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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
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.

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Documento generato il 21/01/21 alle ore 03:40:00