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Titolo:
Operative monitoring of hand and axillary temperature during endoscopic superior thoracic sympathectomy for the treatment of palmar hyperhidrosis
Autore:
Saiz-Sapena, N; Vanaclocha, V; Panta, F; Kadri, C; Torres, W;
Indirizzi:
Univ Navarra, Univ Navarra Clin, Div Neurosurg, ES-331008 Navarra, Spain Univ Navarra Navarra Spain ES-331008 Neurosurg, ES-331008 Navarra, Spain Univ Navarra, Univ Navarra Clin, Dept Anaesthesiol, ES-331008 Navarra, Spain Univ Navarra Navarra Spain ES-331008 esthesiol, ES-331008 Navarra, Spain Univ Navarra, Univ Navarra Clin, Div Thorac Surg, ES-331008 Navarra, SpainUniv Navarra Navarra Spain ES-331008 orac Surg, ES-331008 Navarra, Spain
Titolo Testata:
EUROPEAN JOURNAL OF SURGERY
fascicolo: 1, volume: 166, anno: 2000,
pagine: 65 - 69
SICI:
1102-4151(200001)166:1<65:OMOHAA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
GANGLIONECTOMY;
Keywords:
hyperhidrosis; palmar hyperhidrosis; sympathectomy; sympathetic ganglia; sympathetic chain; endoscopy; temperature monitoring;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Vanaclocha, V Univ Navarra, Univ Navarra Clin, Div Neurosurg, Avda Pio XII36,4209, ES-331008 Navarra, Spain Univ Navarra Avda Pio XII 36,4209 Navarra Spain ES-331008 n
Citazione:
N. Saiz-Sapena et al., "Operative monitoring of hand and axillary temperature during endoscopic superior thoracic sympathectomy for the treatment of palmar hyperhidrosis", EURO J SURG, 166(1), 2000, pp. 65-69

Abstract

Objective: To find out how much the temperature in the palm rises after upper thoracic sympathectomy for palmar hyperhidrosis, and correlate the temperature with the outcome. Design: Retrospective study. Setting: University hospital, Spain. Subjects: 73 patients (34 women and 39 men, age range 16-42 years, mean 26) who were operated for palmar hyperhidrosis between 1 January 1995 and 31 December 1997. Interventions: Bilateral thoracic endoscopic sympathectomy during which the temperature was monitored on the skin of both axillae and thenar eminences, and in the oesophagus. Main outcome measures: Morbidity, alleviation of hyperhidrosis, recurrencerate, and differences in temperature postoperatively. Results: There was minor bleeding during operation in 25 cases (34%), but in only 4 was it sufficient to require insertion of a drain; 2 patients developed transient Horner's syndrome; but the most common complication was compensatory hyperhidrosis (n = 52, 71%). In only 5 was this other than mild and required treatment with aluminium chloride in ethanol 25%. Palmar hyperhidrosis was alleviated in all cases, axillary sweating was considerably improved, and there was improvement in the feet in 56 (77%). There were 5 recurrences, all on the right side, during a mean follow up of 9 months (range2-36), but in no case was the sweating severe. In almost all cases the temperature of the palm was less than that of the axilla before operation by amean (SD) of 0.9 (0.3)degrees C. The rise in temperature varied from 1.7 (0.4)degrees C: to 2.6 (0.4)degrees C. In the 5 patients who developed recurrences the increase was less (0.5 (0.4)degrees C). Conclusion: Thoracic endoscopic sympathectomy is safe, simple, and effective: in treating palmar hyperhidrosis that has not responded to conservativetreatment. Intradermal monitoring is an accurate and cost-effective way ofmonitoring temperature during operation. Although it is essential to achieve a rise in temperature of 1 degrees C, our most important finding was that the final temperature in both hands and axillae should be above 35 degrees C and as near as possible to 36 degrees C.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/21 alle ore 03:27:24