| Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis. The use of harmonic scalpel versus diathermy. | |
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MedLine Citation:
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PMID: 11695796 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Upper dorsal thoracoscopic sympathectomy, the treatment of choice for primary palmar hyperhidrosis, is not devoid of long-term complications, like Horner's syndrome and postoperative neuralgia. It has been postulated that propagation of heat induced by diathermy may be responsible for some of these sequelae. To assess this hypothesis, a study was undertaken to evaluate the use of harmonic scalpel, which does not dissipate heat. METHOD: Sixteen patients with primary palmar hyperhidrosis underwent upper dorsal thoracoscopic sympathectomy using the harmonic scalpel on one side and diathermy on the other. Follow-up was made two years postoperatively. RESULTS: The length of the procedure with each instrument was similar. There was no localization of postoperative pain, which could be attributed to either device. No Horner's syndrome or postoperative neuralgia occurred. CONCLUSION: The present study proved the safe use of harmonic scalpel for upper dorsal thoracoscopic sympathectomy, but did not detect any important advantage of either instrument over diathermy. |
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Authors:
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D Kopelman; H Bahous; A Assalia; M Hashmonai |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Annales chirurgiae et gynaecologiae Volume: 90 ISSN: 0355-9521 ISO Abbreviation: Ann Chir Gynaecol Publication Date: 2001 |
Date Detail:
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Created Date: 2001-11-06 Completed Date: 2002-03-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7609767 Medline TA: Ann Chir Gynaecol Country: Finland |
Other Details:
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Languages: eng Pagination: 203-5 Citation Subset: IM |
Affiliation:
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Faculty of Medicine, Technion--Israel Institute of Technology, Haifa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Diathermy* Female Follow-Up Studies Hand / innervation Humans Hyperhidrosis / surgery* Male Postoperative Complications Sympathectomy / instrumentation*, methods* Thoracoscopy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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