Palmar hiperhidrozisli hastalarda farklı torakoskopik sempatektomi tekniklerinin etkinliği, başarı oranları ve komplikasyonları

Amaç: Bu çalışmada primer fokal hiperhidrozis tedavisinde kullanılan üç farklı video yardımlı torakoskopik sempatektomi işlemlerinden eksizyon, koterizasyon ve kliplemenin etkinliği, başarısı ve komplikasyon oranları incelendi. Çalışma planı: Ocak 2010 - Aralık 2013 tarihleri arasında primer fokal hiperhidrozis nedeniyle video yardımlı torakoskopik sempatektomi uygulanan toplam 60 hastanın (33 erkek, 27 kadın; ort. yaş 25.1±6.4 yıl; dağılım 16-43 yıl) kayıtları retrospektif olarak değerlendirildi. Tüm hastalar aynı seansta iki taraflı tedavi edildi: 20 hastada (grup 1) sempatik zincir ve gangliyonlar T2-T4 spinal kord segmentinden eksize edildi, 20 hastada (grup 2) koterize edildi ve 20 hastada da (grup 3) klipslendi. Gruplar arasında işlem başarısı ve komplikasyon oranları karşılaştırıldı. Bulgular: Sempatektomi tüm hastalarda başarılı bir şekilde uygulandı. Ortalama ameliyat süresi grup 1’e kıyasla (51.1±8.4 dk.), grup 2 (42.5±7.1 dk.) ve grup 3’te (36.9±7.8 dk.) anlamlı düzeyde daha kısa bulundu (p

Effectiveness, success rates, and complications of different thoracoscopic sympathectomy techniques in patients with palmar hyperhidrosis

Background: This study aims to investigate the effectiveness, success and complication rates of three different video-assisted thoracoscopic sympathectomy procedures performed for the treatment of primary focal hyperhidrosis; excision, cauterization and clipping.Methods: We retrospectively evaluated the records of 60 patients (33 males, 27 females; mean age 25.1±6.4 years; range 16 to 43 years) with primary focal hyperhidrosis and treated with video-assisted thoracoscopic sympathectomy between January 2010 and December 2013. The patients were treated bilaterally at the same session: the sympathetic chain and ganglia were excised from the spinal cord segments of T2-T4 in 20 patients (group 1), cauterized in 20 patients (group 2), and clipped in 20 patients (group 3). The procedural success and complication rates were compared among the groups.Results: Sympathectomy was successfully performed in all patients. The mean operation time was found to be significantly shorter in group 2 (42.5±7.1 min) and group 3 (36.9±7.8 min), compared to group 1 (51.1±8.4 min) (p

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