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

Yıl 2021, Cilt: 43 Sayı: 1, 42 - 45, 20.01.2021
https://doi.org/10.20515/otd.696068

Öz

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.

Kaynakça

  • 1. Quraishy MS, Giddings AEB. Treating hyperhidrosis. BMJ 1993;306:122–2. 2. Lin TS, Fang HY. Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis—with emphasis on peri-operative management (1360 case analyses). Surg Neurol 1999;52:453–73
  • 2. Leseche G, Castier Y, Thabut G, et al. Endoscopic transthoracic sympathectomy for upper limb hyperhidrosis: limited sympathectomy does not reduce postoperative compensatory sweating. J Vasc Surg 2003;37:124-8.
  • 3. Moran KT, Brady MP. Surgical management of primary hyperhidrosis. Br J Surg 1991;78:279–835.
  • 4. White JC, Smithwick RH, Allen AW, et al. A new muscle splitting incision for resection of the upper thoracic sympathetic ganglia. Surg Gynecol Obstet 1933;56:651–76.
  • 5. Byrne J, Walsh TN, Hederman WP. Endoscopic transthoracic electrocautery of sympathetic chain for palmar and axillary hyperhidrosis. Br J Surg 1990;77:1046–9.7.
  • 6. Kopelman D, Hasmonai M, Ehrenreich M, et al. Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results. J Vasc Surg 1996;24:194–98.
  • 7. Görür R, Yıldızhan A, Türüt H, Şen H, Yiyit N, Candaş F, et al. Analysis of 530 sympathectomy operations performed for palmar hyperhidrosis and long-term results Turk Gogus Kalp Damar Cer dergisi 2009;17:28-32.9.
  • 8. Erdik O, Karasu S, Haberal İ, Yıldızhan A, Ayata A, Yıldırım A. Surgical results of 349 thoracoscopic sympathectomies Turk Gogus Kalp Damar Cer dergisi 2006;14:290-4.10.
  • 9. Lyra Rde M, Campos JR, Kang DW, Loureiro Mde P, Furian MB, Costa MG, et al. Guidelines for the prevention, diagnosis and treatment of compensatory hyperhidrosis. J Bras Pneumol 2008;34:967-77.11.
  • 10. Lin TS, Fang HY. Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis--with emphasis on perioperative management (1,360 case analyses). Surg Neurol 1999;52:453-7.12.
  • 11. Gossot D, Galetta D, Pascal A, Debrosse D, Caliandro R, Girard P, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 2003;75:1075-9.

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

Yıl 2021, Cilt: 43 Sayı: 1, 42 - 45, 20.01.2021
https://doi.org/10.20515/otd.696068

Öz

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.

Kaynakça

  • 1. Quraishy MS, Giddings AEB. Treating hyperhidrosis. BMJ 1993;306:122–2. 2. Lin TS, Fang HY. Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis—with emphasis on peri-operative management (1360 case analyses). Surg Neurol 1999;52:453–73
  • 2. Leseche G, Castier Y, Thabut G, et al. Endoscopic transthoracic sympathectomy for upper limb hyperhidrosis: limited sympathectomy does not reduce postoperative compensatory sweating. J Vasc Surg 2003;37:124-8.
  • 3. Moran KT, Brady MP. Surgical management of primary hyperhidrosis. Br J Surg 1991;78:279–835.
  • 4. White JC, Smithwick RH, Allen AW, et al. A new muscle splitting incision for resection of the upper thoracic sympathetic ganglia. Surg Gynecol Obstet 1933;56:651–76.
  • 5. Byrne J, Walsh TN, Hederman WP. Endoscopic transthoracic electrocautery of sympathetic chain for palmar and axillary hyperhidrosis. Br J Surg 1990;77:1046–9.7.
  • 6. Kopelman D, Hasmonai M, Ehrenreich M, et al. Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results. J Vasc Surg 1996;24:194–98.
  • 7. Görür R, Yıldızhan A, Türüt H, Şen H, Yiyit N, Candaş F, et al. Analysis of 530 sympathectomy operations performed for palmar hyperhidrosis and long-term results Turk Gogus Kalp Damar Cer dergisi 2009;17:28-32.9.
  • 8. Erdik O, Karasu S, Haberal İ, Yıldızhan A, Ayata A, Yıldırım A. Surgical results of 349 thoracoscopic sympathectomies Turk Gogus Kalp Damar Cer dergisi 2006;14:290-4.10.
  • 9. Lyra Rde M, Campos JR, Kang DW, Loureiro Mde P, Furian MB, Costa MG, et al. Guidelines for the prevention, diagnosis and treatment of compensatory hyperhidrosis. J Bras Pneumol 2008;34:967-77.11.
  • 10. Lin TS, Fang HY. Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis--with emphasis on perioperative management (1,360 case analyses). Surg Neurol 1999;52:453-7.12.
  • 11. Gossot D, Galetta D, Pascal A, Debrosse D, Caliandro R, Girard P, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 2003;75:1075-9.
Toplam 11 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Egemen Döner 0000-0003-4217-3543

Yayımlanma Tarihi 20 Ocak 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 43 Sayı: 1

Kaynak Göster

Vancouver Döner E. Endoscopıc Thoracic Sympathectomy for Palmar and Axillary Hyperhidrosis ; Analysis of Five Years. Osmangazi Tıp Dergisi. 2021;43(1):42-5.


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