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Register a new userTreatment of palmar and axillary hyperhidrosis by means of thoracoscopic sympathectomy : outcomes and complicatoins
علاج فرط تعرق راحتي اليدين و الإبطين بتقنية خزع السلسلة الودية الصدرية بالتنظير: نتائج و مضاعفات
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Tishreen University ورقة بحثية
Publication date
2015
fields
Medicine
and research's language is
العربية
Authors
دمر رومية( باحث )
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Shamra Editor
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تهدف هذه الدراسة إلى تقييم خزع السلسلة الودية الصدرية بالتنظير كطريقة علاجية لحالات فرط تعرق راحتي اليدين والإبطين , وذلك على عينة من (39) مريضاً , تتراوح أعمارهم بين (45 -17) سنة . بلغ مجموع العمليات الجراحية المجراة لهؤلاء المرضى (78) عملية جراحية حيث خضع كل مريض لخزع السلسلة الودية الصدرية بالتنظيرT2-T4 بالجانبين في نفس الجلسة الجراحية . نسبة النجاح - أي غياب التعرق في راحتي اليدين والإبطين - بلغت 100% . إن المضاعفة الأكثر إزعاجاً للمرضى هي التعرق المعاوض في الجزع الذي حدث لدى 28% من مرضانا. إن النتائج التي حصلنا عليها كانت مشجعة و واعدة والمضاعفات كانت مقبولة. لذلك فإننا ننصح باعتماد طريقة خزع السلسلة الودية الصدرية T2-T4 كعلاج مثالي لحالات فرط تعرق راحتي اليدين و الإبطين.
The aim of this study is to evaluate the thoracoscopic sympathectomy as a mini-invasive surgical procedure for the treatment of palmar and axillary hyperhidrosis. 39 patients were involved in this study. The ages were ranging between (17_45) years. 78 surgical procedures were performed for these patients. Every patient underwent simultaneously -in the same op-sitting-bilateral thoracoscopic sympathectomies T2-T4 . Succass rate, i.e , abscence of axillary and palmar hyperhidrosis, was 100%. The most discomfortable complicantion for the patients was compensatory sweating which happend in 28% of our patients. The reuslts we achieved were very encouraging and promising , and the complications were acceptable. Therefor we advice to continue the applicatin of thoracoscopic sympathectomy T2-T4 as an ideal methode for treatment of palmar and axillary hyperhidrosis.
References used
Kux E : The endoscopic appraoch to the vegetative nervous system and its therapeutic possibilities. Dis cheast 20 : 139 - 147 , 1951
Ahn SS , Machleder HI , et al : thorocoscopic cervicodorsal sympathectomy. J Vasc Surg 20 : 511 - 519 , 1994
Dumont P , Hamm A , Skrobala D , et al : Bilateral thoracoscopy for sympathectomy in the treatment of hyperhidrosis . Eur J Cardiothorac Surg 11 : 774 - 775 , 1997
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