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Titolo:
Experiences in thoracoscopic sympathectomy for axillary hyperhidrosis and osmidrosis - Focusing on the extent of sympathectomy
Autore:
Hsu, CP; Shia, SE; Hsia, JY; Chuang, CY; Chen, CY;
Indirizzi:
Taichung Vet Gen Hosp, Div Surg Emergency, Taichung, Taiwan Taichung Vet Gen Hosp Taichung Taiwan Surg Emergency, Taichung, Taiwan Taichung Vet Gen Hosp, Div Thorac Surg, Taichung, Taiwan Taichung Vet Gen Hosp Taichung Taiwan Div Thorac Surg, Taichung, Taiwan Natl Yang Ming Univ, Dept Surg, Sch Med, Taipei 112, Taiwan Natl Yang MingUniv Taipei Taiwan 112 Surg, Sch Med, Taipei 112, Taiwan
Titolo Testata:
ARCHIVES OF SURGERY
fascicolo: 10, volume: 136, anno: 2001,
pagine: 1115 - 1117
SICI:
0004-0010(200110)136:10<1115:EITSFA>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY; BOTULINUM-TOXIN-A; PALMAR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Hsu, CP Taichung Vet Gen Hosp, Div Surg Emergency, Bldg 160,Sect 3,Taichung Kang Rd, Taichung, Taiwan Taichung Vet Gen Hosp Bldg 160,Sect 3,Taichung Kang Rd Taichung Taiwan
Citazione:
C.P. Hsu et al., "Experiences in thoracoscopic sympathectomy for axillary hyperhidrosis and osmidrosis - Focusing on the extent of sympathectomy", ARCH SURG, 136(10), 2001, pp. 1115-1117

Abstract

Hypothesis: A more selective sympathectomy can improve the outcome of axillary hyperhidrosis and osmidrosis and minimize the potential sequelae. Design: Retrospective cohort. Setting: Tertiary care center. Patients: Between July 1, 1996, and May 30, 2000, 171 patients with axillary hyperhidrosis and osmidrosis were studied. Interventions: T3-4 sympathectomies were performed in 40 patients group 1), T4 sympathectomies were performed in 56 patients (group 2), and T4-5 sympathectomies were performed in 75 patients (group 3). Main Outcome Measures: The surgical outcomes were evaluated by direct patient interview in the outpatient clinic or by telephone or mail questionnaires. The results were categorized as excellent (significant or complete disappearance of symptoms), good ( greater than or equal to 50% improvement), or poor (< 50% improvement). Results: There were no surgical mortalities in this study. Twenty-eight group 1 patients (70%), 16 group 2 patients (29%), and 22 group 3 patients (29%) developed compensatory perspiration (P < .001). Six group I patients (15%), 1 group 2 patient (2%), and 1 group 3 patient (1%) developed dry hands(P=.02). In the group 1 patients, the surgical outcomes were excellent in 21 (52%), good in 6 (15%), and poor in 13 (32%). In the group 2 patients, the surgical outcomes were excellent in 29 (52%), good in 10 (18%), and poorin 17 (30%). In the group 3 patients, the surgical outcomes were excellentin 53 (71%), good in 11 (15%), and poor in 11 (15%) (P=.04). (Percentages may not sum to 100 because of rounding. )Conclusion: T4-5 sympathectomies provide higher patient satisfaction ratesin treating axillary hyperhidrosis and osmidrosis, with fewer sequelae.

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Documento generato il 18/01/21 alle ore 14:04:19