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Titolo:
Endoscopic thoracic sympathetic block by clipping for palmar and axillary hyperhidrosis in children and adolescents
Autore:
Lin, TS; Huang, LC; Wang, NP; Chang, CC;
Indirizzi:
Changhua Christian Hosp, Dept Surg, Hung Kuang Inst Technol, Chung Shan Med & Dent Coll, Taichung, Taiwan Changhua Christian Hosp Taichung Taiwan d & Dent Coll, Taichung, Taiwan
Titolo Testata:
PEDIATRIC SURGERY INTERNATIONAL
fascicolo: 7, volume: 17, anno: 2001,
pagine: 535 - 537
SICI:
0179-0358(200109)17:7<535:ETSBBC>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSTHORACIC SYMPATHECTOMY;
Keywords:
palmar hyperhidrosis; axillary hyperhidrosis; primary hyperhidrosis; endoscopic thoracic sympathetic block by clipping;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Chang, CC 135 Nanh Siao St, Changhua, Taiwan 135 Nanh Siao St Changhua Taiwan nh Siao St, Changhua, Taiwan
Citazione:
T.S. Lin et al., "Endoscopic thoracic sympathetic block by clipping for palmar and axillary hyperhidrosis in children and adolescents", PEDIAT SURG, 17(7), 2001, pp. 535-537

Abstract

Endoscopic thoracic sympathectomy or sympathicotomy is a safe and effective method of treating primary hyperhidrosis (PH), but postoperative compensatory sweating may be a problem. There are few reports of sympathetic blockade by clipping for PH. We present our experience of endoscopic thoracic sympathetic block (ETSB) by clipping in treating palmar (PAH) and axillary hyperhidrosis (AH) in children and adolescents. Between May 1997 and June 1998, a total of 78 patients with PAH or AH underwent ETSB by clipping using an8-mm, 0 degrees thoracoscope. There were 33 males and 45 females with a mean age of 14.1 years (range 9-16 y). All patients were placed in a semi-sitting position under single-lumen intubation anesthesia; 52 patients with PAH underwent T2 sympathetic block by clipping at the 2nd and 3rd rib beds, and T3 and T4 sympathetic block was performed at the 3rd, 4th and 5th rib beds in 26 patients with AH. A total of 156 sympathetic blocks by clipping were achieved. The operation was usually accomplished within 20 min (range 16-30 min). Most patients were discharged within 4 h after the operation. There were neither surgical complications nor mortality. The mean postoperative follow-up period was 32.7 months (range 26-40). Improvement of PAH or AH could be obtained in all cases; 70 patients (85.4%) developed compensatory sweating of the trunk and lower limbs. One patient with PAH underwent a reverse operation with improvement of the sweating 14 days after removal of the endo-clips. ETSB by clipping is thus a safe and effective method for treating PH in children and adolescents; compensatory sweating may be improved after a reverse operation with removal of the endo-clip.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/21 alle ore 03:46:51