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1. Wait SD, Killory BD, Lekovic GP, Dickman CA: Biportal thoracoscopic sympathectomy for palmar hyperhidrosis in adolescents. J Neurosurg Pediatr; 2010 Aug;6(2):183-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Biportal thoracoscopic sympathectomy for palmar hyperhidrosis in adolescents.
  • OBJECT: Palmar, axillary, and plantar hyperhidrosis is often socially, emotionally, and physically disabling for adolescents.
  • The authors report surgical outcomes in all adolescents treated for palmar hyperhidrosis via bilateral thoracoscopic sympathectomy at the Barrow Neurological Institute by the senior author.
  • METHODS: A prospectively maintained database of all adolescent patients undergoing bilateral thoracoscopic sympathectomy between 1998 and 2006 (inclusive) was reviewed.
  • Additional follow-up was obtained as needed in clinic or by phone or written questionnaire.
  • RESULTS: Fifty-four patients (40 females) undergoing bilateral procedures were identified.
  • Their mean age was 15.4 years (range 10-17 years).
  • Average follow-up was 42 weeks (range 0.2-143 weeks).
  • Hyperhidrosis involved the palms alone in 10 patients; the palms and axilla in 6 patients; the palms and plantar surfaces in 17 patients; and the palms, axilla, and plantar surfaces in 21 patients.
  • Palmar hyperhidrosis resolved completely in 98.1% of the patients.
  • Resolution or improvement of symptoms was seen in 96.3% of patients with axillary and 71.1% of those with plantar hyperhidrosis.
  • Hospital stay averaged 0.37 days with 68.5% of patients discharged the day of surgery.
  • One patient experienced brief intraoperative asystole that resolved with medications and had no long-term sequelae.
  • Otherwise, no serious intraoperative complications occurred.
  • No patient required chest tube drainage.
  • The percentage of patients who reported satisfaction and willingness to undergo the procedure again was 98.1%.
  • CONCLUSIONS: Biportal, bilateral thoracoscopic sympathectomy is an effective and low-morbidity treatment for severe palmar, axillary, and plantar hyperhidrosis.
  • [MeSH-major] Hand / innervation. Hyperhidrosis / surgery. Sympathectomy / methods. Thoracoscopy / methods
  • [MeSH-minor] Adolescent. Child. Electrocoagulation / instrumentation. Female. Heart Arrest / etiology. Humans. Intraoperative Complications / etiology. Male. Postoperative Complications / etiology. Prospective Studies. Skin Temperature / physiology. Sweating / physiology. Thoracoscopes

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  • (PMID = 20672941.001).
  • [ISSN] 1933-0715
  • [Journal-full-title] Journal of neurosurgery. Pediatrics
  • [ISO-abbreviation] J Neurosurg Pediatr
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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