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Titolo:
Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis. The useof harmonic scalpel versus diathermy
Autore:
Kopelman, D; Bahous, H; Assalia, A; Hashmonai, M;
Indirizzi:
Technion Israel Inst Technol, Fac Med, IL-32000 Haifa, Israel Technion Israel Inst Technol Haifa Israel IL-32000 L-32000 Haifa, Israel
Titolo Testata:
ANNALES CHIRURGIAE ET GYNAECOLOGIAE
fascicolo: 3, volume: 90, anno: 2001,
pagine: 203 - 205
SICI:
0355-9521(2001)90:3<203:UDTSFP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC SYMPATHECTOMY;
Keywords:
harmonic scalpel; diathermy; sympathectomy; thoracoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Hashmonai, M POB 359, IL-30952 Zikhron Yaakov, Israel POB 359 Zikhron Yaakov Israel IL-30952 khron Yaakov, Israel
Citazione:
D. Kopelman et al., "Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis. The useof harmonic scalpel versus diathermy", ANN CHIR GY, 90(3), 2001, pp. 203-205

Abstract

Background: Upper dorsal thoracoscopic sympathectomy, the treatment of choice for primary palmar hyperhidrosis, is not devoid of long-term complications, like Horner's syndrome and postoperative neuralgia. It has been postulated that propagation of heat induced by diathermy may be responsible for some of these sequelae. To assess this hypothesis, a study was undertaken toevaluate the use of harmonic scalpel, which does not dissipate heat. Method: Sixteen patients with primary palmar hyperhidrosis underwent upperdorsal thoracoscopic sympathectomy using the harmonic scalpel on one side and diathermy on the other. Follow-up was made two years postoperatively. Results: The length of the procedure with each instrument was similar. There was no localization of postoperative pain, which could be attributed to either device. No Horner's syndrome or postoperative neuralgia occurred. Conclusion: The present study proved the safe use of harmonic scalpel for upper dorsal thoracoscopic sympathectomy, but did not detect any important advantage of either instrument over diathermy.

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Documento generato il 15/01/21 alle ore 22:12:51