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Titolo: Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomyfor hyperhidrosis
Autore: vant Riet, M; de Smet, AAEA; Kuiken, H; Kazemier, G; Bonjer, HJ;
- Indirizzi:
- Erasmus Univ, Med Ctr, Dept Surg, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands r, Dept Surg, Rotterdam, Netherlands St Clara Hosp, Dept Surg, Rotterdam, Netherlands St Clara Hosp RotterdamNetherlands , Dept Surg, Rotterdam, Netherlands
- Titolo Testata:
- SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 10,
volume: 15,
anno: 2001,
pagine: 1159 - 1162
- SICI:
- 0930-2794(200110)15:10<1159:POCHAT>2.0.ZU;2-M
- Fonte:
- ISI
- Lingua:
- ENG
- Soggetto:
- ENDOSCOPIC THORACIC SYMPATHECTOMY; PRIMARY PALMAR HYPERHIDROSIS; TRANSTHORACIC SYMPATHECTOMY; AXILLARY HYPERHIDROSIS; EXPERIENCE; MANAGEMENT;
- Keywords:
- hyperhidrosis; compensatory hyperhidrosis; thoracoscopic sympathectomy; sympathectomy; sweating;
- Tipo documento:
- Article
- Natura:
- Periodico
- Settore Disciplinare:
- Clinical Medicine
- Citazioni:
- 24
- Recensione:
- Indirizzi per estratti:
- Indirizzo: Bonjer, HJ Erasmus Univ, Med Ctr, Dept Surg, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands g, Rotterdam, Netherlands
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- Citazione:
- M. van't Riet et al., "Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomyfor hyperhidrosis", SURG ENDOSC, 15(10), 2001, pp. 1159-1162
Abstract
Background: Compensatory hyperhidrosis is a troublesome complication of thoracoscopic sympathectomy for hyperhidrosis. After extensive resection of the second through the fourth ganglion (T2-4), as well as after limited resection of the second ganglion (T2), the reported incidence of compensatory hyperhidrosis ranges as high as 50-97%. The purpose of this study was to determine whether the incidence of compensatory hyperhidrosis can be reduced by limiting, the thoracoscopic sympathectomy to another level, the third ganglion. Methods: We analyzed 28 thoracoscopic sympathectomies for palmar and/or axillary hyperhidrosis. In all patients, the sympathetic chain was transectedcranially and caudally to the third ganglion (T3 dissection). Long-term follow-up was conducted by interviewing patients using standardized questionnaires. Results: The surgery was effective in all patients. After a median follow-up of 3.5 years, compensatory hyperhidrosis was not recorded in any of the patients. There were no recurrences of hyperhidrosis. Conclusion: Limited thoracoscopic sympathectomy at the level of the third ganglion is effective and seems to prevent compensatory hyperhidrosis.
ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/21 alle ore 03:40:00