medigraphic.com
SPANISH

Revista Cubana de Cirugía

ISSN 1561-2945 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2016, Number 4

<< Back Next >>

Revista Cubana de Cirugía 2016; 55 (4)

Videothoracoscopic simpathicotomy on the treatment of palmar hyperidrosis

de Zacarías RBH, Hernández JM, Montero FS, Nodal OJ, Delgado MJC, Fernández HL
Full text How to cite this article

Language: Spanish
References: 17
Page: 279-286
PDF size: 72.70 Kb.


Key words:

primary hyperhidrosis, sympathicotomy, videothorascoscopy, compensatory sweating.

ABSTRACT

Introduction: Videothoracoscopic sympathicotomy is currently the surgical technique of choice in the treatment of primary or essential hyperhidrosis. Its advantages related to its simplicity, fewer possibilities of transoperative complications, remarkably shorter surgical time and consequently less exposure to anesthetic agents, better risk / benefit ratio, better recovery, limited side effects such as compensatory sweat and high level of patient satisfaction support the performance of this procedure.
Objective: To analyze the results of the generalization of the T3-T4 sympathicotomy in the treatment of palmar hyperhidrosis.
Method: A cross-sectional, observational and descriptive study of patients with diagnosis of palmar primary hyperhidrosis, who underwent videothoracoscopic sympathicotomy at the National Center for Minimal Access Surgery from January 2011 to December 2015. The patient assessment took into account internationally accepted variables such as healing, side effects, complications and psychic improvement according to the level of satisfaction of the patients.
Results: Recovery from disease reached 97.69%, compensatory sweating occurred in 48.1 % of patients and the level of satisfaction was 97 %, thus achieving clear improvement of the psychological state of patients.
Conclusions: Videothoracoscopic sympathicotomy T3-T4 is effective in the treatment of patients with palmar hyperhidrosis.


REFERENCES

  1. Callejas MA, Grimalt R, Cladellas E. Actualización en hiperhidrosis. Actas Dermosifilog. 2010;101(2):110-8.

  2. Benson RA, Oalin R, Holt PJ, Loftus IM. Diagnosis and management of hyperhidrosis. BMJ. 2013;347. f6800 doi: 10.1136/bmj.f6800

  3. Exposito FI. Hiperhidrosis. Guía de experto. Servicio de Atención Primaria de Culleredo -Servizo Galego de Saúde- A Coruña (España). Elsevier. 2014. http://www.clinicalkey.es/#!/content/guides_techniques/52-s2,0-mt_fi.

  4. Molins L, Fibla JJ, MIer OJM. Simpatectomía torácica. INSIDE. Cirugía Torácica Mínimamente Invasiva. pag.372 www.institutodecirugíatorácica.com

  5. Gross KM, Schote AB, Schneider KK, Schultz A, Meyer J. Elevated social stress levels and depressive symptoms in Primary Hyperidrosis. Slominski at.ed. Plos ONE. 2014;9(3):e92412. Doi: 10.1371/journal pone.0092412.

  6. Hernández GJM, Salinas SG, Nodal OJ. Hiperhidrosis esencial. Recomendaciones para su tratamiento. Rev. Cub. Cir. 2011;50(4):597-601.

  7. Boscardin PC, de Oliveira RA, de Oliveira AA, de Souza JM, de Carvalho RG. Simpatectomia torácica ao nível de 4ª e 5ª costelas para o tratamento de hiperhidrose axilar. J Bras Pneumol. 2011;37(1):6-12.

  8. Hornberger J. Identificación, diagnóstico y tratamiento de la Hiperhidrosis primaria localizada. Enciclopedia Médico-Quirúrgica - E - 98-815-B-10 (2005)

  9. Yaghobi Z, Goljarian S, Oskouei AE. Comparison of Tap Water and Normal Saline Iontophoresis in Idiopathic Hyperhidrosis: A Case Report. Journal of Physical Therapy Science. 2014;26(8):1313-5. doi:10.1589/jpts.26.1313.

  10. Atkinson JLD, Fode-Thomas NC, Fealey RD, Eisenach JH, Goerss SJ. Endoscopic Transthoracic Limited Sympathotomy for Palmar-Plantar Hyperhidrosis: Outcomes and Complications during a 10-Year Period. Mayo Clinic Proceedings. 2011; 86(8):721-9. doi:10.4065/mcp.2011.0199.

  11. Buraschi J. Simpaticolisis videotoracoscopica para el tratamiento de la hiperhidrosis palmar primaria en niños y adolescentes. Arch Argent Pediatr. 2008;106(1):32-5.

  12. Hwang JJ, Kim DH, Hong YJ, Lee DY. A comparison between two types of limited sympathetic surgery for palmar hyperhidrosis. Surgery Today. 2013;43(4):397-402. doi: 10.1007/s00595-012-0246-1.

  13. Isla-Tejera B, Ruano J, Álvarez MA. Economic Evaluation of Botulinum Toxin versus Thoracic Sympathectomy for Palmar Hyperhidrosis: Data from a Real-World Scenario. Dermatology and Therapy. 2013;3(1):63-72. doi:10.1007/s13555-013- 0025

  14. Law NW, Ellis H. Transthoracic sympathectomy for palmar hyperhidrosis in children under 16 years of age. Annals of The Royal College of Surgeons of England. 1989;71(1):70-1.

  15. Vialat SV, Vázquez ME, León AD, López DV. Sudor compensador, un efecto no deseado secundario al tratamiento quirúrgico de la hiperhidrosis primaria infantil. Revista Cubana de Pediatría. 2013;86(2):207-14.

  16. Yanagihara TK, Ibrahimiye A, Harris C, Hirsch J, Gorenstein LA. Analysis of clamping versus cutting of T3 sympathetic nerve for severe Palmar Hyperhidrosis. The Journal of thoracic and cardiovascular surgery. 2010;140(5):984-9. doi:10.1016/j.jtcvs.2010.08.014.

  17. Jeong SM, Kim TY, Jeong YB, Sim JY, Choi IC. The Changes of Skin Temperature on Hands and Feet During and after T3 Sympathicotomy for Palmar Hyperhidrosis. Journal of Korean Medical Science. 2006;21(5):917-21. doi:10.3346/jkms.2006.21.5.917.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Cirugía. 2016;55