No abstract available.
Sympathectomy

No abstract available.
Sympathectomy

164 patients with primary hyperhydrosis underwent bilateral upper dorsal “sympathectomy” by percutaneous injection a hot serum. Pretreatment epidemiological data are described. The immediate and late results, as well as the complications and side effects are detailed: For severe cases of hyperhydroisis that cause social, professional and emotional embarassment “sympathectomy” by percutaneous injection of hot serum is a procedure of choice due to good results and minor complications.
Ganglia, Sympathetic ; Sympathectomy

More than 300 patients with palmar hyperhydrosis had been treated by classical upper thoracic sympathectomy at the Department of Neurosurgery in Viet Duc hospital. From 5/1977 to 1/1999, 600 patients were treated by a new technique: a bilateral percutaneous injection of boiling saline into the paravertebral areas containing the upper sympathetic ganglia. An objective reliable criterion of the success of the procedure is arterial criterion of the success of the procedure is arterial vasodilatation in the upper limb, evidenced by pre and postoperative DOPPLER effects and accompanied by dryness of the hands. Good results were obtained in 71% of the patients, bad results in 18% and relapse in 11%. Two major complications were Horner’s syndrome and compensatory hyperhydrosis. The results show that non-surgical sympathectomy has nearly the same results than that of open sympathectomy, with the advantages of greater simplicity and lower cost.
Ganglia, Sympathetic ; Sympathectomy

From Nov, 2000 to Nov, 2001, 52 thoracic sympathetectomy were operated by endoscopic Electro-coagulation in Surgical Dep. of Bach Mai hospital. They included 51 palmer hyperhydrosis and 1 pain due to chronic pancreatitis calculi. The good result reached 96% with no severe complications, only 1 hemothorax and 2 pneumothorax. The mean value of duration of treatment was 4.3 days.
Ganglia, Sympathetic ; Sympathectomy

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.
Hyperhidrosis ; Therapeutics ; Sympathectomy ; Endoscopy

From 14 June 2002 to 30 June 2004, at the surgery department of the Hospital of Endocrinology had performed the endoscopic thoracic sympathectomy on 131 patients (61 males, 70 females), in ranging of age from 11 year old to 50. Thoracoscopic sympathectomy can performed easily and effectivelly in semi-Fowler posittion, turning the opposite with a single-lumen endotracheal tube. The rate of dry hand was 98.8% of patient. There was no death, there was no patient with hematothorax. There were 2 cases with complication of one side pneumothorax by adhesion but having good results after one day of drainaging closed pleuroperitoneal. After operation 40 patients were re-examined had pneumothorax in chest and back
Hyperhidrosis ; Therapeutics ; Sympathectomy ; Thoracica ; Endoscopy

161 patients (80 males, 81 females, aged 15-82 years old) underwent an endoscopic thoracic sympathectomy in Bach Mai Hospital, from Jan 2001 to May 2003. Patients were anaesthestized by proprofof with mean dose of 6 mg/kg/h: by fentanyl with intermitted 30 min. injection, continued with 1/3-1/4 initial dose; by tracrium 0.5 mg/kg and by shallow two channel tracheal intubation. In 98% of patients the intubation was successful, in 0.48% of patients brachycardia was managed by intravenous atropine with success. With short duration of the operation and one lung ventilation, minimum affection to respiration function, high efficacy, it is a procedure of choice
Sympathectomy ; Endoscopy ; Therapeutics ; Anesthesia ; Endoscopy

Thoracoscopic sympathectomy is a common technique used to treat plamar hyperhiodrosis. The complications of thoracoscopic sympathectomy are rare. Recently, we experienced a complex regional pain syndrome(CRPS) after thoracoscopic sympathecotomy in a patient with hyperhidrosis. The treatment of this complication was chemical epidural sympathetic block and conservative pain control. The result of this treatment was good. The patient was recovered after one month.
Humans ; Hyperhidrosis* ; Pain, Postoperative ; Sympathectomy* ; Thoracoscopy

Vascular lesions involving the upper extremities have been treated by different route of upper thoracic sympathectomy with varying success. More recently, the anatomic and physiologic interest for autonomic nervous system has been progressively mounted but the surgical attack has plateau. It may be worthy for academic interest and clinical practice to estimate and to compare with the different surgical method. This paper concerns the treatment of a case suffering from atherosclerotic occlusion whom were treated by upper thoracic sympathetic ganglionectomy through the transaxillary transpleural route. This operation seems to be simpler than other surgical methods with lower morbidity, fewer complication and satisfying results.
Autonomic Nervous System ; Ganglionectomy ; Sympathectomy* ; Upper Extremity