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Volume 26, Issue 116 (7-2018)
J Adv Med Biomed Res 2018, 26(116): 1-8 |
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Kazemzadeh G H, Saeed-Modaghegh M H, Ravari H, Mannani R, Salehian M, Yarigholi F. Comparison of Single Port Thoracoscopic Sympathectomy and Multiport Thoracoscopy in Patients with Hyperhidrosis. J Adv Med Biomed Res 2018; 26 (116) :1-8
URL: http://journal.zums.ac.ir/article-1-5083-en.html
URL: http://journal.zums.ac.ir/article-1-5083-en.html
Gholam Hossein Kazemzadeh *1 
, Mohammad hadi Saeed-Modaghegh1 , Hassan Ravari1 , Reza Mannani2 , Mehran Salehian3 , Fahimeh Yarigholi3
, Mohammad hadi Saeed-Modaghegh1 , Hassan Ravari1 , Reza Mannani2 , Mehran Salehian3 , Fahimeh Yarigholi3
1- Dept. of Vascular Surgery Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2- Dept. of Vascular Surgery, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
3- Dept. of Surgery, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Vascular Surgery, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
3- Dept. of Surgery, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract: (165814 Views)
Background and Objective: Primary hyperhidrosis is a common disorder in adolescents and young adults due to the hyperactivity of thoracic sympathetic nerves. This disorder often does not respond to medical treatments. The aim of this study was to evaluate the therapeutic results of uniportal sympathectomy.
Materials and Methods: In this retrospective study, all patients with severe hyperhidrosis that were operated by uniportal or multiportal endoscopic sympathectomy from 2010 until the end of 2011 were compared regarding demographic variables, admission duration, rate of recovery and complications.
Results: In 9 cases from the uniportal group (45%) and 10 cases from the multiportal group (50%), a bilateral procedure was performed in one session. Mean age, gender, marital status and location of symptoms were not significantly different between the groups. Mean admission duration in uniportal and multiportal groups was not significantly different. Recovery rate was 100% in both groups. The prevalence of hematoma and hemothorax was zero in both groups. The prevalence of pneumothorax in uniportal and multiportal groups was not significantly different (P=0.629).
Conclusion: Therapeutic results and complications are not different in uniportal and multiportal methods of thoracic sympathectomy for treatment of hyperhidrosis. Therefore, based on the better cosmetic results of the uniportal method, it is suggested as an alternative to the mulitiportal procedure.
Keywords: Primary hyperhidrosis, Single-port thoracic sympathectomy, Multi-port thoracic sympathectomy
Type of Study: Clinical Trials |
Received: 2018/02/28 | Accepted: 2018/02/28 | Published: 2018/02/28
Received: 2018/02/28 | Accepted: 2018/02/28 | Published: 2018/02/28
References
1. Chen Y, Ye W, Yang W. Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. Chin Med J. 2011; 5: 122: 1525-8.
2. Georghiou G, Berman M, Bobovnikov V. Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach. Interact Cardiovasc Thorac Surg. 2004; 3: 437-41. [DOI:10.1016/j.icvts.2004.03.003] [PMID]
3. Campos J, Kauffman P, Werebe EC, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg. 2003; 76: 886-91. [DOI:10.1016/S0003-4975(03)00895-6]
4. Cronenwett J, Wayne Johnston K. Thoracic sympathectomy. In: Wolosker N, Kauffman P, editors. Rutherford's Vascular Surgery. 7th ed. Philadelphia: Saunders ELSEVIER; 2010.
5. Haider A, Solish N. Focal hyperhidrosis: diagnosis and management. CMAJ. 2005; 172: 69-75. [DOI:10.1503/cmaj.1040708] [PMID] [PMCID]
6. Ahn S, Wieslander C, Ro K. Current developments in thoracoscopic sympathectomy. Ann Vasc Surg. 2009; 14: 415-20. [DOI:10.1007/s100169910070] [PMID]
7. Allen GM. Thoracoscopic sympathectomy for palmar hyperhidrosis. AORN J. 2001; 74: 176-88. [DOI:10.1016/S0001-2092(06)61526-3]
8. Connolly M, de Berker D. Management of primary hyperhidrosis: a summary of the different treatment modalities. Am J Clin Dermatol. 2010; 4: 681-97. [DOI:10.2165/00128071-200304100-00003] [PMID]
9. Bechara FG, Gambichler T, Bader A, Sand M, Altmeyer P, Hoffmann K. Assessment of quality of life in patients with primary axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol. 2007; 57: 207-12. Epub. [DOI:10.1016/j.jaad.2007.01.035] [PMID]
10. Gossot D, Galetta D, Pascal A, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg. 2003; 75: 1075-9. [DOI:10.1016/S0003-4975(02)04657-X]
11. Modaghegh H, Kazemzadeh G, Ravari H. The application of thoracoscopic sympathectomy for the optimal management of hyperhidrosis and severe upper extremity ischemia. Iran Red Cres Med J. 2007; 9: 139-42.
12. Chuang C. Experiences in thoracoscopic sympathectomy for axillary hyperhidrosis and osmidrosis. Arch Surg. 2001; 136: 1115-7. [DOI:10.1001/archsurg.136.10.1115] [PMID]
13. Cronenwett J, Wayne Johnston K. Thoracic Sympathectomy. In: Wolosker N, Kauffman P, editors. Rutherford's Vascular Surgery. 7th ed. Philadelphia: Saunders ELSEVIER; 2010.
14. MJ K. Thoracoscopic sympathectomy: a standardized approach to therapy for hyperhidrosis .Ann Thorac Surg. 2008; 85: S764. [DOI:10.1016/j.athoracsur.2007.12.005] [PMID]
15. Lardinois D, Ris H. Minimally invasive video-endoscopic sympathectomy by use of a transaxillary single port approach. Eur J Cardiothorac Surg. 2002; 21: 67-70. [DOI:10.1016/S1010-7940(01)01042-9]
16. Murphy M, Ghosh J, Khwaja N. Upper dorsal endoscopic thoracic sympathectomy: a comparison of one- and two-port ablation techniques. Eur J Cardiothorac Surg. 2006; 30: 223-7. [DOI:10.1016/j.ejcts.2006.04.016] [PMID]
17. Chen Y, Ye W, Yang W. Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. Chin Med J. 2011; 5: 122: 1525-8.
18. Georghiou G, Berman M, Bobovnikov V. Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach. Interact Cardiovasc Thorac Surg. 2004; 3: 437-41. [DOI:10.1016/j.icvts.2004.03.003] [PMID]
19. Campos J, Kauffman P, Werebe EC, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg. 2003; 76: 886-91. [DOI:10.1016/S0003-4975(03)00895-6]
20. Cronenwett J, Wayne Johnston K. Thoracic sympathectomy. In: Wolosker N, Kauffman P, editors. Rutherford's Vascular Surgery. 7th ed. Philadelphia: Saunders ELSEVIER; 2010.
21. Haider A, Solish N. Focal hyperhidrosis: diagnosis and management. CMAJ. 2005; 172: 69-75. [DOI:10.1503/cmaj.1040708] [PMID] [PMCID]
22. Ahn S, Wieslander C, Ro K. Current developments in thoracoscopic sympathectomy. Ann Vasc Surg. 2009; 14: 415-20. [DOI:10.1007/s100169910070] [PMID]
23. Allen GM. Thoracoscopic sympathectomy for palmar hyperhidrosis. AORN J. 2001; 74: 176-88. [DOI:10.1016/S0001-2092(06)61526-3]
24. Connolly M, de Berker D. Management of primary hyperhidrosis: a summary of the different treatment modalities. Am J Clin Dermatol. 2010; 4: 681-97. [DOI:10.2165/00128071-200304100-00003] [PMID]
25. Bechara FG, Gambichler T, Bader A, Sand M, Altmeyer P, Hoffmann K. Assessment of quality of life in patients with primary axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol. 2007; 57: 207-12. Epub. [DOI:10.1016/j.jaad.2007.01.035] [PMID]
26. Gossot D, Galetta D, Pascal A, et al. Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg. 2003; 75: 1075-9. [DOI:10.1016/S0003-4975(02)04657-X]
27. Modaghegh H, Kazemzadeh G, Ravari H. The application of thoracoscopic sympathectomy for the optimal management of hyperhidrosis and severe upper extremity ischemia. Iran Red Cres Med J. 2007; 9: 139-42.
28. Chuang C. Experiences in thoracoscopic sympathectomy for axillary hyperhidrosis and osmidrosis. Arch Surg. 2001; 136: 1115-7. [DOI:10.1001/archsurg.136.10.1115] [PMID]
29. Cronenwett J, Wayne Johnston K. Thoracic Sympathectomy. In: Wolosker N, Kauffman P, editors. Rutherford's Vascular Surgery. 7th ed. Philadelphia: Saunders ELSEVIER; 2010.
30. MJ K. Thoracoscopic sympathectomy: a standardized approach to therapy for hyperhidrosis .Ann Thorac Surg. 2008; 85: S764. [DOI:10.1016/j.athoracsur.2007.12.005] [PMID]
31. Lardinois D, Ris H. Minimally invasive video-endoscopic sympathectomy by use of a transaxillary single port approach. Eur J Cardiothorac Surg. 2002; 21: 67-70. [DOI:10.1016/S1010-7940(01)01042-9]
32. Murphy M, Ghosh J, Khwaja N. Upper dorsal endoscopic thoracic sympathectomy: a comparison of one- and two-port ablation techniques. Eur J Cardiothorac Surg. 2006; 30: 223-7. [DOI:10.1016/j.ejcts.2006.04.016] [PMID]
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