Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Repeat transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis
Autore:
Lin, TS; Fang, HY; Wu, CY;
Indirizzi:
Changhua Christian Hosp, Changhua, Taiwan Changhua Christian Hosp Changhua Taiwan hristian Hosp, Changhua, Taiwan
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 2, volume: 14, anno: 2000,
pagine: 134 - 136
SICI:
0930-2794(200002)14:2<134:RTESFP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
THORACOSCOPIC SYMPATHECTOMY;
Keywords:
hyperhidrosis; repeat sympathectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Lin, TS Changhua Christian Hosp, 135 Nan Siau St, Changhua, Taiwan Changhua Christian Hosp 135 Nan Siau St Changhua Taiwan , Taiwan
Citazione:
T.S. Lin et al., "Repeat transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis", SURG ENDOSC, 14(2), 2000, pp. 134-136

Abstract

Background: Patients undergoing an unsuccessful sympathectomy experience dryness on one hand and excessive sweating on the other. This is embarrassing for the patients, and resolution of both a previous failed sympathectomy and recurrent hyperhidrosis is important. Methods: From September 1995 to January 1998, 24 patients (11 men and 13 women; mean age, 28.2 years) underwent repeat transthoracic sympathectomy (TES). The repeat TES was performed with patients under general anesthesia using either a standard single-lumen endotracheal tube (12 patients) or a double-lumen endotracheal tube (12 patients). Ablation of T2 and T3 ganglia and any Kuntz fiber was performed in treating patients with palmar hyperhidrosis, and a similar procedure was performed on T3 and T4 ganglia for patients with axillary hyperhidrosis. Results: The reasons for failure of the previous TES were pleural adhesion(14/24), intact T2 ganglion (5/24), aberrant venous arch drainage to the superior vena cava (2/24), incomplete interruption of sympathectic nerve (2/24), and possible reinnervation (1/24), The mean operation time was 28 min (range, 18-72 min). In all, 23 patients had a satisfactory result, without recurrence of palmar or axillary hyperhidrosis. The mean follow-up time was22 months (range, 5-30 months). The average hospital stay was 1.8 days. There was no surgical mortality. Conclusion: Repeat TES is a safe and effective method for treating both anunsuccessful sympathectomy and recurrent palmar or axillary hyperhidrosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 11:19:06