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Hyperhidrosis Treated by Thoracoscopic Sympathicotomy / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 171-174, 1999.
Artículo en Coreano | WPRIM | ID: wpr-223592
ABSTRACT

BACKGROUND:

Hyperhidrosis of the palms, axillae and face has a strong negative impact on social and professional life. The present existing non-operative therapeutic options seldom give sufficient relief and have a transient effect. A definitive cure can be obtained by upper thoracic sympathectomy. However, this is offset by the occurrence of a high rate of side effects, such as embarrassing compensatory sweating. MATERIAL AND

METHOD:

From Sep. 1997 to Feb. 1998, 89 cases of the needle(2 mm) thoracoscopic thoracic sympathicotomy were performed. The second thoracic ganglion was resected by cutting with a endoscissors.

RESULT:

A bilateral procedure takes less than 25 min and requires just one night in hospital. There have been no mortality or life-threatening complications. One patient(<2%) required intercostal drainage because of pneumothorax. Primary failure occurred in one cases(<2%) and recurrent hyperhidrosis occurred in no cases. The patients with failure was successfully re-sympathicotomy. At the end of postoperative follow-up(median 3 months), 96.6% of the patients were satisfied. Compensatory sweating occurred in 57 cases(64.0%) with fourteen of those cases classified as either embarrassing in 10 cases(11.2%) or disabling in 4 cases(4.5%).

CONCLUSION:

Endoscopic transthoracic sympathicotomy is an efficient, safe and minimally invasive surgical method for the treatment of palmar and craniofacial hyperhidrosis.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neumotórax / Axila / Sudor / Sudoración / Simpatectomía / Drenaje / Mortalidad / Ganglión / Hiperhidrosis Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 1999 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neumotórax / Axila / Sudor / Sudoración / Simpatectomía / Drenaje / Mortalidad / Ganglión / Hiperhidrosis Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 1999 Tipo del documento: Artículo