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Titolo:
Are we paying a high price for surgical sympathectomy? A systematic literature review of late complications
Autore:
Furlan, AD; Mailis, A; Papagapiou, M;
Indirizzi:
Toronto Western Hosp, Comprehens Pain Program, Toronto, ON M5T 2S8, CanadaToronto Western Hosp Toronto ON Canada M5T 2S8 oronto, ON M5T 2S8, Canada Toronto Western Hosp, Res Inst, Toronto, ON M5T 2S8, Canada Toronto Western Hosp Toronto ON Canada M5T 2S8 oronto, ON M5T 2S8, Canada Inst Work & Hlth, Toronto, ON, Canada Inst Work & Hlth Toronto ON CanadaInst Work & Hlth, Toronto, ON, Canada
Titolo Testata:
JOURNAL OF PAIN
fascicolo: 4, volume: 1, anno: 2000,
pagine: 245 - 257
SICI:
1526-5900(200024)1:4<245:AWPAHP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY; UPPER THORACIC SYMPATHECTOMY; PRIMARY PALMAR HYPERHIDROSIS; UPPER DORSAL SYMPATHECTOMY; UPPER-LIMB HYPERHIDROSIS; AXILLARY TRANSPLEURAL SYMPATHECTOMY; TERM FOLLOW-UP; THORACOSCOPIC SYMPATHECTOMY; LUMBAR SYMPATHECTOMY; CERVICOTHORACIC SYMPATHECTOMY;
Keywords:
compensatory hyperhidrosis; gustatory sweating; neuropathic pain;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
168
Recensione:
Indirizzi per estratti:
Indirizzo: Mailis, A Toronto Western Hosp, Comprehens Pain Program, 174-4BFell,399 Bathurst St,Toronto, ON M5T 2S8, Canada Toronto Western Hosp 174-4BFell,399 Bathurst St Toronto ON Canada M5T 2S8
Citazione:
A.D. Furlan et al., "Are we paying a high price for surgical sympathectomy? A systematic literature review of late complications", J PAIN, 1(4), 2000, pp. 245-257

Abstract

The purpose of this article was to systematically review the literature inorder to assess (1) the current indications for surgical sympathectomy and(2) the incidence of late complications collectively and per indication. All types of upper or lower limb surgical sympathectomies are included. An extensive search strategy looked for controlled trials and observational studies or case series with an English abstract. Out of 1,024 abstracts from MEDLINE and 221 from EMBASE, 135 articles reporting on 22,458 patients and 42,061 procedures (up to April 1998) fulfilled the inclusion criteria. Weighted means were used to control for heterogeneity of data. No controlled trials were found. The main indication was primary hyperhidrosis in 84.3% of the patients. Compensatory hyperhidrosis occurred in 52.3%, gustatory sweating in 32.3%, phantom sweating in 38.6%, and Horner's syndrome in 2.4% of patients, respectively, with cervicodorsal sympathectomy, more often after open approach. Neuropathic complications (after cervicodorsal and lumbar sympathectomy) occurred in 11.9% of all patients. Compensatory hyperhidrosis occurred 3 times more often if the indication was palmar hyperhidrosis instead of neuropathic pain (52.3% versus 18.2%), whereas neuropathic complications occurred 3 times more often if the treatment was for neuropathic pain instead of palmar hyperhidrosis (25.2% versus 9.8%). Surgical sympathectomy, irrespective of approach, is accompanied by several potentially disabling complications. Detailed informed consent is recommended when surgical sympathectomy is contemplated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 11:15:20