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Titolo:
Efficacy and safety of thoracoscopic sympathicotomy for hyperhidrosis of the upper limb - Results of 734 sympathicotomies
Autore:
Neumayer, C; Bischof, G; Fugger, R; Imhof, M; Jakesz, R; Plas, EG; Herbst, F; Zacherl, J;
Indirizzi:
Univ Vienna, Chirurg Klin, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 , Chirurg Klin, A-1090 Vienna, Austria
Titolo Testata:
ANNALES CHIRURGIAE ET GYNAECOLOGIAE
fascicolo: 3, volume: 90, anno: 2001,
pagine: 195 - 199
SICI:
0355-9521(2001)90:3<195:EASOTS>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY; UPPER THORACIC SYMPATHECTOMY; PRIMARY PALMAR HYPERHIDROSIS; AXILLARY HYPERHIDROSIS; CHAIN; ELECTROCAUTERY;
Keywords:
hyperhidrosis; thoracoscopy; video-assistance; sympathicotomy; side effects; follow-up;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Zacherl, J Univ Vienna, Chirurg Klin, AKH 21-A,Waehringer Guertel 18-20, A-1090 Vienna, Austria Univ Vienna AKH 21-A,Waehringer Guertel 18-20 ViennaAustria A-1090
Citazione:
C. Neumayer et al., "Efficacy and safety of thoracoscopic sympathicotomy for hyperhidrosis of the upper limb - Results of 734 sympathicotomies", ANN CHIR GY, 90(3), 2001, pp. 195-199

Abstract

Background: Thoracoscopic sympathicotomy (TS) evolved as treatment of choice in severe hyperhidrosis. The aim of this study was to assess the role ofvideo-assistance in TS (VATS) versus conventional TS (CTS) for primary hyperhidrosis of the upper limb with regard to safety, side-effects and long-term outcome. Methods: 734 TS were performed from below T1 to T4 in 406 patients. In theCTS and in the VATS group 558 and 176 procedures were performed, respectively. Follow-up was completed in 82 % of all patients after a median observation period of 16 years. Results: Dry limbs were immediately achieved in 92 % (CTS) and 97 % (VATS,p = 0.98). Only one patient (CTS) underwent conversion due to bleeding. Inthe CTS group Horner's syndrome occurred in 2.2 % and rhinitis in 9.9 % ofprocedures. No patient of the VATS group experienced Horner's syndrome (p = 0.025), 3 patients developed rhinitis (p = 0.11). At follow-up compensatory sweating was observed in 67.6 % vs. 55.6 % (p = 0.051) and gustatory sweating in 50.4 % and 33.3 % (p = 0.01). There were 5 failures or recurrences(1.9 %) in the CTS group and 2 (2.8; p > 0.05) in the VATS group at reevaluation. Overall 6.5 % (CTS) and 3.6 % (VATS) of patients regret the operation (p = 0.7). Conclusions: We observed a significant decrease of the incidence of complete or incomplete Horner's syndrome and gustatory sweating when the procedure was guided by video-imaging while success rate was similar when compared with CTS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/21 alle ore 04:46:33