Anaesthesia for thoracic sympathectomy.

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Endoscopic thoracic sympathectomy.

Endoscopic thoracic sympathectomy is a surgical technique most commonly used in the treatment of severe palmar hyperhidrosis in selected patients. The procedure also has limited use in the treatment axillary and craniofacial hyperhidrosis. Endoscopic thoracic sympathectomy is associated with a high rate of the development of compensatory hyperhidrosis, which may affect patient satisfaction with...

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Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.

Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic ...

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Endoscopic thoracic sympathectomy for palmar hyperhidrosis.

Primary palmar hyperhidrosis is a disorder of excessive perspiration. In severe cases it can be socially and professionally debilitating and conservative therapy is usually unsatisfactory. Endoscopic thoracic sympathectomy (ETS) is considered an effective treatment for palmar hyperhidrosis. However, many different procedures have been used: simple resection of the sympathetic ganglion, transect...

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Drawbacks of endoscopic thoracic sympathectomy.

BACKGROUND Endoscopic thoracic sympathectomy (ETS) has come into widespread use for palmar hyperhidrosis and other complaints of the upper limb and of the head and neck, but there are concerns about its safety. This review highlights the operative complications and long-term side-effects that may occur. METHODS A Medline search was carried out using the terms 'thoracoscopic sympathectomy', 'e...

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Video-assisted thoracic surgery sympathectomy for hyperhidrosis.

HYPOTHESIS Video-assisted thoracic surgery sympathectomy is efficacious for patients with hyperhidrosis. DESIGN An experience with patients undergoing bilateral video-assisted thoracic surgery sympathectomy was reviewed to evaluate the operative technique and to determine morbidity and outcomes. SETTING Academic health center. PATIENTS The cohort included 31 patients (22 women and 9 men)....

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ژورنال

عنوان ژورنال: BMJ

سال: 1993

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.307.6899.326