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Titolo:
Thoracoscopic sympathectomy for palmar hyperhidrosis - Ablate or resect?
Autore:
Hashmonai, M; Assalia, A; Kopelman, D;
Indirizzi:
Technion Israel Inst Technol, Rambam Med Ctr, Dept Surg B, IL-31096 Haifa,Israel Technion Israel Inst Technol Haifa Israel IL-31096 IL-31096 Haifa,Israel Technion Israel Inst Technol, Fac Med, IL-31096 Haifa, Israel Technion Israel Inst Technol Haifa Israel IL-31096 L-31096 Haifa, Israel
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 5, volume: 15, anno: 2001,
pagine: 435 - 441
SICI:
0930-2794(200105)15:5<435:TSFPH->2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER THORACIC SYMPATHECTOMY; ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY; UPPER-LIMB HYPERHIDROSIS; TERM FOLLOW-UP; AXILLARY HYPERHIDROSIS; CERVICODORSAL SYMPATHECTOMY; DORSAL SYMPATHECTOMY; SURGICAL-TREATMENT; EXPERIENCE; SYMPATHICOTOMY;
Keywords:
hyperhidrosis; thoracoscopic sympathectomy; palmar sweating; ablation; resection;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
83
Recensione:
Indirizzi per estratti:
Indirizzo: Hashmonai, M Technion Israel Inst Technol, Rambam Med Ctr, Dept Surg B, POB 9621, IL-31096 Haifa, Israel Technion Israel Inst Technol POB 9621 HaifaIsrael IL-31096
Citazione:
M. Hashmonai et al., "Thoracoscopic sympathectomy for palmar hyperhidrosis - Ablate or resect?", SURG ENDOSC, 15(5), 2001, pp. 435-441

Abstract

Background: Upper thoracoscopic sympathectomy, obtained either by ablationor resection of the appropriate ganglia, is now the preferred treatment for primary palmar hyperhidrosis. Therefore, we undertook a review to comparethe relative efficacy of these two techniques. Methods: A Medline search was performed for the years 1974-99 to identify all published studies of thoracoscopic sympathectomy for hyperhidrosis. Results: In all, 33 studies were identified and divided into two groups-ablation and resection. When the resection method was used, the immediate success rate was 99.76%, whereas the ablation method achieved dry hands in 95.2% of cases (p = 0.00001). Palmar sweating recurred in 0% of patients treated via resection and 0-4.4% treated with ablation. Ptosis was noted in 0.92% of cases after ablation and in 1.72% after resection (p = 0.017). Conclusions: Resection yields superior results, yet the majority of surgeons ablate, probably because it is easier, re-quires a shorter operating time, leads to fewer cases of Homer's syndrome, and because resympathectomy eventually overcomes initial failure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 10:25:37