Innovative Techniques for thoracic sympathectomy : Experience of 654 patients for essential hyperhidrosise.
- Author:
Dong Suck MOON
1
;
Doo Yun LEE
;
Hae Kyoon KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kwandong University Coillege of Medicine, Kangnung, Korea.
- Publication Type:Original Article
- Keywords:
Hyperhidrosis;
Sympathectomy;
Surgery method
- MeSH:
Anesthesia;
Hospitalization;
Humans;
Hyperhidrosis*;
Inflation, Economic;
Intubation;
Lung;
Male;
Operative Time;
Sympathectomy*;
Thoracoscopy;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(7):703-710
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We treated 654 patients with simultaneous bilateral sympathectomy for essential hyperhidrosis from March 1989 to September 1997 (354 males and 300 females). The exposure afforded by thoracoscopy is actually superior to that seen at the time of either thoracotomy or axillary thoracotomy. The use of single-lumen intubation with alternating partially collapsed lung by CO2 inflation resulted in shorter anesthesia, shorter operative time, and shorter hospitalization. 2-mm extended thoracoscopic T2-sympathectomy is not only a time-saving method but also a very simple and effective one in the treatment of hyperhidrosis by experienced surgeons. The modification on our technique of thoracoscopic sympathectomy as described allowed us to significantly improve our previous results. A majority of the patients were relieved, and over 95% were satisfied initially.
