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Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning

Year 2019, Volume: 5 Issue: 1, 36 - 38, 04.04.2019

Abstract

Severe palmar and/or axillary hyperhidrosis may adversely affect the patients. Thoracoscopic sympathectomy is frequently preferred for the treatment of severe hyperhidrosis. Patient positioning in surgery may cause a number of complications. In this article, we report a male patient who developed hypoesthesia on the palmar side of the first three fingers of the left hand after thoracoscopic bilateral sympathectomy for hyperhidrosis. Nerve conduction studies revealed non-significant results. Hypoesthesia was thought to be related to hyper-abduction position of arms. This complication disappeared two months after surgery. Appropriate patient positioning may prevent these complications.

References

  • 1. Wohlrab J, Kreft B. Hyperhidrosis-aetiopathogenesis, diagnosis, clinical symptoms and treatment. Hautarzt 2018;69:857-69. [Abstract] 2. Hasimoto EN, Cataneo DC, Reis TAD, Cataneo AJM. Hyperhidrosis: prevalence and impact on quality of life. J Bras Pneumol 2018;44:292-8. 3. Salim EF, Ali GA. Impact of Thoracoscopic T2 sympathectomy on patients with primary palmar and axillary hyperhidrosis. Ann Thorac Surg 2018;106:1032-7. 4. Bahar R, Zhou P, Liu Y, Huang Y, Phillips A, Lee TK, et al. The prevalence of anxiety and depression in patients with or without hyperhidrosis (HH). J Am Acad Dermatol. 2016;75:1126-33. 5. Gordon A, Zechmeister K, Collin J. The role of sympathectomy in current surgical practice. Eur J Vasc Surg 1994;8:129-37. 6. Rodríguez PM, Freixinet JL, Hussein M, Valencia JM, Gil RM, Herrero J, et al. Side effects, complications and outcome of thoracoscopic sympathectomy for palmar and axillary hyperhidrosis in 406 patients. Eur J Cardiothorac Surg 2008;34:514-9. 7. Abe S, Tomita N, Yamamoto M, Sato M, Abe H, Murakami G, et al. Topographical anatomy of the pronator teres muscle and median nerve: a study using histological sections of human fetuses. Okajimas Folia Anat Jpn 2017;94:37-44. 8. Wahlig JB Jr, Welch WC, Weigel TL, Luketich JD. Microinvasive transaxillary thoracoscopic sympathectomy: technical note. Neurosurgery 2000;46:1254-7. 9. Lundborg G, Dahlin LB. Anatomy, function, and pathophysiology of peripheral nerves and nerve compression. Hand Clin 1996;12:185-93.
Year 2019, Volume: 5 Issue: 1, 36 - 38, 04.04.2019

Abstract

References

  • 1. Wohlrab J, Kreft B. Hyperhidrosis-aetiopathogenesis, diagnosis, clinical symptoms and treatment. Hautarzt 2018;69:857-69. [Abstract] 2. Hasimoto EN, Cataneo DC, Reis TAD, Cataneo AJM. Hyperhidrosis: prevalence and impact on quality of life. J Bras Pneumol 2018;44:292-8. 3. Salim EF, Ali GA. Impact of Thoracoscopic T2 sympathectomy on patients with primary palmar and axillary hyperhidrosis. Ann Thorac Surg 2018;106:1032-7. 4. Bahar R, Zhou P, Liu Y, Huang Y, Phillips A, Lee TK, et al. The prevalence of anxiety and depression in patients with or without hyperhidrosis (HH). J Am Acad Dermatol. 2016;75:1126-33. 5. Gordon A, Zechmeister K, Collin J. The role of sympathectomy in current surgical practice. Eur J Vasc Surg 1994;8:129-37. 6. Rodríguez PM, Freixinet JL, Hussein M, Valencia JM, Gil RM, Herrero J, et al. Side effects, complications and outcome of thoracoscopic sympathectomy for palmar and axillary hyperhidrosis in 406 patients. Eur J Cardiothorac Surg 2008;34:514-9. 7. Abe S, Tomita N, Yamamoto M, Sato M, Abe H, Murakami G, et al. Topographical anatomy of the pronator teres muscle and median nerve: a study using histological sections of human fetuses. Okajimas Folia Anat Jpn 2017;94:37-44. 8. Wahlig JB Jr, Welch WC, Weigel TL, Luketich JD. Microinvasive transaxillary thoracoscopic sympathectomy: technical note. Neurosurgery 2000;46:1254-7. 9. Lundborg G, Dahlin LB. Anatomy, function, and pathophysiology of peripheral nerves and nerve compression. Hand Clin 1996;12:185-93.
There are 1 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Emre Gedik This is me 0000-0003-0033-9082

Mehmet Hamdi Orum 0000-0002-4154-0738

Publication Date April 4, 2019
Published in Issue Year 2019 Volume: 5 Issue: 1

Cite

APA Gedik, E., & Orum, M. H. (2019). Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 5(1), 36-38.
AMA Gedik E, Orum MH. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. April 2019;5(1):36-38.
Chicago Gedik, Emre, and Mehmet Hamdi Orum. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5, no. 1 (April 2019): 36-38.
EndNote Gedik E, Orum MH (April 1, 2019) Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5 1 36–38.
IEEE E. Gedik and M. H. Orum, “Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 5, no. 1, pp. 36–38, 2019.
ISNAD Gedik, Emre - Orum, Mehmet Hamdi. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5/1 (April 2019), 36-38.
JAMA Gedik E, Orum MH. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;5:36–38.
MLA Gedik, Emre and Mehmet Hamdi Orum. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 5, no. 1, 2019, pp. 36-38.
Vancouver Gedik E, Orum MH. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;5(1):36-8.