Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy
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 thora...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-05-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-02986 |
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| author | Ekin Ezgi Cesur Kadir Burak Özer Attila Özdemir Fatma Tuğba Özlü Fatih Doğu Geyik Recep Demirhan |
| author_facet | Ekin Ezgi Cesur Kadir Burak Özer Attila Özdemir Fatma Tuğba Özlü Fatih Doğu Geyik Recep Demirhan |
| author_sort | Ekin Ezgi Cesur |
| collection | DOAJ |
| description | 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.[¤] |
| first_indexed | 2024-04-10T10:58:12Z |
| format | Article |
| id | doaj.art-f217e6ff07a9477ab235647cc93fa508 |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T10:58:12Z |
| publishDate | 2018-05-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-f217e6ff07a9477ab235647cc93fa5082023-02-15T16:19:50ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982018-05-01291495210.14744/scie.2018.02986SCIE-02986Non-Intubated Bilateral Single Port Endoscopic Thoracic SympathectomyEkin Ezgi Cesur0Kadir Burak Özer1Attila Özdemir2Fatma Tuğba Özlü3Fatih Doğu Geyik4Recep Demirhan5Department of Thoracic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Thoracic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Thoracic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Thoracic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Anaesthesiology and Reanimation, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Thoracic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]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.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-02986endoscopic thoracic sympathectomynon-intubated video-assisted thoracoscopic surgery; primary hyperhidrosis; single-port video-assisted thoracoscopic surgery. |
| spellingShingle | Ekin Ezgi Cesur Kadir Burak Özer Attila Özdemir Fatma Tuğba Özlü Fatih Doğu Geyik Recep Demirhan Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy Southern Clinics of Istanbul Eurasia endoscopic thoracic sympathectomy non-intubated video-assisted thoracoscopic surgery; primary hyperhidrosis; single-port video-assisted thoracoscopic surgery. |
| title | Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy |
| title_full | Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy |
| title_fullStr | Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy |
| title_full_unstemmed | Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy |
| title_short | Non-Intubated Bilateral Single Port Endoscopic Thoracic Sympathectomy |
| title_sort | non intubated bilateral single port endoscopic thoracic sympathectomy |
| topic | endoscopic thoracic sympathectomy non-intubated video-assisted thoracoscopic surgery; primary hyperhidrosis; single-port video-assisted thoracoscopic surgery. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-02986 |
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