1.Treating hyperhidrosis by endoscopic thoracic sympathectomy at Hospital No 103
Journal of Practical Medicine 2005;510(4):92-94
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
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Therapeutics
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Sympathectomy
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Endoscopy
2.A case of difficult endoscopic thoracic sympathectomy caused by thick-sticky pleural cavity
Journal of Practical Medicine 2005;512(5):89-90
Introduction of 3 cases of endoscopic thoracic sympathectomy with thick-sticky pleural cavity to treat hyperhidrosis. These patients were operated under endotracheal anesthesia with Carten tube. The patients lied on one side, prone 450. There were 2 cases of right thick-sticky pleural cavity, 1 case of left thick-sticky pleural cavity. All of 3 cases were put drain in pleural cavity after gas discharge and fluid suck, following-up after 12 hours, taking thoracic X-ray and withdrawing drainage. A good operative result was observed in 3 cases
Pleural Cavity
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Endoscopy