T3/T4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 1574-1577, 2007.
Article
in English
| WPRIM
| ID: wpr-280384
ABSTRACT
<p><b>BACKGROUND</b>Compensatory sweating (CS) is one of the most common postoperative complications after thoracic sympathectomy, sympathicotomy or endoscopic sympathetic block (ESB) for palmar hyperhidrosis. This study was conducted to examine the relevance between CS and the sympathetic segment being transected in the surgical treatment of palmar hyperhidrosis, and thus to detect the potential mechanism of the occurrence of CS.</p><p><b>METHODS</b>Between October 2004 and June 2006, 163 patients with primary hyperhidrosis were randomly divided into two groups, T(3) sympathicotomy (78 patients) and T(4) sympathicotomy (85), who were operated upon under general anesthesia via single lumen intubation and intercostal video-mediastinoscopy (VM).</p><p><b>RESULTS</b>No morbidity or mortality occurred. Palmar hyperhidrosis was cured in all patients. Follow-up (mean (13.8 +/- 6.2) months) showed no recurrence of palmar hyperhidrosis. The difference of rates of mild CS in groups T(3) and T(4) was of no statistical significance. The rate of moderate CS was significantly lower in group T(4) than in group T(3). No severe CS occurred.</p><p><b>CONCLUSION</b>The rates of occurrence and severity of CS are lowered with the lower sympathetic chain being transected.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
General Surgery
/
Sweating
/
Sympathectomy
/
Prospective Studies
/
Follow-Up Studies
/
Thoracic Surgery, Video-Assisted
/
Hyperhidrosis
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Medical Journal
Year:
2007
Type:
Article
Similar
MEDLINE
...
LILACS
LIS