Simpatectomía torácica, solución para hiperhidrosis / Toracic Sympathectomy, solution for hyperhidrosis
Rev. méd. Maule
; 33(2): 8-12, sept. 2018. graf, tab
Article
em Es
| LILACS
| ID: biblio-1292495
Biblioteca responsável:
CL1.1
ABSTRACT
PREFACE Videothoracoscopic sympathectomy (VTS) is the gold standard treatment for the upper extremity hyperhidrosis (HH) because it is safe and has good results. OBJECTIVE:
To evaluate retrospectively the long term results of VTS for the treatment of HH on 50 operated patients in the Maule Region from the year 2003 to september of 2015.METHODS:
For axillary HH a T2 to T4 VTS was performed, and T3 VTS for palmar HH. All the patients were operated bilaterally through 2 axillary ports. The operatory sucess was evaluated through the persistence or not of sweating of the palm and armpit. Also, all the complications associated were registered.RESULTS:
The procedure was successful in 96% of the patients, who reached anhidrosis in the palms and armpits. The most common complication was compensatory sweating, minimal to mild in 28% of the patients aproximately, severe only in one case; intense post operatory pain in 3 cases and sympathyc reinervation in 2 cases. There was no Infection, Horner syndrome, inthercostal arthery injury or mortality reported.CONCLUSION:
The billateral VTS is an effective and safe procedure to obtain anhidrosis in patients with upper extremity hyperhidrosys.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Simpatectomia
/
Cirurgia Torácica Vídeoassistida
/
Hiperidrose
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Ano de publicação:
2018
Tipo de documento:
Article