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1. Apiliogullari B, Esme H, Yoldas B, Duran M, Duzgun N, Calik M: Early and midterm results of single-port video-assisted thoracoscopic sympathectomy. Thorac Cardiovasc Surg; 2012 Jun;60(4):285-9

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Early and midterm results of single-port video-assisted thoracoscopic sympathectomy.
  • BACKGROUND: Video-assisted thoracoscopic sympathectomy (VATS) is the gold standard for patients with hyperhidrosis of the upper limbs.
  • The primary aim of this retrospective study was to evaluate the midterm outcome and the degree of satisfaction of patients who underwent single-port VATS.
  • METHODS: Forty three patients diagnosed with hyperhidrosis underwent T3, T4 VATS single-port approach, between January 2009 and May 2011.
  • Early and midterm outcome with particular emphasis on patient satisfaction were collected by hospital chart and telephonic interview.
  • RESULTS: The mean follow-up was 14 months.
  • No major perioperative complication occurred except for chylothorax in a case.
  • During the immediate postoperative period, all the patients reported palmar anhydrosis.
  • Compensatory sweating (6.9%) and recurrence of hyperhidrosis (6.9%) are responsible mainly for dissatisfaction.
  • No patients experienced moderate or severe chronic pain.
  • CONCLUSIONS: Single-port VATS is a feasible and minimally invasive technique with a low incidence of chronic pain for the treatment of hyperhidrosis.
  • A few patients may experience compensatory sweating and recurrence of hyperhidrosis.
  • The degree of patient satisfaction with the midterm surgical results is high.
  • [MeSH-major] Hyperhidrosis / surgery. Sympathectomy / methods. Thoracic Surgery, Video-Assisted
  • [MeSH-minor] Adolescent. Adult. Chylothorax / etiology. Female. Humans. Male. Pain, Postoperative / etiology. Patient Satisfaction. Recurrence. Retrospective Studies. Sweating. Time Factors. Treatment Outcome. Turkey. Young Adult

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  • [Copyright] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
  • (PMID = 22535675.001).
  • [ISSN] 1439-1902
  • [Journal-full-title] The Thoracic and cardiovascular surgeon
  • [ISO-abbreviation] Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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