| Advantages of limited thoracoscopic sympathectomy. | |
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MedLine Citation:
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PMID: 8662426 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Thoracoscopic resection of the first through the fourth thoracic sympathetic ganglion for palmary and axillary hyperhidrosis and Raynaud's syndrome is associated with a high initial success rate. However, the reported incidence of compensatory hyperhidrosis of the trunk and legs and Horner's syndrome are high. This study assesses the results of thoracoscopic sympathectomy limited to transection of the interganglionic trunk or resection of one or two thoracic ganglia. METHODS: Twenty-eight thoracoscopic sympathectomies were done for dystrophy of the hand (n = 9), palmar and axillary hyperhidrosis (n = 6), and Raynaud's syndrome (n = 4). The extent of sympathectomy varied from interganglionic division between the second and third ganglion (n = 12), to resection of the third ganglion (n = 12), to resection of the second and third ganglion (n = 4). RESULTS: Sympathectomy resulted initially in relief of symptoms in all cases. Horner's syndrome did not occur. CONCLUSIONS: After a median follow-up of 11 months, two of nine patients with dystrophy judged the result of operation as good. All patients with hyperhidrosis and Raynaud's syndrome judged the result of sympathectomy as good. Compensatory hyperhidrosis was experienced by two patients with dystrophy of the hand who had removal of the second and third sympathetic ganglion. |
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Authors:
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H J Bonjer; J F Hamming; du Bois NAJJ; H van Urk |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgical endoscopy Volume: 10 ISSN: 0930-2794 ISO Abbreviation: Surg Endosc Publication Date: 1996 Jul |
Date Detail:
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Created Date: 1996-08-21 Completed Date: 1996-08-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: GERMANY |
Other Details:
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Languages: eng Pagination: 721-3 Citation Subset: IM |
Affiliation:
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Department of Surgery, University Hospital Dijkzigt, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Axilla / innervation Endoscopy* Female Hand / innervation Humans Hyperhidrosis / surgery* Male Middle Aged Postoperative Complications / etiology Raynaud Disease / surgery* Reflex Sympathetic Dystrophy / surgery* Retrospective Studies Sympathectomy / methods* Thoracoscopy* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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