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Titolo:
Microinvasive video-assisted thoracoscopic sympathicotomy for primary palmar hyperhidrosis
Autore:
Kim, BY; Oh, BS; Park, YK; Jang, WC; Suh, HJ; Im, YH;
Indirizzi:
Sangmoo Hosp, Dept Thorac & Cardiovasc Surg, Suh Gu, Kwangju 502270, SouthKorea Sangmoo Hosp Kwangju South Korea 502270 h Gu, Kwangju 502270, SouthKorea Chonnam Natl Univ, Coll Med, Dept Thorac & Cardiovasc Surg, Kwangju 502270, South Korea Chonnam Natl Univ Kwangju South Korea 502270 Kwangju 502270, South Korea Seonam Univ, Coll Med, Dept Surg, Kwangju, South Korea Seonam Univ Kwangju South Korea ll Med, Dept Surg, Kwangju, South Korea
Titolo Testata:
AMERICAN JOURNAL OF SURGERY
fascicolo: 6, volume: 181, anno: 2001,
pagine: 540 - 542
SICI:
0002-9610(200106)181:6<540:MVTSFP>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
AXILLARY HYPERHIDROSIS; BOTULINUM-TOXIN; SYMPATHECTOMY; TERM;
Keywords:
hyperhidrosis; sympathicotomy; video-assisted thoracoscopic surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Kim, BY Sangmoo Hosp, Dept Thorac & Cardiovasc Surg, Suh Gu, Chipyung Dong1240, Kwangju 502270, South Korea Sangmoo Hosp Chipyung Dong 1240 KwangjuSouth Korea 502270 Korea
Citazione:
B.Y. Kim et al., "Microinvasive video-assisted thoracoscopic sympathicotomy for primary palmar hyperhidrosis", AM J SURG, 181(6), 2001, pp. 540-542

Abstract

Background: Although video-assisted thoracoscopic surgery for palmar hyperhidrosis is now widely accepted as the approach of choice, the optimal technique has remained a subject of controversy. We have used 2-mm dual port video-assisted thoracoscopic sympathicotomy for primary palmar hyperhidrosis. This study evaluates the short-term results of the technique. Methods: A retrospective review was carried out of 45 patients, 20 men and25 women, with a mean age of 24.2 years. In the period from April 1998 to August 1999, 90 consecutive video-assisted sympathicotomy for primary palmar hyperhidrosis either in isolation (n = 56) or in combination with axillary and plantar hyperhidrosis (n = 34) was performed. The mean follow-up period was 11.3 months. Attention was focused on patient's satisfaction, complications, and morbidity,Results: Dry limbs were immediately achieved in all patients after surgery. There was no operative mortality and one case of transient Horner's syndrome developed. Eight of 20 with plantar hyperhidrosis showed simultaneous improvement. The overall mean satisfaction rate was 92% 2% with a median 93%improvement using a visual linear analogue scale from 0% (poor) to 100% (excellent). Only 2 patients were dissatisfied with the operative results owing to compensatory hyperhidrosis, which occurred in 25 patients and improved in 20 patients within the follow-up period,Conclusions: The video-assisted thoracoscopic sympathicotomy with 2-mm endoscope is a speedy and safe way of controlling hyperhidrosis with excellentcosmetic results while minimizing complications. (C) 2001 Excerpta Medica,Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 14:59:36