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
Language: Spanish
References: 17
Page: 279-286
PDF size: 72.70 Kb.
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
Callejas MA, Grimalt R, Cladellas E. Actualización en hiperhidrosis. Actas Dermosifilog. 2010;101(2):110-8.
Benson RA, Oalin R, Holt PJ, Loftus IM. Diagnosis and management of hyperhidrosis. BMJ. 2013;347. f6800 doi: 10.1136/bmj.f6800
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.
Molins L, Fibla JJ, MIer OJM. Simpatectomía torácica. INSIDE. Cirugía Torácica Mínimamente Invasiva. pag.372 www.institutodecirugíatorácica.com
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.
Hernández GJM, Salinas SG, Nodal OJ. Hiperhidrosis esencial. Recomendaciones para su tratamiento. Rev. Cub. Cir. 2011;50(4):597-601.
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.
Hornberger J. Identificación, diagnóstico y tratamiento de la Hiperhidrosis primaria localizada. Enciclopedia Médico-Quirúrgica - E - 98-815-B-10 (2005)
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.
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.
Buraschi J. Simpaticolisis videotoracoscopica para el tratamiento de la hiperhidrosis palmar primaria en niños y adolescentes. Arch Argent Pediatr. 2008;106(1):32-5.
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.
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
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.
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.
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.
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.