Endoscopıc Thoracic Sympathectomy for Palmar and Axillary Hyperhidrosis ; Analysis of Five Years

Year 2021, Volume: 43 Issue: 1, 42 - 45, 20.01.2021

Egemen Döner

https://doi.org/10.20515/otd.696068

Abstract

Hyperhidrosis can cause serious social problems to the patients who live with this condition. Endoscopic thoracic sympathectomy is the preferred treatment modality for hyperhidrosis. This study evaluated the outcomes of endoscopic thoracic sympathectomy in the management of hyperhidrosis. A 5-year retrospective study of adults who underwent endoscopic thoracic sympathectomy at the thoracic surgery department of Eskişehir Osmangazi University Medicine Faculty. There were 20 patients, 13 were males and 7 were females, with a median age of 26.65 years. All of the patients were performed bilateral endoscopic thoracic sympathectomies so fourty thoracoscopic procedures were performed with one conversion to open procedure. The mean operation time was 20 min. for one side. All the patients were discharged from the hospital on postoperative second day with a mean hospital stay of 4 days. Postoperative complications occured as transient unilateral Horner's syndrome in one patient. Complete relief of palmar hyperdidrosis was achieved in all patients. one patient had a recurrent hyperhidrosis after two years of the operation, three patients have compensatory sweatin in abdominal site. The outcome was very satisfactory in 15 patients, satisfactory in 4 patient, Only 1 patient with recurrent palmar hyperhidrosis was not satisfied with the outcome. Endoscopic thoracic sympathectomy has effective and satisfactory outcomes for palmar and axillary hyperhidrosis with acceptable complication rate.

Keywords

hiperhidrozis, palmar, axiller, endoskopik torasik sempatektomi

Palmar ve Aksiller Hiperhidrozis İçin Endoskopik Torasik Sempatektomi; Beş Yılın Analizi

Abstract

Hiperhidrozis, bu durumu yaşayan kişilerde ciddi sosyal sorunlara neden olabilen bir durumdur. Hiperhidrozis için endoskopik torasik sempatektomi tercih edilen tedavi yöntemidir. Bu çalışmada endoskopik torasik sempatektominin hiperhidroz tedavisindeki sonuçları değerlendirilmiştir. Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Kliniğinde endoskopik torasik sempatektomi uygulanan yetişkinlerin 5 yıllık retrospektif çalışması ele alındı. Olan 20 hastanın, 13'ü erkek, 7'si kadındı. Ortanca yaş 26.65 idi (16-68). Tüm hastalara bilateral endoskopik torasik sempatektomi yapıldı, bu nedenle kırk torakoskopik işlem uygulandı. Bir hastada açık torakotomi prosedürüne dönüldü. Ortalama ameliyat süresi 20 dakikaydı. Tüm hastalar postoperatif ikinci gün, ortalama 4 gün hastanede yatış ile taburcu edildi. Postoperatif komplikasyonlar, bir hastada geçici tek taraflı Horner sendromu olarak ortaya çıktı. Tüm hastalarda palmer hiperhidrozisinin tamamen düzelmesi sağlandı. Bir hastada ameliyattan iki yıl sonra tekrarlayan hiperhidrozis vardı, üç hastada karın bölgesinde kompansatuar terleme vardı. 15 hastada sonuç çok tatmin ediciydi, 4 hastada tatmin edici, tekrarlayan palmar hiperhidrozisli sadece 1 hasta sonuçtan memnun değildi. Endoskopik torasik sempatektomi palmar ve aksiller hiperhidrozis için kabul edilebilir komplikasyon oranıyla beraber etkili ve tatmin edici sonuçlara sahiptir.

Keywords

hyperhidrosis, palmar, axillary, endoscopic thoracic sympathectomy

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