Use of perioperative thermal camera for the assessment of sympathectomy effectiveness

Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 77 - 83, 04.01.2024

Ahmet Acıpayam , Atila Yoldaş

https://doi.org/10.18621/eurj.1364802

Öz

Objectives: Primary Hyperhidrosis (HH) is the excessive sweating condition in one or more parts of the body. The definitive treatment method is surgical. The most commonly applied surgical method is endoscopic thoracic sympathectomy (ETS). We aimed to investigate the effectiveness of patients with hyperhidrosis by making temperature measurements.

Methods: We analyzed the findings of 30 patients who were diagnosed with HH between January 1, 2019 and November 1, 2022 in Kahramanmaraş Sütçü İmam University Thoracic Surgery Clinic. Preoperative, intraoperative and postoperative hand temperatures of the patients who underwent bilateral endoscopic thoracic sympathectomy were examined by measuring hand temperatures with a thermal camera.

Results: After the evaluation of the examination, it was revealed that there was an increase in the hand temperature measurement values before sympathectomy and after the sympathectomy operation.

Conclusion: We believe that endoscopic thoracic sympathectomy performed by measuring temperature with a thermal camera will increase the comfort and safety of the surgery both on the part of the physician and the patient.

Anahtar Kelimeler

Sympathectomy, sweating, thoracal surgery, thermal camera

Kaynakça

• 1. Acıpayam A, Sayan M, Tokur M. Single-port endoscopic thoracic sympathectomy in cases of primary hyperhidrosis: single-center experience. Eur Arch Med Res. 2022;38(3):178-182. doi: 10.4274/eamr.galenos.2021.28199.
• 2. Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons’ expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg. 2011;91(5):1642-1648. doi: 10.1016/j.athoracsur.2011.01.105.
• 3. Shargall Y, Spratt E, Zeldin RA. Hyperhidrosis: what is it and why does it occur? Thorac Surg Clin. 2008;18(2):125-132. doi: 10.1016/j.thorsurg.2008.01.001.
• 4. Solish N, Wang R, Murray CA. Evaluating the patient presenting with hyperhidrosis. Thorac Surg Clin. 2008;18(2):133-140. doi: 10.1016/j.thorsurg.2008.01.002.
• 5. Barutcu AG, Klein D, Kilian M, et al. Long-term follow-up after single-incision laparoscopic surgery. Surg Endosc. 2020;34(1):126-132. doi: 10.1007/s00464-019-06739-5.
• 6. Gürkök S, Genç O. [Hyperhidrosis (Endoscopic Thoracal Sympathectomy)]. Turkiye Klinikleri J Thor Surg-Special Topics. 2009;2(2):62-69. [Article in Turkish]
• 7. Chen X, Gasecka P, Formanek F, Galey JB, Rigneault H. In vivo single human sweat gland activity monitoring using coherent anti-Stokes Raman scattering and two-photon excited autofluorescence microscopy. Br J Dermatol. 2016;174(4):803-12. doi: 10.1111/bjd.14292.
• 8. Nawrocki S, Cha J. The etiology, diagnosis, and management of hyperhidrosis: a comprehensive review: etiology and clinical work-up. J Am Acad Dermatol. 2019;81(3):657-666. doi: 10.1016/j.jaad.2018.12.071.
• 9. Eisenach JH, Atkinson JL, Fealey RD. Hyperhidrosis: evolving therapies for a well-established phenomenon. Mayo Clin Proc. 2005;80(5):657-666. doi: 10.4065/80.5.657. Erratum in: Mayo Clin Proc. 2005;80(6):828.
• 10. Knoll H, Ziegeler S, Schreiber JU, et al. Airway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial. Anesthesiology. 2006;105(3):471-477. doi: 10.1097/00000542-200609000-00009.
• 11. Lohser J, Slinger P. Lung injury after one-lung ventilation. Anesth Analg. 2015;121(2):302-318. doi: 10.1213/ANE.0000000000000808.
• 12. Soto R. Incidence and risk factors for postoperative residual neuromuscular blockade. Curr Anesthesiol Rep 2020;10:81-84. doi: 10.1007/s40140-020-00386-6.
• 13. van de Pas JM, van der Woude MC, Belgers HJ, Hulsewé KW, de Loos ER. Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report. Korean J Anesthesiol. 2019;72(2):184-187. doi: 10.4097/kja.d.18.00237.
• 14. Kaplan T, Ekmekçi P, Koçer B, Han S. Bilateral sympathicotomy for hyperhidrosis without using single-lung ventilation. Turk J Med Sci. 2015;45(4):771-774. doi: 10.3906/sag-1405-51.
• 15. Krasna MJ, Demmy TL, McKenna RJ, Mack MJ. Thoracoscopic sympathectomy: the U.S. experience. Eur J Surg Suppl. 1998;(580):19-21. doi: 10.1080/11024159850191085.
• 16. Hornberger J, Grimes K, Naumann M, et al; Multi-Specialty Working Group on the Recognition, Diagnosis, and Treatment of Primary Focal Hyperhidrosis. Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol. 2004;51(2):274-286. doi: 10.1016/j.jaad.2003.12.029.
• 17. Ro KM, Cantor RM, Lange KL, Ahn SS. Palmar hyperhidrosis: evidence of genetic transmission. J Vasc Surg. 2002 Feb;35(2):382-386. doi: 10.1067/mva.2002.119507.
• 18. Whitson BA, Andrade RS, Dahlberg PS, Maddaus MA. Evolution of clipping for thoracoscopic sympathectomy in symptomatic hyperhidrosis. Surg Laparosc Endosc Percutan Tech. 2007;17(4):287-290. doi: 10.1097/SLE.0b013e318074c350.
• 19. Dewey TM, Herbert MA, Hill SL, Prince SL, Mack MJ. One-year follow-up after thoracoscopic sympathectomy for hyperhidrosis: outcomes and consequences. Ann Thorac Surg. 2006;81(4):1227-1232; discussion 1232-1233. doi: 10.1016/j.athoracsur.2005.11.006.
• 20. Chen YB, Ye W, Yang WT, et al. Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. Chin Med J (Engl). 2009;122(13):1525-1528.
• 21. Shanthanna H, Aboutouk D, Poon E, et al. A retrospective study of open thoracotomies versus thoracoscopic surgeries for persistent postthoracotomy pain. J Clin Anesth. 2016;35:215-220. doi: 10.1016/j.jclinane.2016.07.029.
• 22. Görür R, Yıldızhan A, Türüt H, et al. [Analysis of 530 sympathectomy operations performed for palmar hyperhidrosis and long-term results]. Turk Gogus Kalp Damar Cerrahisi Derg. 2009;17(1):28-32. [Article in Turkish]
• 23. Sugimura H, Spratt EH, Compeau CG, Kattail D, Shargall Y. Thoracoscopic sympathetic clipping for hyperhidrosis: long-term results and reversibility. J Thorac Cardiovasc Surg. 2009;137(6):1370-376; discussion 1376-1377. doi: 10.1016/j.jtcvs.2009.01.008.
• 24. Weksler B, Blaine G, Souza ZB, Gavina R. Transection of more than one sympathetic chain ganglion for hyperhidrosis increases the severity of compensatory hyperhidrosis and decreases patient satisfaction. J Surg Res. 2009;156(1):110-115. doi: 10.1016/j.jss.2009.04.015.
• 25. Currie AC, Evans JR, Thomas PR. An analysis of the natural course of compensatory sweating following thoracoscopic sympathectomy. Int J Surg. 2011;9(5):437-439. doi: 10.1016/j.ijsu.2011.04.006.
• 26. Li X, Chen R, Tu YR, et al. Epidemiological survey of primary palmar hyperhidrosis in adolescents. Chin Med J (Engl). 2007;120(24):2215-2217.
• 27. Dural K, Özpolat B, Günal N, Zorlu E, Kür S. [The relationship between thoracic sympathectomy effectiveness and palm heat measurement]. KÜ Tıp Fak Derg. 2020;22(3):288-292. doi:10.24938/kutfd.658166. [Article in Turkish]