Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis
OBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2012-06-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000600003&lng=en&tlng=en |
| _version_ | 1818043778040070144 |
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| author | Leandro Pretto Flores |
| author_facet | Leandro Pretto Flores |
| author_sort | Leandro Pretto Flores |
| collection | DOAJ |
| description | OBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS: Analysis of the outcomes obtained from 36 patients regarding the rate of resolution of the symptoms and the compensatory sweating (CS). All subjects were followed-up for 36 months. RESULTS: Good outcomes were observed in 98.6% for palmar and 60% for axillary hyperhidrosis (p=0.0423), respectively. Of the subjects, 86% reported some postoperative episode of CS, however only 45% (p=0.0031) still noticed it at the end of the follow-up period. CONCLUSIONS: VATS is effective for the excessive palmar sweating, whereas it is fully efficient for only two thirds of the cases sustaining associated axillar hyperhidrosis. CS is expected as a rule following the proposed operative protocol, however it is usually self-limited. |
| first_indexed | 2024-12-10T09:07:37Z |
| format | Article |
| id | doaj.art-715a923200794d3698babc46e71de8a4 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-10T09:07:37Z |
| publishDate | 2012-06-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-715a923200794d3698babc46e71de8a42022-12-22T01:55:06ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-06-0170639840310.1590/S0004-282X2012000600003S0004-282X2012000600003Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosisLeandro Pretto FloresOBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS: Analysis of the outcomes obtained from 36 patients regarding the rate of resolution of the symptoms and the compensatory sweating (CS). All subjects were followed-up for 36 months. RESULTS: Good outcomes were observed in 98.6% for palmar and 60% for axillary hyperhidrosis (p=0.0423), respectively. Of the subjects, 86% reported some postoperative episode of CS, however only 45% (p=0.0031) still noticed it at the end of the follow-up period. CONCLUSIONS: VATS is effective for the excessive palmar sweating, whereas it is fully efficient for only two thirds of the cases sustaining associated axillar hyperhidrosis. CS is expected as a rule following the proposed operative protocol, however it is usually self-limited.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000600003&lng=en&tlng=enhiperidrosesimpatectomia torácica vídeo-assistidagânglios simpáticosneuroendoscopia |
| spellingShingle | Leandro Pretto Flores Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis Arquivos de Neuro-Psiquiatria hiperidrose simpatectomia torácica vídeo-assistida gânglios simpáticos neuroendoscopia |
| title | Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis |
| title_full | Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis |
| title_fullStr | Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis |
| title_full_unstemmed | Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis |
| title_short | Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis |
| title_sort | long term outcomes associated to video assisted thoracic sympathotomy for palmar axillar subtype of the hyperhidrosis |
| topic | hiperidrose simpatectomia torácica vídeo-assistida gânglios simpáticos neuroendoscopia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000600003&lng=en&tlng=en |
| work_keys_str_mv | AT leandroprettoflores longtermoutcomesassociatedtovideoassistedthoracicsympathotomyforpalmaraxillarsubtypeofthehyperhidrosis |