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2013, Number 1

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Rev Cubana Pediatr 2013; 85 (1)

Videothorascopic sympathicotomy treatment through one port for idiopathic palmar and axillary hyperhidrosis in the child

Vialat SV, Vázquez ME, Becil PS, Ramírez BL

Language: Spanish
References: 20
Page: 28-35
PDF size: 139.14 Kb.


ABSTRACT

Introduction: primary hyperhidrosis is a benign disease that consists of the overproduction of sweating mainly in hands, axillae and feet, which may affect the social and work life of those people who suffer it.
Objectives: to evaluate the results of the videothoracoscopic sympathicotomy using apneic oxygenation to reach the pulmonary collapse.
Methods: cross-sectional and descriptive study of 37 children aged 11 to 18 years, who were operated on from January 2011 to June 2012 at the university pediatric hospital of Centro Habana. The analyzed variables were sex, age, complications, length of stay at hospital and level of satisfaction.
Results: the disease was more frequent in females (22 for 59.5 %). Immediate positive results were achieved in 36 patients (97.3 %); dryness and increase of temperature in hands were found on finishing each hemithorax. Neither postoperative pleural tube nor antibiotics were used. There were no complications, the length of stay was short (97.3 %). The compensatory sweating was seen in 9 patients (24.3 %) and the satisfaction index was 100 %.
Conclusions: this surgical technique could be an effective therapeutic option to improve the quality of life at earlier ages.


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