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Titolo:
Video-assisted thoracoscopic T-2 sympathetic block by clipping for palmar hyperhidrosis: Analysis of 52 cases
Autore:
Lin, TS; Huang, LC; Wang, NP; Lai, CY;
Indirizzi:
Changhua Christian Hosp, Dept Surg, Changhua, Taiwan Changhua Christian Hosp Changhua Taiwan sp, Dept Surg, Changhua, Taiwan Hung Kuang Inst Technol, Taichung, Taiwan Hung Kuang Inst Technol Taichung Taiwan Inst Technol, Taichung, Taiwan Chung Shan Med & Dent Coll, Taichung, Taiwan Chung Shan Med & Dent Coll Taichung Taiwan Dent Coll, Taichung, Taiwan
Titolo Testata:
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A
fascicolo: 2, volume: 11, anno: 2001,
pagine: 59 - 62
SICI:
1092-6429(200104)11:2<59:VTTSBB>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSTHORACIC ENDOSCOPIC SYMPATHECTOMY; THORACIC SYMPATHECTOMY; AXILLARY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Lin, TS Changhua Christian Hosp, Dept Surg, 135 Nan Siau St, Changhua, Taiwan Changhua Christian Hosp 135 Nan Siau St Changhua Taiwan , Taiwan
Citazione:
T.S. Lin et al., "Video-assisted thoracoscopic T-2 sympathetic block by clipping for palmar hyperhidrosis: Analysis of 52 cases", J LAP ADV A, 11(2), 2001, pp. 59-62

Abstract

Background: Endoscopic thoracic sympathectomy or sympathicotomy is a standard method in treating palmar hyperhidrosis, but postoperative compensatorysweating may be troublesome in some patients. Therefore, we designed a newtechnique for only T-2 sympathetic blocking by clipping instead of interruption of the sympathetic trunk. Patients and Methods: Between September 2000 and July 2001, we saw a totalof 100 patients with palmar hyperhidrosis who underwent video-assisted thoracoscopic sympathetic blocking of the T-2 ganglion. All patients were placed in a semisitting position under single-lumen intubated anesthesia. We performed sympathetic blocking by clipping of the T-2 ganglion at the level of the second and third rib beds using an 8-mm, 0 degrees thoracoscope (Storz). Results: We supposed that the postoperative improvement in palmar hyperhidrosis would be perfect. The operation could be accomplished within 30 minutes. All patients were discharged within 4 hours after the operation. Surgical complications were minimal, without surgical mortality. A few patients were willing to receive the reverse operation and should get improvement of compensatory sweating after removal of the endo clips. Conclusion: We believe that video-assisted thoracoscopic T-2 sympathetic block by clipping will be a safe and effective method of treating patients with palmar hyperhidrosis. Compensatory sweating may be improved by the reverse operation: removal of the endo clip.

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Documento generato il 15/01/21 alle ore 22:55:30