Simpatectomía torácica, solución para hiperhidrosis / Toracic Sympathectomy, solution for hyperhidrosis
Rev. méd. Maule
;
33(2): 8-12, sept. 2018. graf, tab
Article
in Spanish
| LILACS
| ID: biblio-1292495
ABSTRACT
PREFACE Videothoracoscopic sympathectomy (VTS) is the gold standard treatment for the upper extremity hyperhidrosis (HH) because it is safe and has good results. OBJECTIVE:
To evaluate retrospectively the long term results of VTS for the treatment of HH on 50 operated patients in the Maule Region from the year 2003 to september of 2015.METHODS:
For axillary HH a T2 to T4 VTS was performed, and T3 VTS for palmar HH. All the patients were operated bilaterally through 2 axillary ports. The operatory sucess was evaluated through the persistence or not of sweating of the palm and armpit. Also, all the complications associated were registered.RESULTS:
The procedure was successful in 96% of the patients, who reached anhidrosis in the palms and armpits. The most common complication was compensatory sweating, minimal to mild in 28% of the patients aproximately, severe only in one case; intense post operatory pain in 3 cases and sympathyc reinervation in 2 cases. There was no Infection, Horner syndrome, inthercostal arthery injury or mortality reported.CONCLUSION:
The billateral VTS is an effective and safe procedure to obtain anhidrosis in patients with upper extremity hyperhidrosys.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sympathectomy
/
Thoracic Surgery, Video-Assisted
/
Hyperhidrosis
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Maule
Journal subject:
Medicine
Year:
2018
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Regional de Talca (HRT)/CL
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