2017, Number 2
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Rev Med MD 2017; 8.9 (2)
Bilateral toracoscopic sympathectomy as a treatment of palmar hyperhidrosis
Trujillo-Hernández D, Ruiz-Velazco A, Sánchez-Vergara S, González- Luna R, López-Taylor JG
Language: Spanish
References: 11
Page: 195-198
PDF size: 500.28 Kb.
ABSTRACT
Palmar hyperhidrosis is a common problem that appears since childhood, causes low self-esteem and difficults to
socialize, so that it can elicit an impaired quality of life. The treatment can be complicated because the pharmacological
approach has a poor yield, an alternative in the treatment is the bilateral toracoscopic sympathectomy. The goal of this
report is to present the results of this technique in 4 patients intervened during years 2012 to 2015 at Hospital Civil de
Guadalajara. All of the patients were operated using general anesthesia in a single surgical procedure, there weren't any
complications during the transoperative or postsurgical time. The patients were evaluated during the first 24 hours after
surgery and they were discharged the following day, with a control revision at 7 and 30 days and 6 and 12 months. The
patients reported minimum pain that was adequately controlled by taking oral analgesics, as well as an improvement in
their quality of life. The results from this work allowed us to corroborate the safety and reproducibility of the bilateral
toracoscopic sympathectomy in the treatment of palmar hyperhidrosis, with an adequate outcome.
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