Effectiveness, success rates, and complications of different thoracoscopic sympathectomy techniques in patients with palmar hyperhidrosis
Autor: | Mustafa Behçet Sevin, Cengiz Ovalı |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Pulmonary and Respiratory Medicine
Clipping (audio) medicine.medical_specialty business.industry Hyperhidrosis medicine.medical_treatment Compensatory hyperhidrosis 030204 cardiovascular system & hematology Thoracoscopic sympathectomy Spinal cord Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Sympathectomy 030220 oncology & carcinogenesis Cauterization Medicine Original Article medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
Popis: | BACKGROUND: This study aims to investigate the effectiveness, success and complication rates of three different video-assisted thoracoscopic sympathectomy procedures performed for the treatment of primary focal hyperhidrosis; excision, cauterization and clipping. METHODS: We retrospectively evaluated the records of 60 patients (33 males, 27 females; mean age 25.1±6.4 years; range 16 to 43 years) with primary focal hyperhidrosis and treated with videoassisted thoracoscopic sympathectomy between January 2010 and December 2013. The patients were treated bilaterally at the same session: the sympathetic chain and ganglia were excised from the spinal cord segments of T2-T4 in 20 patients (group 1), cauterized in 20 patients (group 2), and clipped in 20 patients (group 3). The procedural success and complication rates were compared among the groups. RESULTS: Sympathectomy was successfully performed in all patients. The mean operation time was found to be significantly shorter in group 2 (42.5±7.1 min) and group 3 (36.9±7.8 min), compared to group 1 (51.1±8.4 min) (p |
Databáze: | OpenAIRE |
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