| Summary: | INTRODUCTION[|]Primary focal hyperhidrosis is excessive sweating required for body thermoregulation. The most commonly affected sites are the palms and axillae. It is a benign disease, but one which has physical, physiological, and social effects, especially for adults. The best treatment is a thoracic sympathectomy, which may be performed using different approaches. Thoracoscopy is generally performed with a 5-mm thoracoscope and double lumen intubation. The aim of this study was to report experience with this technique using laryngeal mask ventilation, which is less invasive and shortens the operative time.[¤]METHODS[|]In all, 35 patients with palmar or axillar hyperhidrosis underwent a nonintubated endoscopic thoracic sympathectomy between January 2016 and August 2017. All of the patients were placed in a semi-Fowler position after the application of the laryngeal mask.[¤]RESULTS[|]The operative time, the expansion of the lung as seen on a postoperative chest X-ray, and the postoperative pain score were recorded. The operative time was calculated from the first incision until the closure of the skin suture. The median length of the operation was 21+-3 minutes. There were no complications seen in the first postoperative 24 hours and all of the patients were discharged after 1 day of hospitalization.[¤]DISCUSSION AND CONCLUSION[|]A nonintubated thoracoscopic sympathectomy procedure is a less invasive method that uses laryngeal mask, and which also reduces the operative time. As a result of bilateral ventilation, this procedure is highly effective at avoiding postoperative pneumothorax.[¤]
|
|---|