DE CIRURGIA TORÁCICA. (Brazilian Thoracic Surgery Society) of which he is TITLE MEMBER and he has an HABILITATION IN VIDEOTHORACOSCOPY CERTIFICATE provided by both COLÉGIO BRASILEIRO DE CIRURGIÕES (Brazilian College of Surgeons) and SOCIEDADE BRASILEIRA DE CIRURGIA TORÁCICA (Brazilian Society of Thoracic Surgery).


6. In what hospitals does DR. MARLOS performs the SYMPATHECTOMY?

A. At the HOSPITAL UNIVERSITÁRIO CAJURÚ and at the SANTA CASA DE MISERICÓRDIA DE CURITIBA, which are institutions of the PONTIFÍCIA UNIVERSIDADE CATÓLICA DO PARANÁ. In both hospitals Dr. Marlos is the headmaster of the Thoracic Surgery service and assistant professor in surgery.


7. Do all patients that submit to a THORACIC SYMPATHECTOMY procedure stop sweating on the spots affected by Hyperhidrosis?

A. In short, they stop sweating on the affected region. 99,5% of the PALMAR HYPERHIDROSIS holders, 90,7% of the ARMPIT HYPERHIDROSIS, 90,9% of the CRANIO-FACIAL HYPERHIDROSIS and 32% of the PLANTAR HYPERHIDROSIS ASSOCIATED.


8. Is it true that my eyelid may “fall” after THORACIC SYMPATHECTOMY?

A. In the past, when the surgery was performed through the cervical region (neck) or through the armpit region, there was a greater incidence of the CLAUDE BERNARD HORNER SYNDROME caused by the section or lesion of the stellate ganglion. Today, its incidence bares zero per cent. Dr. Marlos has never had a HORNER case within a range of six hundred patients that were submitted to the SYMPATHECTOMY procedure to HYPERHIDROSIS treatment.


9. Does THORACIC SYMPATHECTOMY can be done in patients of any age? Do kids can be operated?

A. The age of the patients operated by Dr. Marlos went from 8 years olds to 64 years olds. If the symptoms and limitations of the patients are important and affect their familiar and social life, if they affect their jokes and school activities, kids can be operated depending on the evaluation done by both doctor and family together.


10. I am anxious and have social phobia associated to Hyperhidrosis. Will the procedure heal these situations?

A. THORACIC SYMPATHECTOMY will stop the sweating on the affected spot. The patient must continue its anxiety and social phobia treatment with its psychologist or psychiatrist.


11. Is THORACIC SYMPATHECTOMY a risk surgery? May I die because of this operation?

A. THORACIC SYMPATHECTOMY is a low risk surgery, once done in healthy patients after the proper pre-operatory and pre anesthesial examinations are taken and analyzed. In case of patients under treatment of other specific diseases, SYMPATHECTOMY is only performed after the written permission of the assistant doctor. Very rare cases of death were straightly linked to THORACIC VIDEOTHORACOSCOPY SYMPATHECTOMY in world’s medical literature. We do not know of any patient that had died in Brazil as a consequence of THORACIC VIDEOTHORACOSCOPY SYMPATHECTOMY.


12. I used to have PALMAR and PLANTAR HYPERHIDROSIS. I’m healed of PALMAR HYPERHIDROSIS, but I did not obtain any success with PLANTAR HYPERHIDROSIS. Can I be submitted to another surgical procedure?

A. Yes, you can submit yourself to LUMBAR SYMPATHECTOMY, a procedure done with two incisions, one in each side of the abdomen.
 
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