Treating hyperhidrosis by endoscopic thoracic sympathectomy at Hospital No 103
- Author:
Hoang Tang Binh
- Publication Type:Journal Article
- Keywords:
hyperhidrosis
- MeSH:
Hyperhidrosis;
Therapeutics;
Sympathectomy;
Endoscopy
- From:Journal of Practical Medicine
2005;510(4):92-94
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Prospective study on 26 patients with hyperhidrosis due to overactive sympathetic system treated at Department B12, Hospital No 103. Results: there were 3 patients with pleural adhesions discovered by ultrasound. Before operation, 69.2% patients had cold and wet hands, but after operation, 88.4% patients had warm hands. During operations, severe pleural adhesions were in 9.6% patients, and pulmonary tissue didn’t flatten completely in 19.2% patients. The mean time of operations was 16.45 minutes for each side. The time of unilateral sympathectomy of 10-15 minutes was most common. There were many advantages of endoscopic surgery because it can help to assess sympathetic ganglion chains, and give high rate of success (98.4%). Carlen's tube was used for tracheal intubation. Postoperative pleural drainage wasn’t used. Compensational hyperhidrosis occurred in 11.4% patients.
