Thoracic sympathectomy by Natural Orifice Trans Umbilical Surgery (NOTUS) for woman patients with palmar hyperhidrosis
10.3760/cma.j.issn.1007-5232.2014.06.001
- VernacularTitle:经脐超细胃镜下胸交感神经毁损术治疗女性手汗症25例临床观察
- Author:
Weisheng CHEN
;
Lihuan ZHU
;
Dazhou LI
;
Xuegang FENG
;
Jixue ZHANG
;
Daoming LIU
;
Wen WANG
- Publication Type:Journal Article
- Keywords:
Hyperhidrosis;
Endoscopic surgery;
Ultrathin gastroscope
- From:
Chinese Journal of Digestive Endoscopy
2014;31(6):301-303
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of transumbilical endoscopic thoracic sympathectomy on women patients with palmar hyperhidrosis.Methods A total of 25 consecutive women patients with palmar hyperhidrosis underwent transumblical thoracic sympathectomy with ultra-thin endoscope.The operative data,including duration of operation,intra-operative and postoperative complications were recorded.Results The procedure was performed successfully in all 25 patients with a mean operative time of 64 min(58-113 min).No umbilical hernia,diaphragmatic hernia,Horner's syndrome or hemothorax were observed.Minor pneumothorax was found in postoperative chest X-ray in 3 patients,all of which were completely resolved with conservative treatment.All patients recovered to their normal life at 1 week after discharge.The scar was small and hidden in umbilical with no visible incisions.After a follow-up of 4 to 12 months,all patients' hands sweating symptoms completely disappeared,axillary sweat symptoms completely resolved in 6 patients,significantly improved in 4 and mildly improved in 1.Conclusion Transumbilical thoracic sympathectomy with ultrathin flexible endoscope is a safe and effective option for women patients with severe palmar hyperhidrosis,which provides excellent cosmetic outcomes.
