undefined
No. Records Request
1 1986 social
2 79 phobia
3 47 social phobia
4 5 blushing
Searches and records above from: Biological Abstracts 2000/01-2000/06
5 16 blushing
6 193 hyperhidrosis
7 11 hyperhydrosis
8 22747 social
9 400 phobia
10 253 social phobia
11 193 hyperhidrosis
12 16 blushing
13 44004 JC = "SURGERY"
14 2 #12 and (JC = "SURGERY")
15 44004 JC = "SURGERY"
16 49 #11 and (JC = "SURGERY")
Searches and records above from: Selected Databases
17 1454 hyperhidrosis
18 419378 JC:MEDS = "SURGERY"
* 19 217 #17 and (JC:MEDS = "SURGERY")
Record 1 of 217 - MEDLINE (R) Advanced July
TI: [Ineffective and recurrent cases of thoracoscopic sympathectomy for hyperhidrosis and intractable pain]
AU: Hoshina-K; Amemiya-R; Asato-Y; Hishikawa-S; Nemoto-K; Kiyoshima-M; Kohno-S; Shida-D; Tanaka-R; Suzuki-A; Yoshimi-F; Koizumi-S
SO: Kyobu-Geka. 2000 Feb; 53(2): 136-40
JN: Kyobu-geka
ISSN: 0021-5252
PY: 2000
LA: JAPANESE; NON-ENGLISH
AB: We reported the cases of thoracoscopic sympathectomy, that is, six cases of hyperhidrosis, three of post herpetic neuralgia, and four of reflex sympathetic dystrophy, including recurrent or incompletely resected or ineffective ones. Recently this procedure for hyperhidrosis had been performed frequently because of its effectiveness, less pain, early discharge and cosmetic aspect. For an ineffective case of hyperhidrosis abdominal respiration which emphasized the exhalation and using an upper abdomen decreased the sweating. The balance of autonomic nerve system, toward parasympathetic dominant, was thought to be improved by conscious respiration. The decrease of sweating right after the operation in a case of incomplete resection indicated that intraoperative maneuver could restrict the sympathetic nerve. This procedure for a pain control could be less effective than that for hyperhidrosis, so an adequate preoperative informed consent was thought to be necessary.
AN: 20131677
UD: 200006
Record 2 of 217 - MEDLINE (R) Advanced July
TI: The treatment of primary palmar hyperhidrosis: a review.
AU: Hashmonai-M; Kopelman-D; Assalia-A
SO: Surg-Today. 2000; 30(3): 211-8
JN: Surgery-today
ISSN: 0941-1291
PY: 2000
LA: ENGLISH
AB: Primary palmar hyperhidrosis (HH) is a pathological condition of overperspiration caused by excessive secretion of the eccrine sweat glands, the etiology of which is unknown. This disorder affects a small but significant proportion of the young population all over the world. Neither systemic nor topical drugs have been found to satisfactorily alleviate the symptoms. Although the topical injection of botulinum has recently been reported to reduce the amount of local perspiration, long-term results are required before a definitive evaluation of this method can be made. Hypnosis, psychotherapy, and biofeedback have been beneficial in a limited-number of cases. While radiation achieves atrophy of the sweat glands, its detrimental effects prohibit its use. Iontophoresis has attained some satisfactory results but it has not been assessed long term. Percutaneous computed tomography-guided phenol sympathicolysis achieves excellent immediate results, but its long-term failure rate is prohibitive. Furthermore, percutaneous radiofrequency sympathicolysis may be an effective procedure, but its long-term results are not superior to surgical sympathectomy. On the other hand, surgical upper dorsal (T2-T3) sympathectomy achieves excellent long-term results and the thoracoscopic approach has supplanted the open procedures. Despite some sequelae, mainly in the form of neuralgia and compensatory sweating which cannot be predicted and may be distressing, surgical sympathectomy remains the best treatment for palmar hyperhidrosis.
AN: 20214445
UD: 200006
Record 3 of 217 - MEDLINE (R) Advanced July
TI: Operative monitoring of hand and axillary temperature during endoscopic superior thoracic sympathectomy for the treatment of palmar hyperhidrosis.
AU: Saiz-Sapena-N; Vanaclocha-V; Panta-F; Kadri-C; Torres-W
SO: Eur-J-Surg. 2000 Jan; 166(1): 65-9
JN: The-European-journal-of-surgery
ISSN: 1102-4151
PY: 2000
LA: ENGLISH
AB: OBJECTIVE: To find out how much the temperature in the palm rises after upper thoracic sympathectomy for palmar hyperhidrosis, and correlate the temperature with the outcome. DESIGN: Retrospective study. SETTING: University hospital, Spain. SUBJECTS: 73 patients (34 women and 39 men, age range 16-42 years, mean 26) who were operated for palmar hyperhidrosis between 1 January 1995 and 31 December 1997. INTERVENTIONS: Bilateral thoracic endoscopic sympathectomy during which the temperature was monitored on the skin of both axillae and thenar eminences, and in the oesophagus. MAIN OUTCOME MEASURES: Morbidity, alleviation of hyperhidrosis, recurrence rate, and differences in temperature postoperatively. RESULTS: There was minor bleeding during operation in 25 cases (34%), but in only 4 was it sufficient to require insertion of a drain; 2 patients developed transient Homer's syndrome; but the most common complication was compensatory hyperhidrosis (n = 52, 71%). In only 5 was this other than mild and required treatment with aluminium chloride in ethanol 25%. Palmar hyperhidrosis was alleviated in all cases, axillary sweating was considerably improved, and there was improvement in the feet in 56 (77%). There were 5 recurrences, all on the right side, during a mean follow up of 9 months (range 2-36), but in no case was the sweating severe. In almost all cases the temperature of the palm was less than that of the axilla before operation by a mean (SD) of 0.9 (0.3) degrees C. The rise in temperature varied from 1.7 (0.4) degrees C to 2.6 (0.4) degrees C. In the 5 patients who developed recurrences the increase was less (0.5 (0.4) degrees C). CONCLUSION: Thoracic endoscopic sympathectomy is safe, simple, and effective in treating palmar hyperhidrosis that has not responded to conservative treatment. Intradermal monitoring is an accurate and cost-effective way of monitoring temperature during operation. Although it is essential to achieve a rise in temperature of 1 degrees C, our most important finding was that the final temperature in both hands and axillae should be above 35 degrees C and as near as possible to 36 degrees C.
AN: 20150928
UD: 200006
Record 4 of 217 - MEDLINE (R) Advanced July
TI: Skin wrinkling for the assessment of sympathetic function in the limbs.
AU: Vasudevan-TM; van-Rij-AM; Nukada-H; Taylor-PK
SO: Aust-N-Z-J-Surg. 2000 Jan; 70(1): 57-9
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 2000
LA: ENGLISH
AB: BACKGROUND: Wrinkling of the skin of the palm and sole is considered to be dependent on the presence of intact sympathetic nervous activity. Loss of sympathetic integrity could be simply and usefully assessed by the absence of wrinkling. To test this hypothesis, the skin wrinkle test was compared with the starch-iodine sweat test and sympathetic skin response (SSR) in patients with abnormal sympathetic function. METHODS: The three tests were carried out in 34 patients (68 limbs) undergoing temporary or permanent disruption of the sympathetic chain to upper or lower limbs. Included in this group were six diabetics undergoing chemical or surgical sympathectomy, lumbar epidural infusions following vascular surgery, and patients for whom sympathectomy was being considered. Sensitivity and specificity analysis and predictive values of the wrinkling response and the starch-iodine test were related to the SSR as the standard. RESULTS: The wrinkle test showed a sensitivity of 97% and specificity of 95%, and bore good correlation to the SSR. The starch-iodine test showed sensitivity of 55% and specificity of 93%. A hypothesis for the mechanism of wrinkling based on the observations of the present study is proposed. CONCLUSION: The wrinkle test is a reliable test of sympathetic function, is inexpensive and is easy to perform at the bedside. The sweat gland myo-epithelial cells and absence of sebum could play an important role in the wrinkling response. It can be used to select patients who will benefit from sympathectomy, and can adequately evaluate sympathetic blockade.
AN: 20160018
UD: 200005
Record 5 of 217 - MEDLINE (R) Advanced July
TI: Repeat transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis.
AU: Lin-TS; Fang-HY; Wu-CY
SO: Surg-Endosc. 2000 Feb; 14(2): 134-6
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 2000
LA: ENGLISH
AB: BACKGROUND: Patients undergoing an unsuccessful sympathectomy experience dryness on one hand and excessive sweating on the other. This is embarrassing for the patients, and resolution of both a previous failed sympathectomy and recurrent hyperhidrosis is important. METHODS: From September 1995 to January 1998, 24 patients (11 men and 13 women; mean age, 28.2 years) underwent repeat transthoracic sympathectomy (TES). The repeat TES was performed with patients under general anesthesia using either a standard single-lumen endotracheal tube (12 patients) or a double-lumen endotracheal tube (12 patients). Ablation of T2 and T3 ganglia and any Kuntz fiber was performed in treating patients with palmar hyperhidrosis, and a similar procedure was performed on T3 and T4 ganglia for patients with axillary hyperhidrosis. RESULTS: The reasons for failure of the previous TES were pleural adhesion (14/24), intact T2 ganglion (5/24), aberrant venous arch drainage to the superior vena cava (2/24), incomplete interruption of sympathetic nerve (2/24), and possible reinnervation (1/24). The mean operation time was 28 min (range, 18-72 min). In all, 23 patients had a satisfactory result, without recurrence of palmar or axillary hyperhidrosis. The mean follow-up time was 22 months (range, 5-30 months). The average hospital stay was 1.8 days. There was no surgical mortality. CONCLUSION: Repeat TES is a safe and effective method for treating both an unsuccessful sympathectomy and recurrent palmar or axillary hyperhidrosis.
AN: 20124090
UD: 200005
Record 6 of 217 - MEDLINE (R) Advanced July
TI: Needle thoracic sympathectomy for essential hyperhidrosis: intermediate-term follow-up.
AU: Lee-DY; Yoon-YH; Shin-HK; Kim-HK; Hong-YJ
SO: Ann-Thorac-Surg. 2000 Jan; 69(1): 251-3
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 2000
LA: ENGLISH
AB: BACKGROUND: Essential hyperhidrosis is a condition with excessive sweating localized to certain part of the body. A definitive cure can be obtained by upper thoracic sympathectomy. METHOD: Between June and October 1997, 117 patients with essential hyperhidrosis underwent needle thoracoscopic sympathectomy. Of the 94 patients, 42 were men and 52 women. Their ages ranged from 14 to 63 years, with a mean age of 23 years. RESULTS: There were no mortality or life-threatening complications. Symptomatic improvement was found in 95.7%. Compensatory hyperhidrosis was found in 71.2% of the patients, but in these compensatory hyperhidrosis were mostly tolerable. CONCLUSIONS: This therapeutic procedure is minimally invasive and very effective. Further development of the new device and surgical technique are expected to follow.
AN: 20118685
UD: 200004
Record 7 of 217 - MEDLINE (R) Advanced July
TI: Results of thoracoscopic sympathetic trunk transection [letter]
AU: Ahn-S
SO: Eur-J-Vasc-Endovasc-Surg. 1999 Dec; 18(6): 543-4
JN: European-journal-of-vascular-and-endovascular-surgery
ISSN: 1078-5884
PY: 1999
LA: ENGLISH
AN: 20105653
UD: 200004
Record 8 of 217 - MEDLINE (R) Advanced July
TI: Long-term results of 45 thoracoscopic sympathicotomies for primary hyperhidrosis in children.
AU: Imhof-M; Zacherl-J; Plas-EG; Herbst-F; Jakesz-R; Fugger-R
SO: J-Pediatr-Surg. 1999 Dec; 34(12): 1839-42
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1999
LA: ENGLISH
AB: BACKGROUND/PURPOSE: Thoracoscopic sympathicotomy (TS) is successful in treatment of excessive hyperhidrosis of the upper limb after limited follow-up observation. The aim of the study was to assess for the first time long-term results of TS in children. METHODS: A total of 26 children (9 boys, 17 girls) aged 11 to 17 years with severe palmar or axillar hyperhidrosis underwent TS, and 19 patients were treated bilaterally. A total of 19 patients were observed after a median follow-up period of 16 years by questionnaire or clinical examination. RESULTS: Permanent relief from palmar hyperhidrosis was given in all examined patients. Twelve patients had compensatory and 12 patients gustatory sweating. Postoperatively, 1 subcutaneous emphysema and 1 temporary miosis and ptosis were noted. Eleven patients were fully satisfied with the result. Seven patients were only partially satisfied because of compensatory or gustatory sweating but would again undergo operation. One patient was not satisfied because of excessive compensatory sweating. CONCLUSIONS: TS is a safe and efficient procedure even after long-term follow-up. Severe palmar hyperhidrosis often starts in childhood; thus, early surgical treatment can improve social development. Compensatory and gustatory sweating are the most frequent and enduring side effects and should be mentioned in preoperative patient and parent information.
AN: 20090294
UD: 200003
Record 9 of 217 - MEDLINE (R) Advanced July
TI: Clinical experience with video-assisted thoracic sympathectomy through the retrosternal pulmonary junction.
AU: Yamamoto-H; Okada-M; Kanehira-A; Yamada-A; Kawamura-M
SO: Ann-Thorac-Surg. 1999 Dec; 68(6): 2361-3
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1999
LA: ENGLISH
AB: A new technique of video-assisted thoracic sympathectomy through retrosternal pulmonary junction can be done safely using a scope guide and a flexible scope. Bilateral thoracic sympathectomy was performed, employing a single skin incision, in 18 patients with palmar hyperhidrosis. The advantages include minimal neuralgia and superior cosmesis.
AN: 20083335
UD: 200003
Record 10 of 217 - MEDLINE (R) Advanced July
TI: Outpatient endoscopic thoracic sympathectomy using 2-mm instruments.
AU: Reardon-PR; Preciado-A; Scarborough-T; Matthews-B; Marti-JL
SO: Surg-Endosc. 1999 Nov; 13(11): 1139-42
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 1999
LA: ENGLISH
AB: BACKGROUND: For a long time it has been known that sympathectomy is an effective treatment for hyperhidrosis and other conditions. The surgical options available until recently usually have required thoracotomy or large posterior incisions, and physicians generally have been reluctant to recommend surgery for most patients with "benign" disorders. Recently, thoracoscopic techniques have allowed surgeons to offer these patients a permanent solution with minimal surgical trauma. METHODS: In 20 patients, 30 endoscopic thoracic sympathectomies (ETS) were performed for several indications. Nine patients had bilateral sympathectomies. The procedures were performed on the day of admission, with the patient under general anesthesia using double lumen endotracheal intubation and hand temperature monitoring. Each lung was reinflated on completion of the sympathectomy, and residual pneumothorax aspirated before closure of the incisions. No placement of chest tubes was performed in the operating room. RESULTS: All sympathectomies were completed thoracoscopically. There were no major complications, and 90% of the patients were discharged within 24 hours of admission. The average operative time was 69 min. CONCLUSIONS: Findings from this study show that ETS is a safe and effective procedure that can be performed routinely on an outpatient basis. The use of miniendoscopic (2-mm) instrumentation is safe and effective in most patients and a helpful adjunct in providing these patients with minimally traumatic surgery. Long-term results should be evaluated on the basis of specific indications for sympathectomy.
AN: 20028419
UD: 200002
Record 11 of 217 - MEDLINE (R) Advanced July
TI: Thoracoscopic cervicodorsal sympathectomy with diathermy.
AU: Cartier-B; Cartier-P
SO: Ann-Vasc-Surg. 1999 Nov; 13(6): 582-5
JN: Annals-of-vascular-surgery
ISSN: 0890-5096
PY: 1999
LA: ENGLISH
AB: This study reports our experience of using thoracoscopic cervicodorsal sympathectomy with diathermy. From December 1994 to September 1998, we performed 53 thoracoscopic sympathectomies in 35 patients. There were 15 men and 20 women, ages 18 to 61 years. Ten surgeries were performed on the right side, 7 were the left, and 18 were bilateral. Indications for surgery were causalgia/reflex sympathetic dystrophy in 8 patients, Raynaud's/vasculitis in 6, intractable Raynaud's disease in 4, and hyperhydrosis in 17 (bilateral procedure). Operating time ranged from 10 to 50 min for unilateral procedures and from 45 to 80 min for bilateral procedures. Patients stayed in the hospital 1 to 4 days. From favorable immediate and follow-up results we conclude that thoracoscopic cervicodorsal sympathectomy using diathermy is feasible, safe, and effective.
AN: 20009191
UD: 200002
Record 12 of 217 - MEDLINE (R) Advanced July
TI: Video-assisted thoracoscopic sympathectomy for severe intractable angina.
AU: Khogali-SS; Miller-M; Rajesh-PB; Murray-RG; Beattie-JM
SO: Eur-J-Cardiothorac-Surg. 1999 Sep; 16 Suppl 1: S95-8
JN: European-journal-of-cardio-thoracic-surgery
ISSN: 1010-7940
PY: 1999
LA: ENGLISH
AB: OBJECTIVE: Endoscopic trans-thoracic sympathectomy is a well documented, safe and successful treatment for palmar and axillary hyperhidrosis. This may also be helpful in the management of patients with intractable angina and advanced coronary disease unsuitable for coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA). We evaluated video assisted thoracoscopic sympathectomy (VATS) in such patients with the aim of improving symptoms and quality of life. METHODS: Video assisted thoracoscopic sympathectomy, a minimally invasive procedure, was performed under general anaesthesia with alternating single lung ventilation. Three stab incisions were made at the level of the fourth intercostal space in the anterior and posterior axillary lines, and at the fifth intercostal space in the mid-axillary line through which an extensive thoracic sympathectomy was performed to include second to the fourth ganglia, bilaterally. RESULTS: A total of 16 patients aged 46-76 (mean 61) years were assessed for VATS. Of these 10 patients had the procedure performed; nine with previous CABG and one with diffuse coronary disease. Six patients were excluded because of an evolving MI (n = 1), left ventricular ejection fraction (LVEF) < 30% (n = 2), and chronic stable angina with no objective evidence of ischaemia (n = 3). All 10 patients had marked symptomatic improvement with reduction of both angina frequency and intensity of attacks. Mean follow-up period 11.5 months. Exercise tolerance and time to onset of angina measured on exercise treadmill was significantly increased post-VATS (P = 0.028) and maintained 1 year post-operative. CONCLUSION: VATS was associated with both reduction in angina symptoms and an increase in exercise time to onset of angina. An improved quality of life was evident.
AN: 20005350
UD: 200002
Record 13 of 217 - MEDLINE (R) Advanced
TI: Video assistance reduces complication rate of thoracoscopic sympathicotomy for hyperhidrosis.
AU: Zacherl-J; Imhof-M; Huber-ER; Plas-EG; Herbst-F; Jakesz-R; Fugger-R
SO: Ann-Thorac-Surg. 1999 Oct; 68(4): 1177-81
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1999
LA: ENGLISH
AB: BACKGROUND: Thoracoscopic sympathicotomy has proved successful in the treatment of palmar hyperhidrosis. However, up to 8% of patients experience Horner's syndrome, and about 50% show compensatory sweating. This study evaluates the role of video assistance in thoracoscopic sympathicotomy for primary hyperhidrosis of the upper limb. METHODS: Six hundred fifty-six thoracoscopic sympathicotomies were performed from below T1 to T4 in 369 patients. Of the operations, 558 were done under direct view (CTS group) and 98, with video assistance (VATS group). Follow-up was complete for 78.3% of patients after a median observation period of 16 years. RESULTS: Dry limbs were immediately achieved in 93% of the CTS group and 98% VATS group (p = 0.98). In the CTS group, Horner's syndrome occurred after 2.2% of all operations and rhinitis in 8.3%. No patient in the VATS group showed any symptom of Homer's triad (p = 0.03 versus CTS group) or rhinitis (p = 0.02 versus CTS group). Compensatory sweating was observed in 66.8% in the CTS group versus 69% in the VATS group (p = 0.73) and gustatory sweating, in 50.4% versus 27.6%, respectively (p = 0.01). CONCLUSIONS: In performing thoracoscopic sympathicotomy for excessive upper-limb hyperhidrosis, we observed a significant decrease in the incidence of Horner's syndrome, rhinitis, and gustatory sweating when the procedure was guided by video imaging.
AN: 20008821
UD: 200001
Record 14 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis in children and adolescents.
AU: Lin-TS
SO: Pediatr-Surg-Int. 1999; 15(7): 475-8
JN: Pediatric-surgery-international
ISSN: 0179-0358
PY: 1999
LA: ENGLISH
AB: Primary hyperhidrosis (PH) often starts in childhood and adolescence and can be a troublesome condition. In Taiwan, there is a high incidence in childhood (1.6%-2.0%) and adolescence (2.2%-2.6%). There are few reports regarding transthoracic endoscopic sympathectomy (TES) for PH in children and adolescents. From July 1994 to April 1998, a total of 438 patients underwent TES. There were 174 males and 264 females with a mean age of 14.2 years (range 5-17 years). All patients were placed in a semi-sitting position under single-lumen intubation anesthesia. We performed ablation of the T2 ganglion and any Kuntz fibers in 350 patients with palmar hyperhidrosis and a similar procedure on the T2 and T3 ganglia in 88 patients with palmar and axillary hyperhidrosis using either a 6- or 8-mm thoracoscope via one 0.8-cm incision just below each axilla. In the 438 patients, 875 sympathectomies were performed. There was 1 technical failure due to severe pleural adhesions. TES was usually accomplished within 15 min (range 7-20 min). All except 5 patients were discharged within 4 h after operation. The surgical complication rate was minimal: 1 pneumothorax (0.23%) and 2 segmental lung collapses (0.46%). There was no surgical mortality. The mean postoperative follow-up period was 25.2 months (range 4-45 months). The result was highly satisfactory in 408 patients (93.2%), although 377 (86%) developed compensatory sweating of the trunk and lower limbs, the distribution affecting the back (86%), abdomen (48%), lower limbs (78%), and soles (1.4%). The recurrence rate of palmar hyperhidrosis was 0.6% in the 1st, 1.1% in the 2nd, and 1.7% in the 3rd year. TES is thus a safe and effective method for treating palmar and axillary hyperhidrosis in children and adolescents.
AN: 99457276
UD: 200001
Record 15 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy for palmar hyperhidrosis in children and adolescents: analysis of 350 cases.
AU: Lin-TS
SO: J-Laparoendosc-Adv-Surg-Tech-A. 1999 Aug; 9(4): 331-4
JN: Journal-of-laparoendoscopic-and-advanced-surgical-techniques
ISSN: 1092-6429
PY: 1999
LA: ENGLISH
AB: Primary palmar hyperhidrosis (PH) often commences in childhood and adolescence and can be a disabling condition. There are few reports regarding endoscopic sympathectomy for PH in children and adolescents. Therefore, I present our experience with transthoracic endoscopic sympathectomy (TES) in treating PH in children and adolescents. From July 1994 to March 1998, a total of 350 patients underwent TES. There were 93 males and 257 females with a mean age of 12.9 years (range 5-17 years). All patients were placed in a half-sitting position under single-lumen intubated anesthesia. We performed ablation of the T2 ganglion using either a 6- or an 8-mm 0 degree thoracoscope (Karl Storz Company, Germany) via one 0.8-cm incision just below each axilla. Among these 350 patients, 699 sympathectomies were performed. Usually, TES was accomplished within 15 minutes (range 7-20 minutes). The surgical complications were minimal: one pneumothorax and one segmental lung collapse. There were no surgical deaths. With a mean postoperative follow-up period of 25 months (range 5-44 months), the result of TES was highly satisfactory in 331 patients (94.6%), although 301 patients (86%) developed compensatory sweating of the trunk and lower limbs, the distribution being the axillae (12%), back (86%), abdomen (48%), or lower limbs (78%). The recurrence rates of palmar hyperhidrosis were 0.6% in the first year, 1.1% in the second year, and 1.7% in the third year. Transthoracic endoscopic sympathectomy is a safe and effective method for treating PH in children and adolescents.
AN: 99416930
UD: 199912
Record 16 of 217 - MEDLINE (R) Advanced
TI: Influences of bilateral endoscopic transthoracic sympathicotomy on cardiac autonomic nervous activity.
AU: Tedoriya-T; Sakagami-S; Ueyama-T; Thompson-L; Hetzer-R
SO: Eur-J-Cardiothorac-Surg. 1999 Feb; 15(2): 194-8
JN: European-journal-of-cardio-thoracic-surgery
ISSN: 1010-7940
PY: 1999
LA: ENGLISH
AB: OBJECTIVES: Endoscopic transthoracic sympathicotomy (ETS) is a minimal invasive procedure of thoracic sympathetic blockage. The purpose of this study was to evaluate cardiac autonomic nervous activity after ETS in order to confirm the reliability and safety of ETS. METHODS: A series of electrophysiological studies were performed before and 1 week after bilateral 2nd and 3rd thoracic sympathicotomy in 13 patients with primary palmar hyperhydrosis. Palmar perspiration was measured under sympathetic stress, and body surface mapping was recorded in a supine position. In the head-up tilt test of 0, 30, 60 and 90 degrees, corrected QT interval (QTc) and T wave amplitude (Twa) were assessed. The power spectral analysis of heart rate variability was processed to attain power values of the low-frequency (0.04-0.15 Hz), the high-frequency (0.15-0.40 Hz) and the low/high frequency ratio. RESULTS: In all patients, the perspiration response on the palm to sympathetic stimulation was completely inhibited after ETS. Isointegral mapping revealed that ETS altered electroactivity on the heart. In the head-up tilt study, R-R intervals significantly increased after the surgery in the head-up tilt positions (P < 0.05), although there was no significant difference in the supine position. There is no significant difference in QTc and Twa before and after the surgery, both in the supine and the head-up tilt positions. There was no significant difference in the LF or HF before and after surgery, either in the supine position or the head-up tilt positions. In the LF/HF, there was no significant difference before and after surgery in the supine position. However, the LF/HF in the head-up tilt positions was significantly decreased after surgery (P < 0.05). Sympathetic suppression of ETS was recognized more obviously under the steeper head-up tilt positions. CONCLUSIONS: The influences on the cardiac autonomic nerve system of the ETS of upper thoracic sympathetic nerve were seen to be of a lesser degree at rest. However, the response to sympathetic stimulation was suppressed after the surgery.
AN: 99236293
UD: 199908
Record 17 of 217 - MEDLINE (R) Advanced
TI: The results of thoracoscopic sympathetic trunk transection for palmar hyperhidrosis and sympathetic ganglionectomy for axillary hyperhidrosis.
AU: Fox-AD; Hands-L; Collin-J
SO: Eur-J-Vasc-Endovasc-Surg. 1999 Apr; 17(4): 343-6
JN: European-journal-of-vascular-and-endovascular-surgery
ISSN: 1078-5884
PY: 1999
LA: ENGLISH
AB: OBJECTIVES: To review our total experience of thoracoscopic sympathetic trunk transection for the treatment of palmar hyperhidrosis and second and third thoracic sympathetic ganglionectomy for axillary hyperhidrosis. DESIGN: Longitudinal cohort study following up consecutive patients for 0.3 to 5.5 years. SUBJECTS: Fifty-four consecutive patients undergoing thoracoscopic sympathectomy for hyperhidrosis. METHODS: Prospective evaluation of immediate technical success, complications, late recurrence of hyperhidrosis and patient acceptability. RESULTS: 100% initial cure for palmar hyperhidrosis, 91% of sympathetic ganglionectomies for axillary hyperhidrosis were technically successful and initially curative. Compensatory sweating 44% patients, most severe after bilateral sympathetic ganglionectomy. Complications occurred in 14% patients, all resolving without further intervention. There were no cases of Horner's syndrome. 13% patients reported a return of some palmar sweating. 5.4% patients developed recurrent palmar hyperhidrosis at 6, 15 and 21 months postoperatively. CONCLUSION: Transection of the sympathetic trunk between the first and second thoracic sympathetic ganglia initially cures 100% of patients treated primarily for palmar hyperhidrosis. Technically successful 2nd and 3rd thoracic sympathetic ganglionectomy initially cures 100% of patients with axillary hyperhidrosis. Compensatory sweating is common after bilateral sympathectomy. Recurrent palmar hyperhidrosis occurs in 5.4% of cases, but can be cured by a second thoracoscopic sympathectomy. Horner's syndrome is an avoidable complication of thoracoscopic sympathectomy.
AN: 99220259
UD: 199907
Record 18 of 217 - MEDLINE (R) Advanced
TI: [Current appraisal of endoscopic thoracic sympathectomy: results of the national questionnaire surgery]
AU: Uchino-T; Ishimaru-S; Makimura-S; Fukushima-H
SO: Kyobu-Geka. 1999 Mar; 52(3): 204-9
JN: Kyobu-geka
ISSN: 0021-5252
PY: 1999
LA: JAPANESE; NON-ENGLISH
AB: A questionnaire survey was performed in order to investigate the current status of endoscopic thoracic sympathectomy in Japan. Four hundred and twenty-nine (429) university, national or public hospitals with a minimum of 400 beds were included. A total of 248 of these hospitals responded. Among them 63 (25%) performed this procedure. The total of the cases was 1116. The number of access port and the technique for defunctioning the sympathetic chain were broadly divided into three methods. These methods were equally carried out among the departments. The clinical results were judged as satisfactory in the great majority of patients and the frequency of complications was low. On the other hand, the overall incidence of compensatory sweating remained relatively high and accumulated as the number of cases increased. But the reported frequency differed strikingly from hospital probably for lack of an objective way of quantifying following sympathectomy. Although overall complications were infrequent, the need for conventional thoracotomy to stop bleeding occurred in some cases. Therefore even this simple endoscopic operation demands the utmost surgical care, skill and experience. A few recurrences of preoperative symptoms were seen in the follow-up suggesting that all patients must be continually monitored after the operation.
AN: 99197620
UD: 199906
Record 19 of 217 - MEDLINE (R) Advanced
TI: Early experience with day-case transthoracic endoscopic sympathectomy [letter; comment]
AU: Cameron-A
SO: Br-J-Surg. 1999 Jan; 86(1): 139
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1999
LA: ENGLISH
AN: 99149632
UD: 199905
Record 20 of 217 - MEDLINE (R) Advanced
TI: Intermediate-term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidrosis [see comments]
AU: Chiou-TS; Chen-SC
SO: Br-J-Surg. 1999 Jan; 86(1): 45-7
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1999
LA: ENGLISH
AB: BACKGROUND: This report examines the intermediate-term results of endoscopic transaxillary T2 sympathectomy for palmar hyperhidrosis. METHODS: A retrospective review was carried out of 91 consecutive patients, 38 men and 53 women, with a mean age of 23 years. Attention was focused on patient satisfaction, late complications and morbidity. RESULTS: After operation, no patient died or developed Horner's syndrome. Nine of 21 patients with craniofacial, five of 16 with axillary and 17 of 73 with plantar hyperhidrosis showed simultaneous improvement. Fifteen patients (16 per cent) developed recurrent sweating, but none required reoperation. The overall mean satisfaction rate was 78 per cent with a median 80 per cent improvement using a visual linear analogue scale from 0 (poor) to 100 per cent (excellent). Twelve patients (13 per cent) were dissatisfied with the operative results, mainly owing to compensatory hyperhidrosis, which occurred in 88 patients (97 per cent) within the first year. CONCLUSION: The results of endoscopic sympathectomy deteriorate progressively from the immediate outcome.
AN: 99149604
UD: 199905
Record 21 of 217 - MEDLINE (R) Advanced
TI: Endoscopic thoracic sympathectomy for primary palmar hyperhidrosis: intermediate term results.
AU: Erak-S; Sieunarine-K; Goodman-M; Lawrence-Brown-M; Bell-R; Chandraratna-H; Prendergast-F
SO: Aust-N-Z-J-Surg. 1999 Jan; 69(1): 60-4
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 1999
LA: ENGLISH
AB: BACKGROUND: The authors' experience of the efficacy and safety of endoscopic thoracic sympathectomy in the treatment of primary palmer hyperhidrosis was examined. METHODS: A retrospective study of 71 patients (126 sympathectomies) was undertaken. Data were retrieved by hospital records and telephone interview. RESULTS: Follow-up was possible for 92 sympathectomies in 53 patients. Overall, satisfactory results were achieved in 93% of patients and complications were uncommon. Compensatory hyperhidrosis was the most common complication, which occurred in 64% of patients; the trunk and feet were the most common sites. Horner's syndrome occurred in five patients, although in two it was a permanent complication. No patient expressed dissatisfaction with the procedure as a consequence of this complication. Pneumothorax occurred in 17.5% of cases, although the vast majority were incidental findings on a postoperative chest X-ray, and none required drainage. With the newer techniques of access, patient dissatisfaction with the cosmetic appearance has fallen from 27.3 to 6.4%. Overall 90% of patients said they would have the operation again, which represents a high level of patient satisfaction. CONCLUSIONS: Endoscopic thoracic sympathectomy is a safe and effective technique for primary palmer hyperhidrosis. Evolution of the technique has resulted in improvement in patient satisfaction.
AN: 99129705
UD: 199904
Record 22 of 217 - MEDLINE (R) Advanced
TI: Treatment of axillary bromhidrosis with superficial liposuction [letter]
AU: Park-DH
SO: Plast-Reconstr-Surg. 1999 Oct; 104(5): 1580-1
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1999
LA: ENGLISH
AN: 99442113
UD: 199912
Record 23 of 217 - MEDLINE (R) Advanced
TI: Intermediate-term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidrosis [letter; comment]
AU: Hashmonai-M; Kopelman-D; Assalia-A
SO: Br-J-Surg. 1999 Jul; 86(7): 969-70
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1999
LA: ENGLISH
AN: 99399730
UD: 199911
Record 24 of 217 - MEDLINE (R) Advanced
TI: The long-term results of upper dorsal sympathetic ganglionectomy and endoscopic thoracic sympathectomy for palmar hyperhidrosis.
AU: Lin-CL; Yen-CP; Howng-SL
SO: Surg-Today. 1999; 29(3): 209-13
JN: Surgery-today
ISSN: 0941-1291
PY: 1999
LA: ENGLISH
AB: To assess and compare the long-term results of upper dorsal sympathetic ganglionectomy (UDS) and endoscopic thoracic sympathectomy (ETS), we examined 84 patients who underwent UDS and 71 patients who underwent ETS for the treatment of palmar hyperhidrosis. The period of follow-up ranged from 37 to 228 months. The immediate success rate was 100% in the UDS group and 98.6% in the ETS group. Troublesome compensatory hyperhidrosis occurred in 67.8% of the UDS patients and 84.8% of the ETS patients; however, 55% of the UDS patients and 63% of the ETS patients felt satisfied with their operation. The main reasons for dissatisfaction were recurrence and compensatory hyperhidrosis. Interestingly, simultaneous cure of plantar hyperhidrosis occurred in 28 (40%) of the UDS patients and 28 (44%) of the ETS patients with concomitant plantar hyperhidrosis. ETS required both a shorter operation time and hospital stay than UDS. Thus, we now perform ETS as the treatment of choice because of its excellent illumination and adequate magnification via a minimally invasive approach. The use of ETS as the first choice of treatment for palmar hyperhidrosis is supported not only by the immediate results, complications, and cure of plantar hyperhidrosis, but also by the long-term results. Nevertheless, compensatory hyperhidrosis was also a major complication after ETS.
AN: 99206947
UD: 199908
Record 25 of 217 - MEDLINE (R) Advanced
TI: Outpatient thoracoscopic limited sympathectomy for hyperhidrosis palmaris.
AU: Hsia-JY; Chen-CY; Hsu-CP; Shai-SE; Yang-SS
SO: Ann-Thorac-Surg. 1999 Jan; 67(1): 258-9
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1999
LA: ENGLISH
AB: Thoracoscopic sympathectomy is considered the most effective treatment for hyperhidrosis palmaris. We have treated 1,043 cases of this disease by this method. We have developed an outpatient technique of thoracoscopic sympathectomy using electrocautery. This procedure has been used in 47 patients with hyperhidrosis palmaris. The early results have been favorable. We describe this fast, safe, economic, and effective method for the treatment of hyperhidrosis palmaris.
AN: 99184375
UD: 199906
Record 26 of 217 - MEDLINE (R) Advanced
TI: [Dorsal sympathectomy for palmar hyperhidrosis by the thin thoracoscope]
AU: Sugiyama-S; Ikeya-T; Hara-H; Ichiki-K; Yanagi-K; Doki-Y; Tsuda-M; Misaki-T
SO: Kyobu-Geka. 1998 Dec; 51(13): 1087-9
JN: Kyobu-geka
ISSN: 0021-5252
PY: 1998
LA: JAPANESE; NON-ENGLISH
AB: The purpose of this study was to examine the efficiency to use by the thin thoracoscope for the palmar hyperhidrosis. General anesthesia with double lumen endotracheal intubation was used in all cases. A 2 mm incision made in the anterior axillary line in the third intercostal space. Pneumothorax was obtained by insufflation 1.5-2 L of CO2. A 2 mm endoscopic trocar was inserted through this incision, and a 2 mm, 0-degree scope (Autosuture, USA) was introduced. A second 2 mm trocar was inserted in the middle axillary line in the fourth intercostal space, through which a straight endoscopic seizer was introduced. The chain was dissected by electrocutting the white and gray rami and was incised over the second and third ribs. To avoid puemothorax, 8 F thoracic catheter was introduced through a guide wire which was inserted through a 2 mm trocar. The lung was expanded, and then the thoracic catheter was removed. We performed six sympathectomies on three female patients. All patients was satisfied of their results. This technique used by thin thoracoscope was cosmetic and a skin incision did not need to close too small.
AN: 99083572
UD: 199904
Record 27 of 217 - MEDLINE (R) Advanced
TI: Results of thoracoscopic sympathectomy for 96 cases of palmar hyperhidrosis.
AU: Tan-V; Nam-H
SO: Ann-Thorac-Cardiovasc-Surg. 1998 Oct; 4(5): 244-6
JN: Annals-of-thoracic-and-cardiovascular-surgery
ISSN: 1341-1098
PY: 1998
LA: ENGLISH
AB: From August 1996 to August 1997, we performed thoracoscopic sympathectomy for 96 cases of palmer hyperhidrosis. The patients' ages were from 22 to 58 years old (mean age: 28; gender ratio: male/female: 3/2). Most of them were students, workers or clerks. The patients were divided in two series: in 61 patients, the sympathetic chain before the 2nd to 4th ribs was removed in the lateral approach with a 3 hole procedure. In 35 patients, the 2nd portion of the sympathetic chain was destroyed (by electric cauter) in the posterior approach with a 2 hole procedure. The results were almost the same in the first series (all cases have a fair benefit), but in the second series, some advantages may be useful for therapy, i.e no need to turn the patients, severe compensation sweating is minimized (from 4% ==> 0%) and the amount of holes is reduced.
AN: 99047736
UD: 199903
Record 28 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathectomy for hyperhidrosis: is there a learning curve?
AU: Kopelman-D; Hashmonai-M; Ehrenreich-M; Assalia-A
SO: Surg-Laparosc-Endosc. 1998 Oct; 8(5): 370-5
JN: Surgical-laparoscopy-and-endoscopy
ISSN: 1051-7200
PY: 1998
LA: ENGLISH
AB: The aim of this study was to evaluate the learning curve of upper dorsal thoracoscopic sympathectomy. From June 1993 to December 1996, we performed 232 sympathectomies on 116 patients with primary palmar hyperhidrosis. The T2-T3 ganglia were resected by electrocuting and were removed for histologic examination. The series was divided into two groups of 58 patients each, and operations in each group occurred during a period of 21 months. Follow-up was obtained on 111 patients for a mean of 25.06+/-12.62 months. All limbs were dry after the operation, and hyperhidrosis did not recur. The anesthesia time was reduced, but the operating time, the difficulty in identifying and in resecting the ganglia, compensatory hyperhidrosis, postoperative neuralgia, and subjective satisfaction with the procedure were similar in both groups. The learning curve in the present study was mainly reflected by a reduction in the incidence of Horner's syndrome.
AN: 99013492
UD: 199903
Record 29 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic dorsal sympathectomy for the treatment of upper extremity hyperhidrosis: a new minimally invasive approach.
AU: Raposio-E; Filippi-F; Nordstrom-RE; Santi-P
SO: Plast-Reconstr-Surg. 1998 Oct; 102(5): 1629-32
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1998
LA: ENGLISH
AB: Palmar and axillary hyperhidrosis are best treated surgically by endoscopic transthoracic upper dorsal sympathectomy. At present, this methodology relies on (at least) double trocar insertion (per side), carbon dioxide insufflation, or both. We present a new minimally invasive endoscopic transthoracic technique, performed by a single-entry specifically modified thoracoscope and without the need for carbon dioxide insufflation, with the aim to reduce the drawbacks associated with the above-mentioned, currently adopted endoscopic technique. In our opinion, this "single-entry" technique, compared with the other reported approaches, should theoretically minimize any damage to the intercostal neurovascular bundle, while avoiding the complications related to carbon dioxide insufflation.
AN: 98445007
UD: 199901
Record 30 of 217 - MEDLINE (R) Advanced
TI: Early experience with day-case transthoracic endoscopic sympathectomy [see comments]
AU: Grabham-JA; Raitt-D; Barrie-WW
SO: Br-J-Surg. 1998 Sep; 85(9): 1266
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1998
LA: ENGLISH
AN: 98423795
UD: 199812
Record 31 of 217 - MEDLINE (R) Advanced
TI: Resympathectomy for sympathetic regeneration.
AU: Singh-B; Moodley-J; Haffejee-AA; Ramdial-PK; Robbs-JV; Rajaruthnam-P
SO: Surg-Laparosc-Endosc. 1998 Aug; 8(4): 257-60
JN: Surgical-laparoscopy-and-endoscopy
ISSN: 1051-7200
PY: 1998
LA: ENGLISH
AB: Explanations for recurrent sympathetic activity after an apparently successful sympathectomy are varied and often tenuous. Among the theories given for recurrent sympathetic activity are the development of alternate neuroanatomic pathways, the possibility of an incomplete operation (failure to appreciate an alternative anatomic pathway at the time of surgery, i.e., nerve of Kuntz), and sympathetic regeneration. The latter, although long suspected, has never been conclusively demonstrated in humans. In this report, a case of recurrent sympathetic activity with conclusive evidence of sympathetic regeneration is described.
AN: 98369218
UD: 199901
Record 32 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy with a fine (2-mm) thoracoscope in palmar hyperhidrosis: a case report.
AU: Okura-T; Suzuki-T; Suzuki-S; Kitami-A; Hori-G
SO: J-Laparoendosc-Adv-Surg-Tech-A. 1998 Jun; 8(3): 161-5
JN: Journal-of-laparoendoscopic-and-advanced-surgical-techniques
ISSN: 1092-6429
PY: 1998
LA: ENGLISH
AB: Endoscopic transthoracic sympathectomy (ETS) is a minimally invasive method, causing only small injuries and few complications, and requires only a short period of hospitalization. Therefore, this method has been applied to patients with palmar hyperhidrosis to whom the conventional transthoracic sympathectomy, which is much more invasive, or thoracic sympathetic blockade, which often causes complications, cannot be applied. Conventional thoracoscopes, such as a resectoscope 8 mm in diameter for urological operations, or a thoracoscope 5 mm in diameter, were usually used for this purpose, but they cause operative injuries. We performed ETS using a thoracoscope 2 mm in diameter (MiniSite 2 mm 0 degrees, USSC171303). Its visual field and handling were not inferior to those of conventional thoracoscopes, and the operative injuries were only 2 mm in size. For the patient, a small scar of this size means virtually no scar.
AN: 98344755
UD: 199811
Record 33 of 217 - MEDLINE (R) Advanced
TI: Long-term results of 630 thoracoscopic sympathicotomies for primary hyperhidrosis: the Vienna experience.
AU: Zacherl-J; Huber-ER; Imhof-M; Plas-EG; Herbst-F; Fugger-R
SO: Eur-J-Surg-Suppl. 1998; (580): 43-6
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: To evaluate of the results of thoracoscopic sympathicotomy for upper limb hyperhidrosis with a median observation period of more than 15 years. DESIGN: Retrospective clinical observation study. SETTING: University-affiliated tertiary referral centre. SUBJECTS: 630 consecutive operations in 352 patients (median age 30.1 yrs) for primary palmar (68%), axillary (12.7%) and combined hyperhidrosis (19.3%). INTERVENTIONS: Thoracoscopic sympathicotomy from below T1 to T4 including the fibres of Kuntz using electrocautery through single site access. MAIN OUTCOME MEASURES: Perioperative success and complication rates (all patients); long-term follow-up by a questionnaire and/or clinical examination (83.3% of patients) after a median period of 16 yrs. Calculation of statistical significance of differences between groups with c2-test. RESULTS: 67.8% of patients were fully satisfied, 25.7% were partially satisfied and would again agree to the operation. In 93% the procedure cured hyperhidrosis permanently. Compensatory and gustatory sweating was observed in 67% and 47% of cases, respectively. Overall success was significantly (p < 0.001) lower in the group with axillary hyperhidrosis. Main complications: drainage for pneumothorax 1.3%, Horner's syndrome in 3.8%, subcutaneous emphysema 2.1%. CONCLUSION: Thoracoscopic sympathicotomy proved to be highly effective even after long-term follow-up. Compensatory sweating impairs patients' satisfaction in some cases.
AN: 98303088
UD: 199810
Record 34 of 217 - MEDLINE (R) Advanced
TI: Quality of life after transthoracic endoscopic sympathectomy for upper limb hyperhidrosis.
AU: Sayeed-RA; Nyamekye-I; Ghauri-AS; Poskitt-KR
SO: Eur-J-Surg-Suppl. 1998; (580): 39-42
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: To assess the outcome after transthoracic endoscopic sympathectomy (TES) for upper limb hyperhidrosis. DESIGN: Prospective cohort study. SETTING: District general hospital. SUBJECTS: Consecutive patients undergoing TES for upper limb hyperhidrosis over a fifteen month period. INTERVENTIONS: One-stage bilateral TES. MAIN OUTCOME MEASURES: Change in quality of life as shown by the Short Form-36 health assessment questionnaire. RESULTS: Sixteen patients (11 women and 5 men, median age 26 years) underwent operation without complications. At median follow-up of 6.2 months, symptomatic improvement was found in 26 of 32 limbs treated (82%). Truncal compensatory hyperhidrosis was reported by 13 patients but was severe in only three. There were significant improvements in social function (p = 0.01) and mental health (p = 0.025) as assessed by the SF-36. CONCLUSION: Despite a high incidence of compensatory hyperhidrosis, TES improved both the symptoms and overall quality of life in patients with upper limb hyperhidrosis.
AN: 98303087
UD: 199810
Record 35 of 217 - MEDLINE (R) Advanced
TI: Complications of endoscopic sympathectomy.
AU: Cameron-AE
SO: Eur-J-Surg-Suppl. 1998; (580): 33-5
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: Four cases are presented in which complications occurred during or after thoracic endoscopic sympathectomy (TES). In one patient inappropriate TES resulted in disabling hyperhidrosis. In one patient laceration of the subclavian artery required major surgery. In two cases intraoperative cerebral damage occurred. Training in TES is essential.
AN: 98303085
UD: 199810
Record 36 of 217 - MEDLINE (R) Advanced
TI: Treatment of social phobia by endoscopic thoracic sympathicotomy.
AU: Telaranta-T
SO: Eur-J-Surg-Suppl. 1998; (580): 27-32
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: To analyse the severity of various symptoms and the developmental life history in social phobia. To estimate the value of ETS in the treatment of chronic social phobia. DESIGN: Prospective study. SETTING: Clinic for Psychoneurology and Surgery in Tampere, Finland. SUBJECTS: Consecutive series of patients (n = 51). INTERVENTIONS: Endoscopic thoracic sympathicotomy. MAIN OUTCOME MEASURES: Qualitative ideographic inquiry. Questionnaire of the symptom severity using visual analogue scale. RESULTS: The life history included mental and physical abuse in 61%, paternal alcoholism in 26%. Four family subtypes were named: quarrelsome, cruel, alcoholic, and perfectionist. The pathognomonic symptoms of social phobia: hyperhidrosis, palpitation, blushing, tremor, and anxiety, were all highly significantly (p < 0.001) alleviated by ETS. 88% of the patients were satisfied with the result. There were no complications. CONCLUSION: ETS seems a promising alternative to conservative therapy for social phobia.
AN: 98303084
UD: 199810
Record 37 of 217 - MEDLINE (R) Advanced
TI: The Boras experience of endoscopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing.
AU: Rex-LO; Drott-C; Claes-G; Gothberg-G; Dalman-P
SO: Eur-J-Surg-Suppl. 1998; (580): 23-6
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: To study the outcome of endoscopic thoracic sympaticotomy (ETS) for palmar, axillary, facial hyperhidrosis and facial blushing. SUBJECTS: 1152 patients, 59% women and 41% men. INTERVENTION: ETS was performed by transection of the sympathetic chain where it overlies the second and third rib. The nerve was divided also over the fourth rib in patients with axillary hyperhidrosis. Questionnaires were sent to all patients. MAIN OUTCOME MEASURES: The effect of surgery was assessed by a 10 grad visual analogue scale (VAS) by the patients. The results were divided into effect rate (the effect on the symptom) and overall satisfaction rate, taking into account any side effects and complications apart from the effect. RESULTS: The response rate was 90%. The mean follow up time, effect rate and overall satisfaction rate were: 38 months for palmar hyperhidrosis, 99.4% and 87%; 26 months for axillary hyperhidrosis, 94.5% and 68%; 31 months for facial hyperhidrosis, 97% and 76%; 8 months for facial blushing, 96% and 85%. CONCLUSION: ETS is a very effective procedure in palmar, axillary and facial hyperhidrosis and facial blushing. The overall satisfaction rate is very good for palmar hyperhidrosis and facial blushing, not equally good but acceptable for facial hyperhidrosis. The lower satisfaction rate in patients with axillary hyperhidrosis makes this a questionable indication for ETS.
AN: 98303083
UD: 199810
Record 38 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathectomy: the U.S. experience.
AU: Krasna-MJ; Demmy-TL; McKenna-RJ; Mack-MJ
SO: Eur-J-Surg-Suppl. 1998; (580): 19-21
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: 48 patients underwent TSSYM. Charts of patients undergoing thoracoscopy were reviewed to assess the safety and efficacy of thoracoscopic sympathectomy (TSSYM). DESIGN: A retrospective review was undertaken at four United States medical centers. RESULTS: TSSYM was performed for reflex sympathetic dystrophy in 27 patients, hyperhydrosis palmaris in 15 patients, and Raynaud's upper extremity ischemia and splanchnic pain in 2 patients each. Anesthesia with one lung ventilation was used. 2.9 ports were used per patient and 0.8 chest tubes were placed per patient. All patients underwent resection of the sympathetic chain, usually with a clip along the bottom of the resected chain. Laser, electro-ablation and electroresection were not used by any of the surgeons in his series. The mean length of hospital stay was 1.8 days. CONCLUSIONS: TSSYM is a safe and effective technique for treatment of a variety of thoracic disorders.
AN: 98303082
UD: 199810
Record 39 of 217 - MEDLINE (R) Advanced
TI: Secondary sympathetic chain reconstruction after endoscopic thoracic sympathicotomy.
AU: Telaranta-T
SO: Eur-J-Surg-Suppl. 1998; (580): 17-8
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: Thoracoscopic sympathicotomy by electrocautery is an irreversible procedure. Thus the indications must be meticulously considered before the final decision to operate is taken by both the surgeon and the patient. All possible side effects should be dealt with and written informed consent required. A case of an open nerve reconstruction of the divided sympathetic chains is presented. One year after the reconstruction the patient reported subjective relief of the compensatory oversweating and restoration of sweating in the face and the armpit. Reversible methods like clipping the sympathetic chain should be considered whenever feasible instead of the irreversible electrocoagulation of the sympathetic chain.
AN: 98303081
UD: 199810
Record 40 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic T2-sympathetic block by clipping--a better and reversible operation for treatment of hyperhidrosis palmaris: experience with 326 cases.
AU: Lin-CC; Mo-LR; Lee-LS; Ng-SM; Hwang-MH
SO: Eur-J-Surg-Suppl. 1998; (580): 13-6
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: Although thoracoscopic sympathectomy or sympathicotomy is the best treatment for hyperhidrosis palmaris, a new approach of clipping only without transection of T2-sympathetic trunk is just as effective. Aside from the guaranteed cure of hyperhidrosis, this new method has fewer complications and has the advantage of recovery of the sympathetic tone in the hands if the procedure is reversed by the removal of the clips. Between March 18 and September 30 of 1996, 326 patients (190 female and 136 male with a mean age of 20.5 years) underwent thoracoscopic T2-sympathetic block by clipping to treat hyperhidrosis. Good results and few complications were noted during follow up six months to one year postoperatively. Five of the 326 patients, all female, had the operation reversed because of intolerable compensatory sweating. Three recovered from the compensatory sweating within two months and had less palmar sweating than before their sympathetic block; the fourth achieved relief of compensatory sweating after nine months, and the fifth reported no improvement.
AN: 98303080
UD: 199810
Record 41 of 217 - MEDLINE (R) Advanced
TI: Improvements in video-endoscopic sympathicotomy for the treatment of palmar, axillary, facial, and palmar-plantar hyperhidrosis.
AU: Duarte-JB; Kux-P
SO: Eur-J-Surg-Suppl. 1998; (580): 9-11
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: Video-endoscopic sympathicotomy for the treatment of palmar, axillary, facial and palmar-plantar hyperhidrosis was modified as to the type of surgical access and the level of incision in the sympathetic chain and communicating rami, depending on the clinical indications. Under general anaesthesia, using a single lumen endotracheal tube, the patient is put in lateral decubitus and pneumothorax is induced. The patient is then placed in ventral decubitus, with the head elevated, to make two punctures in the posterior axillary line, at the level of the 4th and 7th intercostal spaces, to introduce two ports of 5 and 10 mm in size, respectively. The sympathetic chain and the communicating rami are viewed and severed, according to the indications, at different levels to treat palmar, axillary, facial and palmar-plantar hyperhidrosis and combinations of the above. The operation is performed on both sides of the thorax during the same period of anaesthesia. One hundred-forty patients (280 procedures) have been operated on from 1993 to 1997 using this technique. All were operated on as outpatients. Our results are: 100% of those with facial and palmar hyperhidrosis and 96% of those with axillar hyperhidrosis were cured, and 94% with plantar hyperhidrosis were relieved from 50 to 100%, with the follow-up of between one and 47 months.
AN: 98303079
UD: 199810
Record 42 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis--the combined paediatric, adolescents and adult experience.
AU: Cohen-Z; Levi-I; Pinsk-I; Mares-AJ
SO: Eur-J-Surg-Suppl. 1998; (580): 5-8
JN: The-European-journal-of-surgery.-Supplement.
PY: 1998
LA: ENGLISH
AB: OBJECTIVE: To present our experience, over the past 4 years, of thoracoscopic upper thoracic sympathectomy in patients with primary palmar hyperhidrosis. DESIGN: Retrospective study. SETTING: University hospital, Israel. SUBJECTS: 402 thoracoscopic upper thoracic sympathectomies in 223 patients over a period of 4 years. INTERVENTIONS: Thoracoscopic ablation of ganglia and severing of the sympathetic chain at the level of T2 and T3. 142 patients underwent bilateral simultaneous sympathectomy, 37 had bilateral non-simultaneous sympathectomy and 44 had unilateral sympathectomy. RESULTS: 220 patients (98.7%) had an uneventful postoperative course and were discharged the following day. Three patients with residual pneumothorax required intercostal drainage and were discharged on the third postoperative day. 219 patients (98.2%) were completely satisfied, having immediate and permanent relief of palmar sweating. Four patients were dissatisfied. CONCLUSION: The thoracoscopic approach to the upper thoracic sympathectomy is at present the procedure of choice. Early operation for severe palmar hyperhidrosis is indicated to save a child many years of frustration and discomfort.
AN: 98303078
UD: 199810
Record 43 of 217 - MEDLINE (R) Advanced
TI: Predicting changes in the distribution of sweating following thoracoscopic sympathectomy [letter; comment]
AU: Collin-J
SO: Br-J-Surg. 1998 Apr; 85(4): 570
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1998
LA: ENGLISH
AN: 98268563
UD: 199808
Record 44 of 217 - MEDLINE (R) Advanced
TI: Sympathetic skin response and patient satisfaction on long-term follow-up after thoracoscopic sympathectomy for hyperhidrosis.
AU: Lewis-DR; Irvine-CD; Smith-FC; Lamont-PM; Baird-RN
SO: Eur-J-Vasc-Endovasc-Surg. 1998 Mar; 15(3): 239-43
JN: European-journal-of-vascular-and-endovascular-surgery
ISSN: 1078-5884
PY: 1998
LA: ENGLISH
AB: OBJECTIVES: To determine effect of sympathectomy for hyperhidrosis on sympathetic skin response (SSR) during long-term follow-up. Patient satisfaction was assessed and surgical complications noted. DESIGN: Prospective, Open, Non-randomised study. MATERIALS AND METHODS: Patients who had undergone bilateral thoracoscopic sympathectomy for hyperhidrosis underwent postoperative assessment of SSRs. A 15 mA stimulus was applied over the median nerve contralateral to the sympathectomy and evoked electrodermal activity was recorded from the sympathectomised palm using a Dantec Counterpoint Mk 2. Patient satisfaction with surgery was assessed by questionnaire and visual analogue score (0-1.0). RESULTS: Of 26 patients, 21 were female. Mean (range) age was 23 (9-36) years. Mean (range) follow up was 39 (4-138) months. 12% of cases had residual or recurrent symptoms. Median (range) patient satisfaction was 0.83 (0.06-1.0). In 7/52 palms recurrent SSRs were not detected. Repeated measures analysis of variance found amplitude of SSR to be of low significance with respect to time since surgery (F = 0.48; p = 0.49) and incidence of compensatory sweating (F = 2.38; p = 0.14). CONCLUSION: Thoracoscopic sympathectomy for hyperhidrosis is an effective procedure. Following sympathectomy SSRs are not permanently abolished, but return of SSRs does not correspond with symptom recurrence. As such, SSRs are a poor tool for objective assessment of long-term outcome following sympathectomy.
AN: 98248890
UD: 199808
Record 45 of 217 - MEDLINE (R) Advanced
TI: [Surgical technique of endoscopic transthoracic sympathicotomy: axillary approach]
AU: Ushijima-T; Akemoto-K; Kawakami-K; Matsumoto-Y; Tedoriya-T; Ueyama-T
SO: Kyobu-Geka. 1998 Mar; 51(3): 206-9
JN: Kyobu-geka
ISSN: 0021-5252
PY: 1998
LA: JAPANESE; NON-ENGLISH
AB: A total of 181 endoscopic transthoracic sympathicotomy were performed at our hospital from December, 1992 to March, 1997. After single-lumen endotracheal intubation for general anesthesia, the patient was placed in half sitting position. A small (1 cm) incision was made in the anterior axillary line through the third intercostal space and an apical pneumothorax was created by insufflation of 1.8 L of CO2 in the pleural cavity through a Surgineedle. A 24 Fr. urological transurethral electroresectoscope was introduced through the same incision. The sympathetic chain could be observed through parietal pleura riding on the costovertebral junctions. In palmar hyperhidrosis the second and third thoracic sympathetic ganglia were electrocoagulated. In axillary hyperhidrosis the forth ganglion was included. The lung was expanded by limiting expiration and sucking CO2. The operation was repeated on the other side. Endoscopic transthoracic sympathicotomy was an efficient, safe and low invasive surgical procedure for the treatment of palmar, axillary hyperhidrosis, Raynaud's disease and Buerger disease.
AN: 98188666
UD: 199807
Record 46 of 217 - MEDLINE (R) Advanced
TI: A comparative study of the surgical treatment of axillary osmidrosis by instrument, manual, and combined subcutaneous shaving procedures.
AU: Park-DH; Kim-TM; Han-DG; Ahn-KY
SO: Ann-Plast-Surg. 1998 Nov; 41(5): 488-97
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1998
LA: ENGLISH
AB: Between 1986 and 1996, 128 patients underwent surgery for axillary osmidrosis via en bloc removal of subcutaneous cellular tissue. The patients were followed for 6 months to 7 years (average follow-up, 25 months). The authors propose three categories in which they classified shaving procedures: instrumental shavings (N = 84), manual shavings (N = 96), and combined shaving procedures (N = 76). A modified Inaba's shaver was used in instrument shavings. Combined shaving is mixture of instrument and conventional manual shaving. All patients were asked to complete a questionnaire postoperatively. This follow-up demonstrated that 92.9% of patients who underwent instrument shaving, 95.8% of patients who underwent manual shaving, and 97.4% of patients who underwent combined shaving experienced no odor or occasional, very mild axillary odor postoperatively. Postoperative scar formation was either invisible or excellent in 92.9% of instrument shavings, and 92.1% of patients who underwent the combined procedure reported either a hairless axilla or a marked decrease of axillary hair. The total satisfaction rate in the combined procedure was 94.7%, which is a better result than the instrument (92.9%) and the manual (91.7%) shaving procedures. The wound complication rate per patient with the combined procedure was 13.2%. There was no scar contracture or limitation in arm abduction. The combined subcutaneous shaving procedure using the modified Inaba's shaver has the advantages of rapid and accurate shaving, low incidence of hematoma formation, enhanced wound healing, and easy postoperative care. Therefore, en bloc resection of subcutaneous cellular tissue by combined shaving is a viable option for treatment of axillary osmidrosis.
AN: 99043653
UD: 199904
Record 47 of 217 - MEDLINE (R) Advanced
TI: Resympathectomy for palmar and axillary hyperhidrosis.
AU: Hsu-CP; Chen-CY; Hsia-JY; Shai-SE
SO: Br-J-Surg. 1998 Nov; 85(11): 1504-5
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1998
LA: ENGLISH
AB: BACKGROUND: The aim was to analyse patterns of failure or symptom recurrence after primary sympathectomy for palmar or axillary hyperhidrosis, and to carry out tactical problem-solving for resympathectomy and review the operative findings. METHODS: Over a 2-year period, 20 patients (six men and 14 women) underwent resympathectomy for palmar hyperhidrosis (13 patients, 20 sides) or axillary hyperhidrosis (seven patients, ten sides). T2-3 sympathectomy for palmar hyperhidrosis or T4-5 sympathectomy for axillary hyperhidrosis was performed during the repeat procedure. Criteria for evaluation by means of patient questionnaire included good (more than 80 per cent), fair (50-80 per cent) and poor (less than 50 per cent) improvement. RESULTS: Operative findings included inadequate sympathectomy on 19 sides, nerve regeneration on eight sides and no evidence of previous sympathectomy on three sides. One patient had Kuntz fibre in addition to inadequate sympathectomy. In the palmar hyperhidrosis group, good results were obtained in all 13 patients on all 20 sides after resympathectomy. In the axillary hyperhidrosis group, six of seven patients, or eight of ten sides, showed good results after resympathectomy. CONCLUSION: The main cause of primary sympathectomy failure was inadequate surgery, and recurrence of palmar or axillary hyperhidrosis was seldom caused by nerve regeneration. The key factor for preventing failed sympathectomy or recurrent palmar or axillary hyperhidrosis is a first-time sympathectomy that is both accurate and adequate. Most patients with recurrent symptoms can be cured by resympathectomy.
AN: 99039517
UD: 199902
Record 48 of 217 - MEDLINE (R) Advanced
TI: Computed tomography guided thoracic sympatholysis for palmar hyperhidrosis.
AU: Lucas-A; Rolland-Y; Journeaux-N; Kerdiles-Y; Chevrant-Breton-J; Duvauferrier-R
SO: J-Cardiovasc-Surg-Torino. 1998 Jun; 39(3): 387-9
JN: The-Journal-of-cardiovascular-surgery
ISSN: 0021-9509
PY: 1998
LA: ENGLISH
AB: METHODS: Sixteen patients (mean age 26.3 years; range 18-38) with palmar hyperhidrosis underwent 29 sympatholyses after unsuccessful medical, and in 8 ionophoresis, treatments. Sympatholysis was performed under local anesthesia with computed tomographic guidance. After opacification of the injection site at T3 with Iopamiron 200, phenolization was performed with 10 ml 6% phenol. RESULTS: Good immediate results evaluated on the basis of venous dilatation, and dryness and warmth of the skin were obtained in 23 cases (80%). There were 6 immediately unsuccessful procedures in 4 patients. At 20 months, good results, assessed on the basis of objective criteria and subjective patient self-evaluation were obtained in 22 cases (75% including immediate failures). Computed tomography guided thoracic sympatholysis performed under local anesthesia is an effective treatment for palmar hyperhidrosis. Morbidity is low and hospital stay is short. CONCLUSIONS: Our findings suggest that thoracic sympatholysis should be indicated as the first intention procedure when surgery is required in patients with palmar hyperhidrosis.
AN: 98341708
UD: 199810
Record 49 of 217 - MEDLINE (R) Advanced
TI: Video-endoscopic and mini-endoscopic sympathectomy for hyperhidrosis.
AU: Pillay-PK; Kumar-K; Tang-KK
SO: Stereotact-Funct-Neurosurg. 1997; 69(1-4 Pt 2): 274-7
JN: Stereotactic-and-functional-neurosurgery
ISSN: 1011-6125
PY: 1997
LA: ENGLISH
AB: Video-endoscopic sympathectomy (VES) is currently the method of choice for the minimally invasive treatment of hyperhidrosis involving the palms, armpit and facial areas. Over a 7-year period from 1991 to 1997 our technique of performing VES has evolved during the performance of 800 endoscopic sympathectomies from the use of 3 ports to a single 10-mm port to finally a 3-mm port using a mini-endoscope. In comparison to standard VES, mini-endoscopic sympathectomy is simpler, less invasive, causes less postoperative discomfort and consistently allows patients to return home the same day.
AN: 98377645
UD: 199901
Record 50 of 217 - MEDLINE (R) Advanced
TI: [Hyperhidrosis of the upper extremity: long-term outcome of endoscopic thoracic sympathicotomy]
AU: Zacherl-J; Imhof-M; Plas-EG; Herbst-F; Fugger-R
SO: Langenbecks-Arch-Chir-Suppl-Kongressbd. 1997; 114: 1287-9
JN: Langenbecks-Archiv-fur-Chirurgie
ISSN: 0942-2854
PY: 1997
LA: GERMAN; NON-ENGLISH
AB: A total of 630 endoscopic thoracal sympathicotomies were performed for hyperhidrosis of the upper limbs, and complications and success rates were analyzed after a median follow-up period of 16 years (83% of patients). In all, 67.8% of patients were fully satisfied, 25.7% were partially satisfied and would again agree to the operation, and 93% the procedure terminated hyperhidrosis permanently. Compensatory and gustatory sweating was observed in 67% und 47% of cases, respectively, impairing the patients satisfaction. Overall success was significantly (p < 0.001) lower in the group with axillary hyperhidrosis.
AN: 98235494
UD: 199808
Record 51 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathectomy for upper limb hyperhidrosis: looking for the right operation.
AU: Gossot-D; Toledo-L; Fritsch-S; Celerier-M
SO: Ann-Thorac-Surg. 1997 Oct; 64(4): 975-8
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1997
LA: ENGLISH
AB: BACKGROUND: Thoracoscopic sympathectomy is the most effective treatment for upper limb hyperhidrosis. However, this is offset by the occurrence of a high rate of side effects, such as embarrassing compensatory sweating. Anticipating that a technique that respects the sympathetic chain and divides only the rami communicantes may lead to fewer side effects, we assessed the technique described by R. Wittmoser, comparing it with conventional thoracoscopic sympathecomy. METHODS: A total of 240 thoracoscopic sympathectomies were performed in 124 patients suffering from upper limb hyperhidrosis. Fifty-four patients underwent a conventional sympathectomy (group TS), 62 underwent division of the rami communicantes with respect to the main trunk (group SS), and 8 underwent both procedures (group TS/SS) because of accidental division of the chain during dissection. The mean follow-up is 8 months. RESULTS: No recurrence was observed in group TS whereas six (5%) occurred in group SS (p < 0.05). The global rate of compensatory sweating was about the same in both groups: 72.2% in group TS and 70.9% in group SS. However, the rate of embarrassing or disabling compensatory sweating was significantly higher in group TS (50%) than in group SS (21%) (p < 0.001). CONCLUSIONS: Although selective division of the rami communicantes results in a significant decrease in the rate of disturbing side effects, it also leads to recurrences that are usually not observed at that level in patients treated with the conventional technique. Therefore other means of achieving the ideal operation should be explored, that is, a technique associated with a high success rate but a minimal number of side effects.
AN: 98014635
UD: 199801
Record 52 of 217 - MEDLINE (R) Advanced
TI: Assessment of outcome after thoracoscopic sympathectomy for hyperhidrosis in a specialized unit [letter; comment]
AU: Sayeed-RA; Ghauri-AS; Nyamekye-I; Poskitt-KR
SO: J-R-Coll-Surg-Edinb. 1997 Aug; 42(4): 287-8
JN: Journal-of-the-Royal-College-of-Surgeons-of-Edinburgh
ISSN: 0035-8835
PY: 1997
LA: ENGLISH
AN: 97420592
UD: 199711
Record 53 of 217 - MEDLINE (R) Advanced
TI: Laparoscopic and thoracoscopic surgery in children and adolescents: a 3-year experience [see comments]
AU: Cohen-Z; Shinhar-D; Kurzbart-E; Finaly-R; Mares-AJ
SO: Pediatr-Surg-Int. 1997 Jul; 12(5-6): 356-9
JN: Pediatric-surgery-international
ISSN: 0179-0358
PY: 1997
LA: ENGLISH
AB: Our initial experience over the last 3 years with laparoscopic and thoracoscopic surgery in children and adolescents is reported. Between September 1992 and August 1995, a total of 215 laparoscopic and thoracoscopic procedures were performed: 32 appendectomies for acute appendicitis, 10 cholecystectomies for symptomatic gallstones, 11 procedures for adnexal pathology, 6 laparoscopies in children with nonpalpable testes, 3 diagnostic laparoscopies, and 153 thoracoscopic sympathectomies in children suffering from primary palmar hyperhidrosis. The post-operative course was uneventful in all cases. In 2 children with acute appendicitis we converted to the open technique due to technical difficulties. We are encouraged by the results of our initial experience. There is no doubt that laparoscopic cholecystectomy, laparoscopic surgery of adnexal pathology, and thoracoscopic sympathectomy, because of their numerous benefits - shorter operative time, hospitalization, and convalescence as well as less postoperative pain and improved cosmetic results - are replacing the open techniques. We are not convinced as yet of the advantages of laparoscopic appendectomy in children; we are presently performing both laparoscopic and conventional techniques and studying the various parameters in order to reach a more definite conclusion. Various other endoscopic surgical procedures will be carefully considered in the near future.
AN: 97362124
UD: 199710
Record 54 of 217 - MEDLINE (R) Advanced
TI: False aneurysm of an intercostal artery after thoracoscopic sympathectomy.
AU: Atherton-WG; Morgan-WE
SO: Ann-R-Coll-Surg-Engl. 1997 May; 79(3): 229-30
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1997
LA: ENGLISH
AN: 97339794
UD: 199709
Record 55 of 217 - MEDLINE (R) Advanced
TI: Bilateral thoracoscopy for sympathectomy in the treatment of hyperhidrosis.
AU: Dumont-P; Hamm-A; Skrobala-D; Robin-P; Toumieux-B
SO: Eur-J-Cardiothorac-Surg. 1997 Apr; 11(4): 774-5
JN: European-journal-of-cardio-thoracic-surgery
ISSN: 1010-7940
PY: 1997
LA: ENGLISH
AB: Thoracoscopic sympathectomy has been established as the least invasive technique with high success rates for treatment of palmary hyperhidrosis [1,4,5]. In our procedure both sides are treated during the same operation. A bilateral thoracoscopy was performed in 20 patients for incapacitating hyperhidrosis. Immediate complications at operation were minimal. All patients reported satisfaction with the procedure in spite of compensatory sweating. The short hospital stay has significant financial benefits and these are increased if both sides are treated at the same time. This procedure is more aggressive than the single side procedure but the morbidity is not increased.
AN: 97295410
UD: 199709
Record 56 of 217 - MEDLINE (R) Advanced
TI: Predicting changes in the distribution of sweating following thoracoscopic sympathectomy [see comments]
AU: Andrews-BT; Rennie-JA
SO: Br-J-Surg. 1997 Dec; 84(12): 1702-4
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1997
LA: ENGLISH
AB: BACKGROUND: Compensatory sweating is a common symptom following thoracic sympathectomy; however, the reported incidence of this complication varies greatly, and its severity has not been quantified. METHODS: In this study changes in the distribution of sweating following bilateral T2-3 thoracoscopic sympathectomy for hyperhidrosis were assessed in 42 patients. Sweat production in the palms, axillae, face, trunk and feet was assessed using a linear analogue scale. RESULTS: The operation was most successful in reducing sweat production in the palms, axillae and face (in descending order). The operation also reduced pedal sweat production in 12 of the 29 patients who suffered concomitant pedal hyperhidrosis. Compensatory truncal sweating occurred in 36 of the 42 patients; it was severe in ten, moderate in 16 and minimal in ten. CONCLUSION: Patients should be warned about compensatory sweating before thoracic sympathectomy.
AN: 98110069
UD: 199804
Record 57 of 217 - MEDLINE (R) Advanced
TI: A classic surgical method for the treatment of axillary osmidrosis [letter; comment]
AU: Battal-NM; Hata-Y
SO: Plast-Reconstr-Surg. 1997 Aug; 100(2): 550-1
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1997
LA: ENGLISH
AN: 97396446
UD: 199711
Record 58 of 217 - MEDLINE (R) Advanced
TI: Regarding "Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results" [letter; comment]
AU: Deblier-I; Breek-JK; Herregodts-P; Rutsaert-R
SO: J-Vasc-Surg. 1997 May; 25(5): 961-2
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1997
LA: ENGLISH
AN: 97296864
UD: 199708
Record 59 of 217 - MEDLINE (R) Advanced
TI: Abnormal suntanning following transthoracic endoscopic sympathectomy.
AU: Whiteley-MS; Ray-Chaudhuri-SB; Galland-RB
SO: Br-J-Surg. 1996 Dec; 83(12): 1782
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1996
LA: ENGLISH
AN: 97190609
UD: 199705
Record 60 of 217 - MEDLINE (R) Advanced
TI: Chylothorax after endoscopic thoracic sympathectomy [letter]
AU: Gossot-D
SO: Surg-Endosc. 1996 Sep; 10(9): 949
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 1996
LA: ENGLISH
AN: 97147919
UD: 199704
Record 61 of 217 - MEDLINE (R) Advanced
TI: Endoscopic sympathectomy treatment for craniofacial hyperhidrosis.
AU: Kao-MC; Chen-YL; Lin-JY; Hsieh-CS; Tsai-JC
SO: Arch-Surg. 1996 Oct; 131(10): 1091-4
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1996
LA: ENGLISH
AB: OBJECTIVE: To present endoscopic T-2 sympathectomy as a minimally invasive therapy for craniofacial hyperhidrosis (CH). DESIGN: Follow-up study of 30 patients with CH treated by the new method in a 4-year period. The duration of follow-up was from 8 to 44 months (mean, 15 months). SETTING: University hospital. PATIENTS: Thirty consecutive patients with CH (18 men, 12 women) treated by the new method. All patients were essentially in good health except that they suffered from distressing CH to the extent that their daily activities were often disturbed. Their ages ranged from 7 to 63 years (mean age, 42.8 years). INTERVENTION: Endoscopic sympathectomy on both sides was carried out in a 1-stage operation for all patients. MAIN OUTCOME MEASURES: The patients were interviewed 1 week and then 3 months after surgery and then followed up by telephone interview about the alleviation or recurrence of CH and complications. RESULTS: All of the treated patients obtained a satisfactory alleviation of CH. One case was complicated by a mild and transient ptosis of the left eye. No recurrence of CH was noticed during the follow-up period. CONCLUSIONS: This therapeutic procedure is minimally invasive and effective. It causes minimal discomfort and was associated with no major complications in this series. The patients require only an overnight hospital stay and the operation scars are small. Endoscopic sympathectomy has proven to be an effective method in treating patients with distressing CH.
AN: 97010876
UD: 199701
Record 62 of 217 - MEDLINE (R) Advanced
TI: Experience in thoracoscopic sympathectomy for hyperhidrosis with concomitant pleural adhesion.
AU: Lin-CC; Mo-LR
SO: Surg-Laparosc-Endosc. 1996 Aug; 6(4): 258-61
JN: Surgical-laparoscopy-and-endoscopy
ISSN: 1051-7200
PY: 1996
LA: ENGLISH
AB: Thoracoscopic (transthoracic endoscopic) sympathectomy, known worldwide as the best method for treatment of hyperhidrosis, is regarded as having two major contraindications: pleural adhesion and coagulopathy. We embarked on this study to prove that it is possible and highly feasible to do thoracoscopic sympathectomy, even in the presence of severe pleural adhesion, as long as the surgeon knows anatomy and is well-trained in performing this procedure. From October 1, 1989, through December 31, 1992, we treated 719 cases of hyperhidrosis palmaris (325 male and 394 female patients), by the thoracoscopic method at Tainan Municipal Hospital. Among them, 24 cases (3.5%), 19 male and 5 female patients, had concomitant pleural adhesions. The causes of pleural adhesion were pulmonary tuberculosis, chronic bronchitis, previous operations for hyperhidrosis, and a few with uncertain origins. Except for the first encountered case of hyperhidrosis with pleural adhesion, which was treated by mini-thoracotomy after failure of a thoracoscopic approach through the right thoracic cavity, the remainder of the 23 cases were treated successfully by the thoracoscopic method. In cases with bilateral pleural adhesions, the right thoracic cavity was more frequently involved and more severely. The incidence of pleural adhesion in hyperhidrosis is 3.5% in our series; all, except the first case, were treated thoracoscopically. Coagulopathy is for us, therefore, the only remaining contraindication of thoracoscopic sympathectomy.
AN: 96437836
UD: 199705
Record 63 of 217 - MEDLINE (R) Advanced
TI: Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results [see comments]
AU: Kopelman-D; Hashmonai-M; Ehrenreich-M; Bahous-H; Assalia-A
SO: J-Vasc-Surg. 1996 Aug; 24(2): 194-9
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1996
LA: ENGLISH
AB: PURPOSE: The purpose of this study was to examine the immediate and mid-term results of thoracoscopic upper dorsal (T2-T3) sympathectomy for primary palmar hyperhidrosis. METHODS: From June 1993 to October 1994 we performed 106 sympathectomies on 53 patients with palmar hyperhidrosis. Thirty-four female patients and 19 male patients ranging in age from 15 to 44 years, (mean 23.1 years) were studied. Both sides were operated during the same surgical procedure. The T2-T3 ganglia were resected by electrocuting with a hook and were removed for histologic examination. Follow-up for a mean of 19.25 months was obtained on 52 patients (104 operated limbs). RESULTS: All limbs were completely dry at the end of the procedure, and hyperhidrosis did not recur during the whole follow-up period. Short-term postoperative complications (mainly atelectasis, pneumonia, pneumothorax, and hemothorax) occurred in six (11.3%) patients. Long-term sequelae were observed in 43 (81.1%) patients and included Horner's syndrome (9 patients, 17.3%, one side only in each patient), neuralgia (7 patients, 13.5%), and compensatory hyperhidrosis (35 patients, 67.3%). These sequelae were not permanent in all cases, and the degree of severity was variable. Six (11.5%) patients, three of whom regretted being operated, were dissatisfied with their results: one because of Horner's syndrome, one because of persisting neuralgia, and four because of compensatory sweating. CONCLUSIONS: Despite the large number of postoperative long-term sequelae, 88.5% of patients expressed subjective satisfaction from the procedure. Obtaining 100% of dry hands on mid-term follow-up makes this approach rewarding.
AN: 96354763
UD: 199611
Record 64 of 217 - MEDLINE (R) Advanced
TI: Advantages of limited thoracoscopic sympathectomy.
AU: Bonjer-HJ; Hamming-JF; du-Bois-NAJJ; van-Urk-H
SO: Surg-Endosc. 1996 Jul; 10(7): 721-3
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 1996
LA: ENGLISH
AB: BACKGROUND: Thoracoscopic resection of the first through the fourth thoracic sympathetic ganglion for palmary and axillary hyperhidrosis and Raynaud's syndrome is associated with a high initial success rate. However, the reported incidence of compensatory hyperhidrosis of the trunk and legs and Horner's syndrome are high. This study assesses the results of thoracoscopic sympathectomy limited to transection of the interganglionic trunk or resection of one or two thoracic ganglia. METHODS: Twenty-eight thoracoscopic sympathectomies were done for dystrophy of the hand (n = 9), palmar and axillary hyperhidrosis (n = 6), and Raynaud's syndrome (n = 4). The extent of sympathectomy varied from interganglionic division between the second and third ganglion (n = 12), to resection of the third ganglion (n = 12), to resection of the second and third ganglion (n = 4). RESULTS: Sympathectomy resulted initially in relief of symptoms in all cases. Horner's syndrome did not occur. CONCLUSIONS: After a median follow-up of 11 months, two of nine patients with dystrophy judged the result of operation as good. All patients with hyperhidrosis and Raynaud's syndrome judged the result of sympathectomy as good. Compensatory hyperhidrosis was experienced by two patients with dystrophy of the hand who had removal of the second and third sympathetic ganglion.
AN: 96281598
UD: 199610
Record 65 of 217 - MEDLINE (R) Advanced
TI: Laparoscopic extraperitoneal lumbar sympathectomy: technique and early results.
AU: Elliott-TB; Royle-JP
SO: Aust-N-Z-J-Surg. 1996 Jun; 66(6): 400-2
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 1996
LA: ENGLISH
AB: A new technique of balloon-assisted laparoscopic lumbar sympathectomy is described and the results of the initial three cases are described. The procedure is technically straightforward and was accomplished without any complications. It should be compared with other techniques of lumbar sympathectomy in comparative trials; however, this early experience is most encouraging.
AN: 96269342
UD: 199610
Record 66 of 217 - MEDLINE (R) Advanced
TI: Endoscopic versus transaxillary thoracic sympathectomy for primary axillary and palmar hyperhidrosis and/or facial blushing: 5-year-experience.
AU: Yilmaz-EN; Dur-AH; Cuesta-MA; Rauwerda-JA
SO: Eur-J-Cardiothorac-Surg. 1996; 10(3): 168-72
JN: European-journal-of-cardio-thoracic-surgery
ISSN: 1010-7940
PY: 1996
LA: ENGLISH
AB: Thoracic sympathectomy is effective in the permanent cure of primary axillary and palmar hyperhidrosis and facial blushing, which can be so troublesome for patients that their social and professional relations can be affected. Between October 1988 and April 1994, a total of 50 thoracic sympathectomies (10 surgical and 40 endoscopic) were performed on 5 and 23 patients, respectively. The operations were performed unilaterally, followed by the contralateral intervention after a period of 6-8 weeks. The thoracic ganglia T2-T5 were resected for hyperhidrosis. If the patient suffered from blushing, the lower 1/3 of the stellate ganglion was also resected. Postoperatively, all the operated limbs were warm and dry. In the group of patients who were operated bilaterally, only one had persistent facial blushing. The efficacy for blushing in this series was therefore 93.3%. The late relapse rate of sympathetic activity was 14.3%. Compensatory sweating was seen in 67%, gustatory sweating in 37.5% and phantom sweating in 29% of the patients. None of them considered these side effects to be troublesome. Although there is no difference between transaxillary thoracic sympathectomy and the endoscopic intervention in terms of efficacy, the latter is associated with less postoperative pain, shorter hospital stay and a rapid recovery. The thoracic sympathectomy is the treatment of choice for primary hyperhidrosis and excessive facial blushing.
AN: 96261492
UD: 199610
Record 67 of 217 - MEDLINE (R) Advanced
TI: Total intravenous anesthesia and high-frequency jet ventilation during transthoracic endoscopic sympathectomy for treatment of essential hyperhidrosis palmaris: a new approach.
AU: D'Haese-J; Camu-F; Noppen-M; Herregodts-P; Claeys-MA
SO: J-Cardiothorac-Vasc-Anesth. 1996 Oct; 10(6): 767-71
JN: Journal-of-cardiothoracic-and-vascular-anesthesia
ISSN: 1053-0770
PY: 1996
LA: ENGLISH
AB: OBJECTIVE: To evaluate the effects of high-frequency jet ventilation (HFJV) applied to both lungs on hemodynamic parameters, oxygenation, and operating conditions during bilateral videothoracoscopic sympathectomy. DESIGN: A prospective, unblinded study. SETTING: An ambulatory surgical unit at a university medical center. PARTICIPANTS: 30 patients (11 men, 19 women), ASA status 1. INTERVENTION: Bilateral videothoracoscopic sympathectomies were performed using total intravenous anesthesia with propofol, alfentanil, and atracurium, and the patients were ventilated with an oxygen-air mixture using HFJV delivered to both lungs with a Hi-Lo Jet tracheal tube (Mallinckrodt). MEASUREMENTS AND MAIN RESULTS: Mean total anesthesia time was 55 +/- 13 minutes. Hemodynamic parameters remained stable during surgery, although ablation of the sympathetic ganglia induced three incidences of bradycardia (10% of the patients), which were responsive to atropine. Four patients developed oxygen desaturation (Sa O2 < 90%) after the creation of the pneumothorax. Surgical conditions were considered excellent by the surgeons. Concerning postoperative complications, a temporary Horner's syndrome was observed in one patient. Another patient had a mild residual pneumothorax on the first postoperative day that resolved without insertion of a chest tube. CONCLUSIONS: It was concluded that HFJV applied to both lungs is an easy and safe anesthetic technique that provides excellent surgical conditions and causes a minor incidence of morbidity.
AN: 97066681
UD: 199704
Record 68 of 217 - MEDLINE (R) Advanced
TI: Gastrointestinal problems and osteogenesis imperfecta [letter]
AU: Hensinger-RN
SO: J-Bone-Joint-Surg-Am. 1996 Nov; 78(11): 1785
JN: The-Journal-of-bone-and-joint-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .J64.
LOCATIONS:
PERIODICAL ROOM. [N.S.] 48- (1966-) Bound vols in MAIN, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. N.S. 30-47 (1948-1965).
ISSN: 0021-9355
PY: 1996
LA: ENGLISH
AN: 97088590
UD: 199703
Record 69 of 217 - MEDLINE (R) Advanced
TI: A simplified T2-T3 thoracoscopic sympathicolysis technique for the treatment of essential hyperhidrosis: short-term results in 100 patients.
AU: Noppen-M; Herregodts-P; D'Haese-J; D'Haens-J; Vincken-W
SO: J-Laparoendosc-Surg. 1996 Jun; 6(3): 151-9
JN: Journal-of-laparoendoscopic-surgery
ISSN: 1052-3901
PY: 1996
LA: ENGLISH
AB: A simplified one-time bilateral thoracoscopic T2-T3 sympathicolysis technique using single-lumen endotracheal intubation with high frequency jet ventilation and electrocautery destruction ("sympathicolysis") of the sympathetic ganglia was applied in 100 consecutive patients with severe essential hyperhidrosis (EH). Providing a pleural space can be created, this technique was proven simple and safe, and short-term clinical results were excellent: palmar hyperhidrosis was cured in 98% of patients, and axillar and plantar improvement was achieved in 62 and 65% of patients, respectively. Side-effects and complications were minor (compensatory hyperhidrosis) or self-limiting (pain). These data confirm the safety and efficacy of thoracoscopic sympathetic interventions for the treatment of EH, and support the evolution toward simplified methodologies.
AN: 96401139
UD: 199702
Record 70 of 217 - MEDLINE (R) Advanced
TI: Simultaneous vs staged bilateral video-assisted thoracoscopic surgery.
AU: Yim-AP
SO: Surg-Endosc. 1996 Oct; 10(10): 1029-30
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 1996
LA: ENGLISH
AB: It is generally thought that simultaneous bilateral chest surgery carries a high morbidity. We reviewed the results of simultaneous (under one anesthesia) vs staged bilateral video-assisted thoracoscopic surgery (VATS) from a single institution over a 35-month period. From September 1992 to July 1995, we performed simultaneous bilateral VATS on 37 patients (31 males, six females, age ranging from 15 to 55 years) with spontaneous pneumothorax (20) for bleb resections and pleurodesis; thoracodorsal sympathectomy (12) for palmar hyperhidrosis and vasospastic disease; and metastatic sarcomas (five) for wedge lung resections. During the same period, nine patients with metachronous bilateral spontaneous pneumothorax had staged procedures, as did two with digital ischemic ulcers for sympathectomy and three with metastatic pulmonary osteosarcomas for resection. Mean postoperative hospital stays in days for the simultaneous groups were 3.3 for spontaneous pneumothorax, 2.1 for sympathectomy, and 1.5 for wedge resection, compared to 2.9, 2.5, and 2.2 for the staged groups, respectively (p > 0.05 by Mann-Whitney U tests). Likewise, pain assessment by visual analogue scale as well as analgesic requirement showed no significant difference between the simultaneous and the staged groups. We conclude that simultaneous VATS is not associated with increased morbidity or prolonged hospital stay compared to the staged counterparts and provides an attractive alternative to the median sternotomy, bilateral posterolateral thoracotomy, or transternal (clam-shell) thoracotomy for selected cases of simultaneous bilateral lung surgery.
AN: 97020147
UD: 199701
Record 71 of 217 - MEDLINE (R) Advanced
TI: Assessment of outcome after thoracoscopic sympathectomy for hyperhidrosis in a specialized unit [see comments]
AU: Graham-AN; Owens-WA; McGuigan-JA
SO: J-R-Coll-Surg-Edinb. 1996 Jun; 41(3): 160-3
JN: Journal-of-the-Royal-College-of-Surgeons-of-Edinburgh
ISSN: 0035-8835
PY: 1996
LA: ENGLISH
AB: Transthoracic endoscopic electrocautery of the sympathetic chain is increasingly being used as a technique for producing the effects of upper thoracic sympathectomy. In November 1990 we introduced this operation as a regional service in Northern Ireland and have assessed the results in patients with idiopathic hyperhidrosis of the palms and axillae. There were 92 sympathectomics carried out for hyperhidrosis on 47 patients between 26 November 1990 and 6 September 1993. Full follow-up was possible in 45 patients (96%) at a median of 13 months (range 3-36) after the operation. Symptoms were improved in 43 patients (96%) at review. In three patients surgery failed to control symptoms on one side, and in two there was bilateral recurrence at 4 and 8 months after initial good results. Compensatory hyperhidrosis occurred in 35 patients (56%) and was severe in 4 (9%). Nine of 34 patients (34%) with plantar symptoms reported improvement in these post-operatively. This paper, with its high level of full follow-up, confirms thoracoscopic sympathectomy to be effective treatment for both palmar and axillary hyperhidrosis. Patient selection, however, is important and the risk of compensatory hyperhidrosis must be fully explained.
AN: 96312006
UD: 199611
Record 72 of 217 - MEDLINE (R) Advanced
TI: Bleomycin sulfate in the treatment of mosaic plantar verrucae: a follow-up study [see comments]
AU: Sollitto-RJ; Pizzano-DM
SO: J-Foot-Ankle-Surg. 1996 Mar-Apr; 35(2): 169-72
JN: The-Journal-of-foot-and-ankle-surgery
ISSN: 1067-2516
PY: 1996
LA: ENGLISH
AB: In this report, the authors will supplement research performed in 1989 by Sollitto, Napoli, and Gazivoda on the use of intralesional bleomycin for the treatment of verrucae. With various alterations of technique, their original success rate of 32.2% was improved to 65.4%. Thus, bleomycin is a very effective first line treatment for multiple verrucae, particularly of the mosaic variety. An association is also made between patients with pedal hyperhidrosis and the occurrence of multiple verrucae, notably lesions that prove recalcitrant to initial therapy.
AN: 96303054
UD: 199611
Record 73 of 217 - MEDLINE (R) Advanced
TI: Surgical management of axillary bromidrosis--a modified skoog procedure by an axillary bipedicle flap approach [see comments]
AU: Wang-HJ; Cheng-TY; Chen-TM
SO: Plast-Reconstr-Surg. 1996 Sep; 98(3): 524-9
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1996
LA: ENGLISH
AB: We developed a modified Skoog procedure to treat axillary bromidrosis and hyperhidrosis that creates a bipedicle flap over the axillary fold with two parallel incisions to achieve a complete excision of the sweat glands. If necessary, the flap can be extended by making another parallel incision for a larger axillary hair-bearing area. Between 1988 and 1992, 110 patients were operated on using this method, but only 92 of the 110 patients, with an average follow-up period of 29.5 months, were available for this follow-up study. In this series, 86.9 percent of patients gave a family history of axillary bromidrosis. This follow-up review demonstrated that 93.5 percent of patients experienced no odor or occasional very mild axillary odor postoperatively. Postoperative scar formation was either nonvisible or excellent in 95.1 percent of patients, and 82.6 percent of patients reported either a hairless axilla or a marked decrease of axillary hair. Most importantly, 92.4 percent of patients reported a marked decrease in axillary sweat. Four axillary fossae developed postoperative subcutaneous hematomas, and six wounds had mild dehiscence. All of the wounds eventually healed satisfactorily after minor procedures. We concluded that for the treatment of extensive axillary apocrine bromidrosis, this new method achieves complete excision of the sweat glands and provides excellent functional and cosmetic results.
AN: 96320378
UD: 199611
Record 74 of 217 - MEDLINE (R) Advanced
TI: [Thoracoscopic sympathectomy in the surgical treatment of axillary and palmar hyperhidrosis]
AU: Anikin-V; Graham-A; MacGuigan-D
SO: Khirurgiia-Mosk. 1996; (1): 63-5
JN: Khirurgiia-
ISSN: 0023-1207
PY: 1996
LA: RUSSIAN; NON-ENGLISH
AB: 47 patients with axillary palmar hyperhydrosis underwent this surgery. There were 36 women (76.6%) and 11 men (23.4%) among them. The sympathetic trunk has been coagulated on the level between 2d and 4th ribs on both sides. There were no surgical mortality in this group. Nine patients (9.1%) had a pneumothorax, one patient (2.1%) had a subcutaneous emphysema, the other one had pneumonia and one had wound pyosis. In 43 cases the result of the surgery was very good. In 2 cases bilateral relapse and in 2 cases marked compensatory hyperhydrosis were resistered.
AN: 96306045
UD: 199610
Record 75 of 217 - MEDLINE (R) Advanced
TI: [Thoracic sympathectomy in palmar hyperhidrosis: comparison of open with thorascopic procedure]
AU: Nuesch-B; Ammann-J; Hess-P; Ludin-A
SO: Swiss-Surg. 1996; (3): 112-5
JN: Swiss-surgery
ISSN: 1023-9332
PY: 1996
LA: GERMAN; NON-ENGLISH
AB: Between 1976 and 1994 we performed 26 thoracic sympathectomies for treatment of therapy-resistant palmar hyperhidrosis. Until the end of 1992 the operation was performed using an open transaxillary approach, since 1993 sympathectomy was done by video-assisted thoracoscopy. Both procedures consisted in excision of the thoracic ganglia T2 to T5. The only complication was a pneumothorax in the open surgery group (successfully treated by drainage). Compensatory sweating occurred in 70% of our patients, compared to results in the literature of 60-90%. We did not note further complications, e.g. no Horner's syndrome. All of our patients were satisfied with the result of the operation. Comparison of the two collectives shows significant advantages for video-assisted thoracoscopic surgery. the procedure is easier to perform, exposure is better, cosmetic results are favourable, operation-time and hospital stay are reduced.
AN: 96244350
UD: 199610
Record 76 of 217 - MEDLINE (R) Advanced
TI: The transaxillary approach for treatment of thoracic outlet syndromes.
AU: Urschel-HC Jr
SO: Semin-Thorac-Cardiovasc-Surg. 1996 Apr; 8(2): 214-20
JN: Seminars-in-thoracic-and-cardiovascular-surgery
ISSN: 1043-0679
PY: 1996
LA: ENGLISH
AB: The diagnosis and management of thoracic outlet syndromes is based on the surgical management of more than 3,000 patients, 800 of which have had recurrent thoracic outlet syndromes. Accurate diagnosis for peripheral nerve compression is based on measurement of the ulnar and median nerve conduction velocities across the thoracic outlet. For sympathetic maintained pain syndrome or causalgia, a stellate ganglion block is helpful. Arteriography and venography are critical to show vascular compression. Conservative management is successful in most cases (70%) initially. For arterial reconstruction, the supraclavicular-infraclavicular approach is recommended. For the Paget-Schroetter syndrome (effort thrombosis of the axillary subclavian vein), prompt thrombolysis followed by transaxillary first rib resection is mandatory. No long-term anticoagulants are necessary. For hyperhidrosis, causalgia, sympathetic maintained pain syndrome or reflex sympathetic dystrophy, transaxillary dorsal sympathectomy with first rib resection or thoracoscopy is the preferred management when conservative therapy fails. For recurrent thoracic outlet syndrome and sympathetic maintained pain syndrome, a high thoracoplasty posterior approach is preferable with neurolysis of the nerve roots and brachial plexus as well as a dorsal sympathectomy. The technique of transaxillary first rib resection with or without dorsal sympathectomy is presented. The use of the thoracoscope expedites the procedure and improves the teaching capability.
AN: 96267527
UD: 199610
Record 77 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracoscopic sympathectomy--the Durban experience.
AU: Singh-B; Haffejee-AA; Moodley-J; Naidu-AG; Rajaruthnam-P
SO: S-Afr-J-Surg. 1996 Feb; 34(1): 11-4, 16; discussion 16, 18
JN: South-African-journal-of-surgery
ISSN: 0038-2361
PY: 1996
LA: ENGLISH
AB: Advances in optics, illumination and video-technology together with refinements in operative technique have made endoscopic transthoracoscopic sympathectomy (ETS) the method of choice for upper thoracic sympathectomy. Palmar hyperhidrosis is by far the main indication for ETS. The procedure is technically easy and well tolerated by patients, and complications are few and minor.
AN: 96218629
UD: 199608
Record 78 of 217 - MEDLINE (R) Advanced
TI: Technical considerations in endoscopic cervicothoracic sympathectomy.
AU: Josephs-LG; Menzoian-JO
SO: Arch-Surg. 1996 Apr; 131(4): 355-9
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1996
LA: ENGLISH
AB: OBJECTIVE: To evaluate the technique and results of videoendoscopic cervicothoracic sympathectomy in patients who have reflex sympathetic dystrophy or hyperhidrosis of the upper extremity. DESIGN: Clinical case series. The cohort underwent diagnostic evaluation and surgical intervention, and had a mean postoperative follow-up of 14 months. SETTING: An urban, university-affiliated tertiary referral medical center. PATIENTS: A consecutive, referred sample. Seven of the nine patients had reflex sympathetic dystrophy and two had bilateral upper extremity hyperhidrosis. Five were women and four were men, with a mean age of 44 years. INTERVENTIONS: Ten thoracoscopic sympathectomies, encompassing the lower third of the stellate ganglion to the fourth thoracic ganglion, in nine patients. The technique is performed under general anesthesia, using three 1-cm incisions for instrument placement. Patients had bilateral hand temperature probes intraoperatively. Six of the procedures were in the left hemithorax, four in the right. MAIN OUTCOME MEASURES: Relief of the symptoms for which the patient was referred. Perfection and alteration of the technique also were measured. RESULTS: The average operating time was 91 minutes. The average length of hospital stay was 3.5 days. The mean increase in skin temperature was 2.4 degrees C. Nine of 10 patients had partial or complete relief of symptoms. One patient with severe dystrophic reflex sympathetic dystrophy has persistent symptoms. One patient had a pneumothorax for 48 hours. Horner's syndrome did not develop in any patient. CONCLUSION: Endoscopic cervicothoracic sympathectomy is an effective, minimally invasive therapy for upper extremity reflex sympathetic dystrophy and hyperhidrosis.
AN: 96201498
UD: 199608
Record 79 of 217 - MEDLINE (R) Advanced
TI: Disadvanyages of previous phenol blocks in thoracoscopic upper dorsal sympathectomy [letter]
AU: Kopelman-D; Hashmonai-M
SO: J-Vasc-Surg. 1996 Mar; 23(3): 539-40
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1996
LA: ENGLISH
AN: 96182547
UD: 199607
Record 80 of 217 - MEDLINE (R) Advanced
TI: Recordings of pre- and postoperative sympathetic skin response in patients with palmar hyperhidrosis.
AU: Chen-HJ; Cheng-MH; Lin-TK; Chee-EC
SO: Stereotact-Funct-Neurosurg. 1995; 64(4): 214-20
JN: Stereotactic-and-functional-neurosurgery
ISSN: 1011-6125
PY: 1995
LA: ENGLISH
AB: Transthoracic endoscopic sympathectomy is an accepted standard surgical treatment for hyperhidrosis palmaris. During the past 4 years, more than 500 patients underwent this kind of surgical treatment at our institution with a 98% success rate. About 50% of cases were found to have compensatory sweating. We measured the sympathetic skin response (SSR) and R-R interval variation (RRIV) in 38 normal control subjects, and 50 consecutive patients with palmar hyperhidrosis before and 2 weeks after transthoracic endoscopic T2-3 sympathectomy. Before sympathectomy SSR was absent in 36% of patients on deep inspiratory stimulation and in 20% on electrical stimulation. After T2-3 sympathectomy, SSR in the palms was absent in 64% of patients with deep inspiration stimulation and in 76% on electrical stimulation. A decrease in the SSR amplitude in the soles was found in 40% on deep inspiration and in 54% of patients on electrical stimulation. RRIV was not significantly influenced 2 weeks after sympathectomy. The high abnormal rate of SSR in the patient group indicated that an abnormal regulation of the sudomotor control center played an important role in palmar hyperhidrosis.
AN: 96414807
UD: 199702
Record 81 of 217 - MEDLINE (R) Advanced
TI: [Upper thoracic sympathectomy by thoracoscopic approach. A method of choice for the treatment of palmar hyperhidrosis]
AU: Levy-I; Ariche-A; Sebbag-G; Khodda-J
SO: Ann-Chir. 1995; 49(9): 858-62
JN: Annales-de-chirurgie
ISSN: 0003-3944
PY: 1995
LA: FRENCH; NON-ENGLISH
AB: Palmar hyperhidrosis is excessive sweating beyond physiological needs in the palm without recognized etiology. Although a benign disease, it is annoying to most patients. Currently the best treatment for this condition is upper thoracic sympathectomy via many different approaches. The video-thoracoscopic approach has been recommended a a minimally invasive procedure. We report our 1-year experience with transaxillary endoscopic sympathectomy in 99 patients with palmar hyperhidrosis. Standard video-laparoscopy was used via a transaxillary approach to perform sympathectomy. The mean operating time of this operation was 12 minutes and mean hospital stay was 32 hours. The results in terms of warm and dry hands were excellent. Only one case of transitory Horner syndrome was noted. Transaxillary thoracoscopic sympathectomy for palmar hyperhidrosis is a relatively simple and effective procedure which can be performed with standard laparoscopic instruments. The advantages are, short recovery time and hospital stay along with excellent functional and cosmetic results. We are convinced that thoracoscopic sympathectomy is the procedure of choice for the treatment of palmar hyperhidrosis.
AN: 96146105
UD: 199604
Record 82 of 217 - MEDLINE (R) Advanced
TI: [Treatment of primary hyperhidrosis of the upper limbs by transthoracic endoscopic sympathectomy]
AU: Leseche-G; Nicolet-J; Andreassian-B
SO: Presse-Med. 1995 Nov 4; 24(33): 1569-73
JN: La-Presse-medicale
ISSN: 0755-4982
PY: 1995
LA: FRENCH; NON-ENGLISH
AB: Primary hyperhidrosis of the upper limbs has an important impact on the subject's social and psycho-affective equilibrium. These patients have two main problems. First physicians are not sufficiently aware of the therapeutic possibilities and secondly the generally poor reputation of surgery in this indication. Transthoracic endoscopic sympathectomy has completely changed the treatment of hyperhidrosis of the upper limbs. It is now considered to be the reference treatment in severe cases. The surgical procedure is simple and allows simultaneous treatment of both sides. There is no mortality and morbidity is extremely low quantitatively and of little consequence qualitatively. The therapeutic protocol is short and immediate and long-term results are excellent in 98 to 100% of the patients.
AN: 96142374
UD: 199604
Record 83 of 217 - MEDLINE (R) Advanced
TI: [Selective endoscopic sympathectomy for palmar hyperhidrosis]
AU: Gossot-D
SO: Presse-Med. 1995 Dec 2; 24(37): 1739-42
JN: La-Presse-medicale
ISSN: 0755-4982
PY: 1995
LA: FRENCH; NON-ENGLISH
AB: OBJECTIVES: Thoracic sympathectomy is the radical and usually definite treatment of palmar hyperhidrosis. Improvement of surgical endoscopy techniques makes it possible to perform the procedure through thoracoscopy, thus minimizing operative trauma and sequellae. However, thoracic sympathectomies give rise to a high rate of compensatory sweating which is the most important adverse effect of the technique. METHODS: We developed a technique of selective sympathectomy which only divides the rami communicanti from the first to the fourth thoracic ganglion. We performed 90 thoracic sympathectomies in 46 patients. They were performed in a truncal manner in 32 patients while it was selective in the last 14 patients. RESULTS: The success rate was 97.5% (2 failures). After reoperation of these 2 failures, the success rate was 100%. The global rate of compensatory sweating was 47.5%. In the 14 last patients who underwent a selective sympathectomy, only one complained of compensatory sweating. CONCLUSION: Endoscopic sympathectomy is an effective means of treating palmar hyperhidrosis. Rigorous technique should help reduce the risk of compensatory sweating.
AN: 96140519
UD: 199604
Record 84 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis [letter; comment]
AU: Kao-MC
SO: Arch-Surg. 1995 Nov; 130(11): 1244
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1995
LA: ENGLISH
AN: 96050559
UD: 199602
Record 85 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary osmidrosis [letter]
AU: Born-G
SO: Plast-Reconstr-Surg. 1995 Dec; 96(7): 1753
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1995
LA: ENGLISH
AN: 96086720
UD: 199602
Record 86 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathectomy [letter; comment]
AU: Reilly-DT
SO: Eur-J-Vasc-Endovasc-Surg. 1995 Oct; 10(3): 384-5
JN: European-journal-of-vascular-and-endovascular-surgery
ISSN: 1078-5884
PY: 1995
LA: ENGLISH
AN: 96000129
UD: 199601
Record 87 of 217 - MEDLINE (R) Advanced
TI: [Palmar hyperhidrosis and arteritis of the finger: value of sympathectomy and videothoracoscopy (letter)]
AU: Mouroux-J; Bernard-JL; Hassen-Kodja-R; Batt-M; Lebas-P; Richelme-H
SO: J-Chir-Paris. 1995 Apr; 132(4): 222-3
JN: Journal-de-chirurgie
ISSN: 0021-7697
PY: 1995
LA: FRENCH; NON-ENGLISH
AN: 95362752
UD: 199511
Record 88 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy: successful in hyperhidrosis but can the indications be extended? [letter; comment]
AU: Cameron-A
SO: Ann-R-Coll-Surg-Engl. 1995 Jan; 77(1): 70
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1995
LA: ENGLISH
AN: 95233701
UD: 199507
Record 89 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis in children and adolescents.
AU: Cohen-Z; Shinar-D; Levi-I; Mares-AJ
SO: J-Pediatr-Surg. 1995 Mar; 30(3): 471-3
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1995
LA: ENGLISH
AB: After 20 years of experience with the "open" transaxillary approach, the authors are presently performing the thoracoscopic technique for upper thoracic sympathectomy in severe primary hyperhidrosis. During a period of 14 months, 23 operations were performed and 22 patients had immediate and permanent relief of palmar sweating. The immediate postoperative course was uneventful in all cases. Hospitalization was short, and all patients returned to school and full activity 3 to 5 days after operation. These initial results compare favorably to the "open" method and, pending further experience, are actually better in terms of less pain, early discharge, quicker return to normal activity, and a smaller, less conspicuous scar.
AN: 95280220
UD: 199509
Record 90 of 217 - MEDLINE (R) Advanced
TI: Video-assisted thoracoscopic T2 sympathectomy for hyperhidrosis palmaris [letter; comment]
AU: Kopelman-D; Assalia-A; Hashmonai-M
SO: J-Am-Coll-Surg. 1995 Feb; 180(2): 253-4
JN: Journal-of-the-American-College-of-Surgeons
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .S8.
LOCATIONS:
PERIODICAL ROOM. 178- (1994-) Bound vols in Main, No circ 10 yrs.
CLINICAL LIBRARY. Latest 10 years only.
ISSN: 1072-7515
PY: 1995
LA: ENGLISH
AN: 95152908
UD: 199505
Record 91 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy for hyperhidrosis and Raynaud's phenomenon [see comments]
AU: Sayers-RD; Jenner-RE; Barrie-WW
SO: Eur-J-Vasc-Surg. 1994 Sep; 8(5): 627-31
JN: European-journal-of-vascular-surgery
ISSN: 0950-821X
PY: 1994
LA: ENGLISH
AB: Over an 80 month period, 53 transthoracic endoscopic sympathectomies were performed in 34 patients. The indications for surgery were palmar hyperhidrosis in 20 procedures (38%), palmar and axillary hyperhidrosis in eight procedures (15%), Raynaud's phenomenon in 23 procedures (43%), and combined palmar hyperhidrosis and Raynaud's phenomenon in two procedures (4%). Follow-up data, obtained by a self-assessment postal questionnaire, was available for 47 procedures in 30 patients (91%). Fourteen out of 15 procedures (93%) performed for palmar hyperhidrosis, all eight procedures (100%) for palmar and axillary hyperhidrosis and 14 out of 22 procedures (64%) performed for Raynaud's phenomenon produced an immediate improvement in symptoms. These improvements were sustained in 13 procedures (87%) performed for palmar hyperhidrosis, all procedures performed for palmar and axillary hyperhidrosis (100%) but only 10 procedures (45%) performed for Raynaud's phenomenon at a median follow-up of 16, 34 and 44.5 months respectively. There were no deaths nor postoperative Horner's syndrome in these patients. The only minor complications were two small pneumothoraces. Compensatory sweating was observed after 24 procedures (51%). These results confirm that transthoracic endoscopic sympathectomy is a simple, safe and effective procedure. In patients with hyperhidrosis, the results are excellent and prolonged; in patients with Raynaud's phenomenon, immediate improvement can be achieved but the symptoms may return with time.
AN: 95113129
UD: 199504
Record 92 of 217 - MEDLINE (R) Advanced
TI: Nasal obstruction and Horner's syndrome.
AU: Shaari-CM; Scherl-MP
SO: Otolaryngol-Head-Neck-Surg. 1994 Dec; 111(6): 838-40
JN: Otolaryngology-and-head-and-neck-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RF1 .A4.
LOCATION:
PERIODICAL ROOM. 89- (1981-) Bound vols in Main, No circ 10 yrs.
ISSN: 0194-5998
PY: 1994
LA: ENGLISH
AN: 95083268
UD: 199503
Record 93 of 217 - MEDLINE (R) Advanced
TI: Trans-axillary transpleural sympathectomy for Palmar hyperhidrosis in children--a 3 to 7 year follow-up of 9 cases.
AU: Millar-AJ; Steiner-Z; Rode-H; Cywes-S
SO: Eur-J-Pediatr-Surg. 1994 Feb; 4(1): 3-6
JN: European-journal-of-pediatric-surgery
ISSN: 0930-7248
PY: 1994
LA: ENGLISH
AB: Primary palmar hyperhidrosis can be a most unpleasant and distressing affliction. When normal daily activities, viz. writing, schoolwork, are interfered with and other treatments have failed, surgery is indicated. Between 1983-1987 9 children (6 F, 3 M), mean age 10.2 years (range 5-14 years) underwent bilateral transaxillary sympathectomy, 4 simultaneous and 5 1-4 weeks apart. On 14 sides a standard excision of dorsal ganglia (DG) 2, 3, and 4 was performed. The technique of lateral displacement of the sympathetic chain after transection distal to DG 4 and division of preganglionic fibres of DG 4, 3 and 2 was used on 5 sides. In addition to clinical evaluation a pilocarpine stimulation test was performed on the palms of the hands before and at follow-up 3-7 years after surgery. 17/18 hands appeared sympathectomised at early follow-up. One inadequate result required reoperation. Other complications included 2 Horner's syndromes--1 transient and 1 mild but permanent; 3 temporary intercostobrachial paraesthesias, 2 mild late recurrences of sweating and 2 compensatory increases in sweating. In 14 palms where sweat volume was measured before and 3-7 years after surgery there was a mean decrease in sweat of 84% (mg), those sweating the most prior to surgery having the best response. In 2 further palms insufficient sweat was obtained for testing. All but 1 considered the procedure worthwhile. Transaxillary transpleural sympathectomy is a safe, effective, and cosmetically acceptable operation to control symptoms of excessive palmar sweating.(ABSTRACT TRUNCATED AT 250 WORDS)
AN: 94257612
UD: 199409
Record 94 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies.
AU: Shachor-D; Jedeikin-R; Olsfanger-D; Bendahan-J; Sivak-G; Freund-U
SO: Arch-Surg. 1994 Mar; 129(3): 241-4
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1994
LA: ENGLISH
AB: OBJECTIVES: To describe the surgical technique of endoscopic transthoracic sympathectomy for the treatment of palmar hyperhidrosis and to identify associated complications. DESIGN: Prospective clinical study. SETTING: University referral center. PATIENTS: A consecutive series of 150 patients with primary palmar hyperhidrosis. INTERVENTION: The surgical procedure is performed under general anesthesia. A trocar and endoscope are inserted into the chest cavity. The sympathetic chain and the second, third, and fourth ganglia are then identified, cauterized, and cut. After reinflation of the lung, the procedure is repeated on the other side. RESULTS: Two hundred ninety sympathectomies were performed with a 98% success rate. Complications of the procedure included pneumothorax in seven patients (2.4%), hemothorax in three (1.0%), and temporary Horner's syndrome in two (0.7%). Severe postoperative pain during the first 2 to 4 hours required treatment. Of 60 patients who were followed up for 12 months, 50% developed compensatory sweating and 8.3% developed rebound sweating. Hyperhidrosis recurred in three patients. CONCLUSION: Endoscopic transthoracic sympathectomy is an effective form of treatment for palmar primary hyperhidrosis, is associated with a low morbidity, and can be performed as an ambulatory procedure.
AN: 94175754
UD: 199406
Record 95 of 217 - MEDLINE (R) Advanced
TI: Anaesthetic implications for transthoracic endoscopic sympathectomy.
AU: Hartrey-R; Poskitt-KR; Heather-BP; Durkin-MA
SO: Eur-J-Surg-Suppl. 1994; (572): 33-6
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Transthoracic endoscopic sympathectomy is now considered the treatment of choice for patients with upper limb hyperhidrosis requiring sympathetic ablation. This procedure requires the use of an endobronchial double lumen tube and subsequent one-lung anaesthesia, a technique that is associated with a number of potential problems. Full patient monitoring is thus required and includes pulse, ECG, non-invasive blood pressure measurement, pulse oximetry, end-tidal carbon dioxide concentration and peak inspiratory airway pressure. We reviewed our anaesthetic technique and peri-operative complications in 26 patients, to assess patient safety. In our study hypoxaemia occurred commonly but was transient in all bar one case where re-expansion of the lung was required. Hypotension occurred at two stages of the procedure, but active intervention was not required, and two patients required underwater drainage of the pleural cavity for treatment of pneumothorax. With skilled anaesthetic personnel and adequate monitoring this procedure may be carried out safely.
AN: 95036427
UD: 199502
Record 96 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of palmar hyperhidrosis before thoracoscopy: experience with 475 patients.
AU: Adar-R
SO: Eur-J-Surg-Suppl. 1994; (572): 9-11
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Between the years 1968-1992, 475 patients underwent simultaneous bilateral upper dorsal sympathectomy by the supraclavicular approach for severe palmar hyperhidrosis. For the purpose of comparing outcomes of the open surgical method with the increasingly used thoracoscopic procedure, we reviewed the clinical data of our patients. The incidence of severe palmar hyperhidrosis in the young population in Israel is 1-2/1,000. Surgical excision of the T2 and T3 ganglia was effective in drying the hands of all patients, who had frozen section confirmation of removal of a ganglion. At follow-up, hyperhidrosis recurred in 5.3% of limbs. Mild transient Horner's syndrome occurred in 12% of procedures, but only in 5 patients was it permanent. The main drawback of the open surgical approach lies in the postoperative complications. The effectiveness of the thoracoscopic approach will be judged by immediate and late results, and by the expected reduction in postoperative morbidity.
AN: 95036438
UD: 199502
Record 97 of 217 - MEDLINE (R) Advanced
TI: Cardiac effects of endoscopic electrocautery of the upper thoracic sympathetic chain.
AU: Drott-C; Claes-G; Gothberg-G; Paszkowski-P
SO: Eur-J-Surg-Suppl. 1994; (572): 65-70
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Bilateral endoscopic electrocautery of the upper thoracic sympathetic ganglia (T2-4) was performed, mainly for palmar hyperhidrosis, on 535 patients. The aim of this study was to evaluate the effects of this procedure on cardiac and physical performance. A subgroup of 18 patients underwent cycle ergometer test with ECG recordings before and three months after surgery. After the operation, a significantly reduced heart rate at rest (12%) as well as during exercise and during recovery after exercise was found. The systolic blood pressure was reduced only at rest (7%) and the diastolic blood pressure was not significantly altered. Maximal workload was not affected by the operation and only a few patients had noticed their reduced heart rate. Three patients with angina pectoris and three with incapacitating tachycardia related to mental stress were operated on with excellent results. Thoracoscopic sympathicotomy is a safe, fast, cheap and efficient method for cardiac sympathetic denervation. This procedure might constitute an alternative to long-term thoracic epidural anaesthesia and implantation of thoracic electric stimulation devices in patients not suited for aortocoronary by-pass. Patients who require cardiac beta-receptor blockers and suffer from side effects of these drugs might also benefit from surgical cardiac sympathetic denervation.
AN: 95036437
UD: 199502
Record 98 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathicotomy for hyperhidrosis--surgical technique, complications and side effects.
AU: Gothberg-G; Drott-C; Claes-G
SO: Eur-J-Surg-Suppl. 1994; (572): 51-3
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Thoracic sympathectomy is a very effective treatment of palmar hyperhidrosis. The described endoscopic technique has given good primary results in 99% of patients. After another session with this type of "minimal invasive surgery" 100% of the hands were satisfactorily dry. The hospital stay is just one post-operative day and the sick-leave is about a week. The drawbacks are minimal. Pain is tolerable and only eight patients needed a post-operative Bulau-drainage because of pneumothorax or bleeding. About 50% of patients experience a compensatory increased sweating of the trunk, but this is related to a warm environment and regulation of body temperature and seems to decrease with time. This technique makes it possible to treat all those suffering from palmar hyperhidrosis which can be a substantial, but underestimated handicap. To meet this kind of patient after a successful operation is extremely satisfying even for the surgeon. The post-operative wet and cold hand has immediately post-operatively become warm and dry.
AN: 95036433
UD: 199502
Record 99 of 217 - MEDLINE (R) Advanced
TI: The history of cervicothoracic sympathectomy.
AU: Drott-C
SO: Eur-J-Surg-Suppl. 1994; (572): 5-7
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: As early as in 1889 surgery on the cervical sympathetic nervous system was performed. During the following decades this operation was tried for a variety of diseases. In the early 1920s it was clarified that patients with hyperhidrosis, vasospastic conditions, and angina pectoris would benefit from stellectomy. It was, however, soon discovered that removal of the upper thoracic ganglia was required in order to obtain complete sympathetic denervation of the upper extremity. Several open surgical techniques for upper thoracic sympathectomy were described. During the 1940s a few pioneers started to excise sympathetic ganglia by thoracoscopy which had originally been described as a diagnostic tool by Jacobaeus in 1910. The endoscopic approach, amply documented by Kux in 1954, did not, however, gain widespread popularity until the 1980s. Like the general upsurge of interest in endoscopic surgery, thoracoscopic ablation of the upper thoracic sympathetic ganglia is now rapidly being adopted by surgeons.
AN: 95036432
UD: 199502
Record 100 of 217 - MEDLINE (R) Advanced
TI: The punch and purse-string suture technique.
AU: Liljestrand-KE
SO: Eur-J-Surg-Suppl. 1994; (572): 47-50
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Palmar hyperhidrosis can be successfully treated by thoracoscopic sympathicotomy, the anterior approach being the most common one. Unfortunately the resulting scars are blemishing. Incision on the upper frontside of thorax leave conspicuous scars and not uncommonly keloids. Likewise the traditional method used for radical excision of naevi leaves large scars in comparison with the size of the mark removed. With the increased awareness of malignant melanoma excision of birthmarks and naevi is increasingly being demanded. There is also a desire for more cosmetically acceptable scars. Is it possible, then, to reduce the size of these scars and make them less conspicuous? In two separate studies a new method has been designed and tested--the punch and purse-string suture technique by which the size of the scars is reduced and of a different shape. In one of the studies, the traditional method and the new technique were compared in the same patient.
AN: 95036431
UD: 199502
Record 101 of 217 - MEDLINE (R) Advanced
TI: Intraoperative cardiac arrest: a rare complication of T2,3-sympathicotomy for treatment of hyperhidrosis palmaris. Two case reports.
AU: Lin-CC; Mo-LR; Hwang-MH
SO: Eur-J-Surg-Suppl. 1994; (572): 43-5
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: Endoscopic surgery, including thoracoscopic sympathicotomy for treatment of hyperhidrosis, is thought to be safe and entail fewer complications as compared with open methods. A total of more than 719 patients with hyperhidrosis have undergone thoracoscopic T2,3-sympathicotomy for treatment of hyperhidrosis at Tainan Municipal Hospital since October 1, 1989. Most of the complications have been minor; however, two of the patients suffered from sudden cardiac arrest at the time when the left T2,3-sympathetic nerve trunk was transected by the thoracoscopic method. Vigorous cardiopulmonary resuscitation was performed and both patients recovered completely without any sequelae. The purpose of this paper was to discuss the possible mechanism of cardiac arrest in thoracoscopic sympathicotomy, and to emphasise this rare but potentially fatal complication in the treatment of hyperhidrosis palmaris.
AN: 95036430
UD: 199502
Record 102 of 217 - MEDLINE (R) Advanced
TI: Degeneration activity: a transient effect following sympathectomy for hyperhidrosis.
AU: Asking-B; Svartholm-E
SO: Eur-J-Surg-Suppl. 1994; (572): 41-2
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: The degeneration activity of effector organs is due to a period of transmitter release from degenerating sympathetic post-ganglionic nerve endings. This is the theoretical explanation for a period of sweating some days following sympathectomy for hyperhidrosis seen in some patients operated on with the thoracoscopic technique in Jonkoping, Sweden. The reasons for degeneration activity, well documented in animal experiments, are discussed in this paper.
AN: 95036429
UD: 199502
Record 103 of 217 - MEDLINE (R) Advanced
TI: Total intravenous anaesthesia with single-lumen endotracheal intubation for thoracoscopic sympathectomy.
AU: Harlid-R
SO: Eur-J-Surg-Suppl. 1994; (572): 37-9
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: The aim of this paper was to discuss the stress applied to the circulatory and respiratory systems by the combination of general anaesthesia and thoracoscopic sympathectomy and to show the benefits of an intravenous anaesthetic technique together with a single-lumen endotracheal tube as a safe method of anaesthesia for this procedure. In a retrospective study, 125 cases of thoracoscopic sympathectomy were reviewed. The anaesthesia was a totally intravenous technique with propofol, alfentanil, and atracurium and a gas mixture of 40% oxygen in air. The degree of hypoxaemia during inflation of carbon dioxide into the thorax was assessed. The results showed that hypoxaemia caused no problems in any of the patients. Three patients with severe angina pectoris were also studied using the same anaesthetic technique and they showed marked haemodynamic instability throughout the procedure requiring inotropic support. Haemodynamic values obtained through a Swan-Ganz catheter in one patient showed marked changes during the procedure, but values returned to normal after the operation. Although these patients were haemodynamically unstable there was no problem with hypoxaemia.
AN: 95036428
UD: 199502
Record 104 of 217 - MEDLINE (R) Advanced
TI: Single-lumen endotracheal intubated anaesthesia for thoracoscopic sympathectomy--experience of 719 cases.
AU: Lee-LS; Ng-SM; Lin-CC
SO: Eur-J-Surg-Suppl. 1994; (572): 27-31
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: A total of 719 thoracoscopic sympathicotomies were performed at our hospital from October, 1989 to December, 1992. We have been practicing single-lumen endotracheal intubation for general anaesthesia in all of our cases. We will review our experience and discuss our anaesthetic technique and the intraoperative complications encountered as well as post-operative pain control. General anaesthesia with controlled manual ventilation assisted the surgeon well and created clear access for electro-cauterisation of the sympathetic chain. Thirty patients were randomly chosen for arterial blood gas analysis. There was no evidence of systemic hypoxaemia or clinically significant carbon dioxide retention throughout the surgery or afterwards in the recovery room. In our experience of 719 cases, single-lumen endotracheal intubated anaesthesia is safe and economic for thoracoscopic sympathicotomy.
AN: 95036426
UD: 199502
Record 105 of 217 - MEDLINE (R) Advanced
TI: Intraoperative anaesthetic management of hypoxaemia during transthoracic endoscopic sympathectomy.
AU: Jedeikin-R; Olsfanger-D; Shachor-D
SO: Eur-J-Surg-Suppl. 1994; (572): 23-5
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: OBJECTIVE: To present our experience and evaluate intraoperative arterial oxygen desaturation during anaesthesia for transthoracic endoscopic sympathectomy (TES). DESIGN: Prospective open study. SETTING: University Hospital in Israel. SUBJECTS: Consecutive series of patients (n = 210), suffering from upper limb hyperhidrosis, anaesthetised for TES. MAIN OUTCOME MEASURES: Peripheral oxygen saturation (SpO2), haemodynamic status, complications, postoperative pain (n = 210) and arterial blood gases (n = 10). RESULTS: 407 TES; 195 bilateral, 17 unilateral. Surgical time range 20-75 minutes. SpO2 decreased below 98% in 58 patients. Sudden hypotension and bradycardia in two patients. The mean PaO2 was significantly (p = 0.03) decreased during two-lung ventilation (TLV), after reinflation of the right lung, compared with TLV after endobronchial intubation. There was no significant difference in mean PaO2 during one-lung ventilation of both lungs. Lowest PaO2 observed during one-lung ventilation was less than 13.3 kPa in three sympathectomies. Postoperative pain, severe on awakening and mainly retrosternal, was relieved with i.v. opiates. CONCLUSION: Controlled ventilation with 100% inspired O2, SpO2 monitoring and one to two gentle manual ventilations when it decreases is the cornerstone of the management of hypoxaemia, a potentially serious complication of TES.
AN: 95036425
UD: 199502
Record 106 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic surgery of palmar hyperhidrosis.
AU: Svartholm-E; Asking-B
SO: Eur-J-Surg-Suppl. 1994; (572): 21
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: New thoracoscopic methods have been reported to minimise the operative trauma after surgical treatment of primary hyperhidrosis of the palms. We therefore began with this minimally invasive technique for sympathetic ablation in 1990. Our first 81 patients presented here confirm earlier results of excellent effects, few complications and mild side-effects when treating palmar hyperhidrosis with thoracoscopic sympathectomy.
AN: 95036424
UD: 199502
Record 107 of 217 - MEDLINE (R) Advanced
TI: Present and future trends in thoracoscopic sympathectomy.
AU: Hederman-WP
SO: Eur-J-Surg-Suppl. 1994; (572): 17-9
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AN: 95036423
UD: 199502
Record 108 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic versus open supraclavicular upper dorsal sympathectomy: a prospective randomised trial.
AU: Hashmonai-M; Kopelman-D; Schein-M
SO: Eur-J-Surg-Suppl. 1994; (572): 13-6
JN: The-European-journal-of-surgery.-Supplement.
PY: 1994
LA: ENGLISH
AB: The purpose of the present study was to compare the short term results of the "open" supraclavicular approach with the thoracoscopic access for T2-T4 sympathetic ganglionectomy in patients with palmar hyperhidrosis. Patients were randomly allocated into two groups of 12 each, and were operated on: one by the open supraclavicular access; the other by the transthoracoscopic approach. The effect on palmar perspiration, operative data, postoperative complications and patients's satisfaction on short term follow up were examined. All operations achieved dry hands. Only two significant differences were observed: longer anaesthesia and poorer patient satisfaction in the thoracoscopic group one week after surgery (probably because a higher proportion of cases developed prolonged postoperative chest pain). Both techniques similarly achieve dry hands. The open method is not longer or more difficult, is possibly associated with less morbidity, and gives a higher subjective satisfaction.
AN: 95036422
UD: 199502
Record 109 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic ganglionectomy for hyperhidrosis.
AU: Pillay-PK; Thomas-J; Mack-P
SO: Stereotact-Funct-Neurosurg. 1994; 63(1-4): 198-202
JN: Stereotactic-and-functional-neurosurgery
ISSN: 1011-6125
PY: 1994
LA: ENGLISH
AB: Thoracoscopic sympathectomy for the treatment of hyperhidrosis has been carried out with techniques that involve either monopolar coagulation or laser injury to the T2 ganglion. Although this has the advantage of being minimally invasive, it has not been established whether these techniques are superior to complete ganglion excision, as carried out during open surgery. A new technique of complete T2 ganglion excision for palmar hyperhidrosis (with T3 ganglionectomy for axillary sweating) was developed using thoracoscopic techniques. Sixteen patients were treated with thoracoscopic T2 ganglion excision on the right side, and simple coagulation (Nd-YAG laser or monopolar) on the left side. Results were excellent with no posttreatment differences between hands at 1 year follow-up. However, long-term follow-up of these patients will be carried out to determine whether differences exist between these two techniques.
AN: 95350491
UD: 199511
Record 110 of 217 - MEDLINE (R) Advanced
TI: [Thoracic lymphadenectomy in video-assisted mini-invasive thoracic surgery. First experience]
AU: Sortini-A; Mascoli-F; Navarra-G; Occhionorelli-S; Santini-M; Pozza-E; Donini-I
SO: G-Chir. 1994 Nov-Dec; 15(11-12): 511-3
JN: Il-Giornale-di-chirurgia
ISSN: 0391-9005
PY: 1994
LA: ITALIAN; NON-ENGLISH
AB: The Authors report their experience in the thoracoscopic surgical treatment of neurovascular abnormalities of the upper extremities. The experience acquired in the last two years with mini-invasive video-assisted thoracic surgery of the pleura and lung forced the Authors to perform thoracic sympathectomy following the same approach. In this way 4 thoracic sympathectomies were performed in 3 patients. Two of them presented Raynaud's phenomenon, and one was affected by bilateral idiophatic upper limb hyperhidrosis. The operation is performed thanks to 3 12mm Thoracoports that allow the introduction of the telescope and operative instruments. It is easy to recognize and remove the sympathetic gangliar chain from T2 to T3. The short operative time required, the absence of mortality and morbidity, the regression of the symptomatology, the rapid return to work authorize to consider endoscopic transthoracic sympathectomy the gold standard in the treatment of neurovascular abnormalities of the upper extremities.
AN: 95244245
UD: 199508
Record 111 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy: successful in hyperhidrosis but can the indications be extended? [see comments]
AU: Nicholson-ML; Dennis-MJ; Hopkinson-BR
SO: Ann-R-Coll-Surg-Engl. 1994 Sep; 76(5): 311-4
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1994
LA: ENGLISH
AB: Endoscopic transthoracic sympathectomy (ETS) has recently become established as a successful treatment for severe palmar and axillary hyperhidrosis. In this unit the indications for ETS have been broadened to include patients with Raynaud's syndrome and critical upper limb ischaemia and this paper is primarily concerned with analysing outcome in relation to the indication for operation. In all, 68 operations have been attempted in 40 patients and complete follow-up details are available on 62 treated limbs. One operation was a technical failure because of an obliterated pleural cavity. In the hyperhidrosis group (n = 28), all the affected areas showed symptomatic improvement at a median follow-up of 17 months. In the Raynaud's group (n = 30), 28 limbs (93%) were improved to some degree at the time of discharge, but at a median follow-up of 18 months only 15 limbs (50%) remained symtomatically improved to some degree. The four upper limbs treated for critical ischaemia were improved by ETS and no amputations were necessary. Significant postoperative chest pain was noted by nine patients (23%). There were three postoperative pneumothoraces, two intercostobrachial neuralgias and one transient Horner's syndrome. The cosmetic result was reported as excellent or good by 97% of patients. As with other forms of surgical thoracic sympathectomy, excellent early results are not maintained in the longer term when ETS is used to treat Raynaud's syndrome. Nevertheless, the greater simplicity and lower morbidity of the endoscopic method suggest that it can be offered to Raynaud's sufferers with greater impunity than open sympathectomies.
AN: 95069783
UD: 199502
Record 112 of 217 - MEDLINE (R) Advanced
TI: Uriah Heep syndrome.
AU: Carter-R
SO: World-J-Surg. 1994 Sep-Oct; 18(5): 790-1
JN: World-journal-of-surgery
ISSN: 0364-2313
PY: 1994
LA: ENGLISH
AN: 95066170
UD: 199502
Record 113 of 217 - MEDLINE (R) Advanced
TI: [Thoracoscopic sympathicotomy]
AU: Flora-G
SO: Chirurg. 1994 Aug; 65(8): 677-9
JN: Der-Chirurg; Zeitschrift-fur-alle-Gebiete-der-operativen-Medizen
ISSN: 0009-4722
PY: 1994
LA: GERMAN; NON-ENGLISH
AB: Surgical endoscopic endothoracic denervation (severing the n. vagus and the sympathetic trunk with the nn. splanchnici) was developed by Kux at Innsbruck University Surgical Clinic in the 1950's and applied in thousands of patients with a very wide range of indications. The thoracoscopic sympathicotomy has remained, in the hands of the experienced surgeon, a minor intervention with low complication rate and no mortality. For functional and organic angiopathies as well as for hyperhidrosis of the upper extremities it provides very good early and satisfactory late results.
AN: 95044612
UD: 199502
Record 114 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic cervicodorsal sympathectomy: preliminary results.
AU: Ahn-SS; Machleder-HI; Concepcion-B; Moore-WS
SO: J-Vasc-Surg. 1994 Oct; 20(4): 511-7; discussion 517-9
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1994
LA: ENGLISH
AB: PURPOSE: The purpose of this study was to determine the feasibility, safety, and efficacy of thoracoscopic cervicodorsal sympathectomy. METHODS: From March 1990 to December 1993, we performed 21 thoracoscopic sympathectomies in 19 patients. There were 13 women and six men; age 17 to 64 years, mean 37 years. Thirteen procedures were performed on the left side and eight on the right. Indications for surgery were causalgia/reflex sympathetic dystrophy in nine patients, Raynaud's/vasculitis in six, hyperhidrosis in five, and medically refractory cardiac arrhythmia in one. RESULTS: The T1-4 sympathetic ganglia were readily identified, dissected free, and resected thoracoscopically in 19 cases, and the T3-7 ganglia were resected with thoracoscopy in one case. One case required conversion to an open thoracotomy because of dense scar from a previous first rib resection, which obscured the anatomy. Histologic confirmation of ganglia were obtained in all 21 cases. Operative duration ranged from 1.0 to 3.5 hours. Estimated blood loss was 5 to 300 cc, mean 42 cc, median 10 cc. No patient required transfusion. All 21 patients had an excellent immediate sympathectomy response. Transient Horner's syndrome developed in two patients. Postoperative residual pneumothorax (< 10%) occurred in three cases and resolved spontaneously without further treatment. In one patient pleural effusion and pneumothorax developed, which were treated with the reinsertion of the chest tube. Postoperative pain was well controlled with oral analgesics. Hospital stay was 1 to 4 days, mean 2 days, median 1 day. Follow-up at 1 to 42 months, mean 11 months, median 6 months, showed continued evidence of sympathectomy effect in all patients, except one who died of her underlying disease 1 month after operation. CONCLUSIONS: We conclude that thoracoscopic sympathectomy is feasible, safe, and effective. Further studies are indicated to confirm its long-term benefits and to determine optimal thoracoscopic techniques.
AN: 95018823
UD: 199501
Record 115 of 217 - MEDLINE (R) Advanced
TI: [POEMS syndrome (editorial)]
AU: Masson-C; Krespi-Y
SO: Presse-Med. 1994 Apr 9; 23(14): 646-8
JN: La-Presse-medicale
ISSN: 0755-4982
PY: 1994
LA: FRENCH; NON-ENGLISH
AB: POEMS syndrome has been defined as an association of plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, M protein and skin changes. Although certain authors do not distinguish this syndrome from osteosclerosing myeloma, syndromes comparable to POEMS have been observed without bone lesions. Others have described the clinical features involved under the terms of Crow-Fukase's syndrome, PEP syndrome (pigmentation, oedema, plasma cell dyscrasia, or Takatsuki's syndrome. Seen in men twice as often as in women, usually between the ages of 40-50 years, all five clinical features are not always present or may be accompanied by other signs. The first sign of the peripheral polyneuropathy is usually sensorial impairment followed by distal then proximal motor deficit. The deficit is usually severe and 50% of the patients become unable to walk. Cranial nerves are rarely involved. Liver, spleen and lymph node enlargement are observed. The most frequent signs of an endocrinopathy are gynaecomastia, atrophy of the testicules, impotence and amenorrhoea. Testosterone levels are low and oestrogen levels are increased in men together with luteinizing hormone, follicle stimulating hormone and prolactin. Hypothyroidism is frequent and diabetes mellitus is observed in 50% of the patients. Protein M is a monoclonal immunoglobulin (IgG or IgA), almost always with a light lambda chain. Skin changes include hyperpigmentation, hypertrichosis, hyperhidrosis, thickening of the skin suggestive of sclerodermia and papillary angiomas. Other signs, especially peripheral oedema often occur early in the disease course and may precede the peripheral neuropathy. POEMS syndrome is often associated with a myeloma (up to 50% of the cases in certain series). Although immunoglobulin deposit on myelin sheaths, anti-endocrine antibodies and receptors of lambda chains have been proposed as playing a role, no mechanism of pathogenesis has been determined. The natural history of the disease leads to a severe polyneuropathy. The patients become totally bedridden and death results from complications of decubitus rather from the direct effect of the underlying dyscrasia. When bone lesions are minor, radiotherapy or surgery can improve the neuropathy and resection of a solitary plasmocytoma can lead to total remission. Chemotherapy or corticosteroids may improve the polyneuropathy in certain cases. Plasma exchange has not been successful.
AN: 94352885
UD: 199412
Record 116 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary osmidrosis: an analysis of 343 cases.
AU: Wu-WH; Ma-S; Lin-JT; Tang-YW; Fang-RH; Yeh-FL
SO: Plast-Reconstr-Surg. 1994 Aug; 94(2): 288-94
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1994
LA: ENGLISH
AB: From July of 1986 to July of 1992, 343 patients have received surgery for axillary osmidrosis by partially removing skin and cellular tissue en bloc and removing the subcutaneous cellular tissue of the adjacent area. A total of 102 patients were followed for 4 months to 6 years, with an average of 32 months. The total satisfaction rate was 91 percent (93 of 102). The wound complication rate was 6.715 percent (46 of 685). There were no scar contractures or limitations of arm abduction. In this paper we emphasize three merits of our procedure. One is that partially removing the skin promises definite excision of more than half the eccrine glands which were located in the dermis of the operative field. The second merit is good exploration for undermining and defatting of the under-surface of the adjacent area. The third merit is a low wound complication rate because the width of the skin excision is less than 3 cm. Therefore, partial removal of skin and cellular tissue en bloc and the subcutaneous cellular tissue of the adjacent area is the choice for surgical treatment for axillary osmidrosis.
AN: 94316734
UD: 199410
Record 117 of 217 - MEDLINE (R) Advanced
TI: Endoscopic thoracic sympathectomy for primary hyperhidrosis of the upper limbs. A critical analysis and long-term results of 480 operations.
AU: Herbst-F; Plas-EG; Fugger-R; Fritsch-A
SO: Ann-Surg. 1994 Jul; 220(1): 86-90
JN: Annals-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A55.
LOCATIONS:
PERIODICAL ROOM. 131- Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. 1-130 (1885-1949).
ISSN: 0003-4932
PY: 1994
LA: ENGLISH
AB: OBJECTIVE: This evaluated the long-term outcome after endoscopic thoracic sympathectomy (ETS) from below D1 to D4, using a single-site access technique for primary hyperhidrosis of the upper limbs. SUMMARY BACKGROUND DATA: Primary hyperhidrosis of the upper limbs is a distressing and often socially disabling condition. Endoscopic thoracic sympathectomy is considered the treatment of choice, causing minimal morbidity and high initial success rates. However, data regarding long-term results are scarce. METHODS: Two hundred seventy of 323 patients (83.7%), in whom 480 sympathectomies were performed, answered a questionnaire after a mean of 14.6 years postoperatively regarding the early postoperative result, side effects, and complications caused by the operation and long-term results with particular emphasis on patient satisfaction. RESULTS: There was no postoperative mortality and no major complications requiring surgical reintervention. A majority of the patients (98.1%) were relieved, and 95.5% were satisfied initially. Permanent side effects included compensatory sweating in 67.4%, gustatory sweating in 50.7% and Horner's trias in 2.5%. However, patient satisfaction declined over time, although only 1.5% recurred. This left only 66.7% satisfied, and a 26.7% partially satisfied. Compensatory and gustatory sweating were the most frequently stated reasons for dissatisfaction. Individuals operated for axillary hyperhidrosis without palmar involvement were significantly less satisfied (33.3% and 46.2%, respectively).
AN: 94296177
UD: 199410
Record 118 of 217 - MEDLINE (R) Advanced
TI: Video-assisted thoracoscopic T2 sympathectomy for hyperhidrosis palmaris [see comments]
AU: Hsu-CP; Chen-CY; Lin-CT; Wang-JH; Chen-CL; Wang-PY
SO: J-Am-Coll-Surg. 1994 Jul; 179(1): 59-64
JN: Journal-of-the-American-College-of-Surgeons
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .S8.
LOCATIONS:
PERIODICAL ROOM. 178- (1994-) Bound vols in Main, No circ 10 yrs.
CLINICAL LIBRARY. Latest 10 years only.
ISSN: 1072-7515
PY: 1994
LA: ENGLISH
AB: BACKGROUND: Hyperhidrosis palmaris is a functionally and socially disabling problem. Thoracic sympathectomy of the T2 ganglion has proved to be the time-honored treatment modality. STUDY DESIGN: The results of this study demonstrate the effectiveness of video-assisted thoracoscope for treatment of hyperhidrosis palmaris. The possibility to apply different anesthetic techniques and to measure surface temperature change of the hand were documented as well. RESULTS: Eighty consecutive cases (159 procedures) of essential hyperhidrosis palmaris were treated by video-assisted thoracoscopic T2 sympathectomy between January 1991 and December 1992. The surgical results were classified as excellent (much improved, very dry) in 88.1 percent, good (improved, minimal wet) in 9.4 percent, and fair (slightly improved, still wet) in 2.5 percent of the patients. The postoperative complications included one prolonged air leakage, one hemothorax, two wound infections, and 15 cases of facial anhidrosis. There were no recurrent cases (mean follow-up, 14.5 months). Fifty-six patients had concomitant hyperhidrosis pedum. Interestingly enough, through unknown mechanism, 64.3 percent of the patients with concomitant hyperhidrosis pedum were cured after this procedure. CONCLUSIONS: Video-assisted thoracoscopy provides magnified surgical fields, which make thoracoscopic sympathectomy for hyperhidrosis palmaris an effective, safe, easy to use, and time-saving procedure. This technique is also excellent for teaching purposes and allows the assistant to participate in the operation.
AN: 94290745
UD: 199410
Record 119 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis [see comments]
AU: Chen-HJ; Shih-DY; Fung-ST
SO: Arch-Surg. 1994 Jun; 129(6): 630-3
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1994
LA: ENGLISH
AB: OBJECTIVE: Transthoracic endoscopic electrocauterization of the sympathetic chain for palmar hyperhidrosis is presented. DESIGN: A retrospective study of 180 patients during a 2-year period was carried out. The duration of follow-up was from 2 to 12 months. SETTING: General community, referral center, and hospitalized care. PATIENTS: This study was carried out in 180 patients (116 female and 64 male). The age distribution was between 13 and 43 years (mean age, 21.6 years). They complained of palmar hyperhidrosis without other underlying diseases. INTERVENTIONS: One-stage bilateral surgery except for three patients with unilateral pleural adhesions. MAIN OUTCOME MEASURES: Patients were interviewed 1 week after surgery and then they were contacted by a questionnaire about improvement of hyperhidrosis and complications. RESULTS: This procedure shows a success rate in 98% of the patients. No pneumothorax requiring a chest tube drainage and no Horner's syndrome were recorded. The most common side effect was compensatory sweating in 70% of these patients. CONCLUSION: This procedure is effective, simple, and requires only an overnight study. It is recommended as the method of choice for surgical treatment of upper extremity hyperhidrosis.
AN: 94263366
UD: 199409
Record 120 of 217 - MEDLINE (R) Advanced
TI: Palmar hyperhidrosis in children: treatment with video endoscopic laser sympathectomy.
AU: Kao-MC; Lee-WY; Yip-KM; Hsiao-YY; Lee-YS; Tsai-JC
SO: J-Pediatr-Surg. 1994 Mar; 29(3): 387-91
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1994
LA: ENGLISH
AB: Palmar hyperhidrosis (PH) often starts in childhood and can be a disabling condition for a significant number of young children at the age they begin primary school. There are few reports regarding the surgical treatment of PH in children. The authors report on 40 PH patients under 16 years of age treated with video thoracoscopic laser sympathectomy; there has been substantial experience with this procedure for the treatment of adults with PH. A satisfactory result, with very low morbidity, was achieved for all 40 children. The surgical technique is described briefly. With the technique, the proper sympathetic segment is visualized in almost all cases and then definitely ablated with a fiberoptic low-power laser while under the aid of sympathetic monitoring. Consequently, an adequate sympathectomy warranting a long-lasting therapeutic effect can be achieved without the need of tissue diagnosis. No case required conversion to open sympathectomy. Neither injury to the lung nor bleeding was encountered. Horner's syndrome did not occur in any case. Bilateral sympathectomy was accomplished generally within 30 minutes. All patients were discharged after an overnight stay and are doing well with normal activities. The most frequent complication was compensatory hyperhidrosis, which was tolerable after reassurance. Based on the accumulated experience, it is justified to recommend early surgery, with this refined technique, in cases of severe PH in children.
AN: 94260397
UD: 199409
Record 121 of 217 - MEDLINE (R) Advanced
TI: Transaxillary upper thoracic sympathectomy for primary palmar hyperhidrosis in children and adolescents.
AU: Mares-AJ; Steiner-Z; Cohen-Z; Finaly-R; Freud-E; Mordehai-J
SO: J-Pediatr-Surg. 1994 Mar; 29(3): 382-6
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1994
LA: ENGLISH
AB: Primary palmar hyperhidrosis is part of a triad of palmar, plantar, and axillary hyperhidrosis of unknown etiology, affecting children, adolescents, and young adults. Sixty-seven children and young adolescents were operated on during a 10-year period. A total of 103 transaxillary upper thoracic sympathectomies (36 bilateral) were performed, with no mortality. The immediate postoperative course was uneventful in 90%; the other 10% had mostly minor problems. The average hospitalization period was 3 to 4 days. Total abolition of palmar sweating was achieved in all but two patients in whom some residual moisture remained. Long-term extreme satisfaction was reported by 64 of 67 patients (94%). One was moderately satisfied, and two were not satisfied because of excessive "compensatory" sweating elsewhere. Compensatory sweating of some degree was reported by 45% of patients but did not alter satisfaction. By further limiting ganglionectomy to just one ganglion (T2 or T3), compensatory sweating possibly may be reduced further. Early surgery for severe palmar hyperhidrosis will save a child many years of agony and social discomfort because all types of conservative therapy are ineffective and cause unnecessary delay. A limited transaxillary upper thoracic sympathectomy is presently the authors' preferred approach, although ablation via thoracoscopy should not be excluded as further experience is gained with this modality.
AN: 94260396
UD: 199409
Record 122 of 217 - MEDLINE (R) Advanced
TI: The role of sympathectomy in current surgical practice.
AU: Gordon-A; Zechmeister-K; Collin-J
SO: Eur-J-Vasc-Surg. 1994 Mar; 8(2): 129-37
JN: European-journal-of-vascular-surgery
ISSN: 0950-821X
PY: 1994
LA: ENGLISH
AB: Historically sympathectomy has been employed in the treatment of a variety of disparate disorders but in most there is little if any objective clinical evidence of its efficacy. Review of the literature confirms that sympathectomy provides an effective and permanent cure for hyperhidrosis of the hands and feet, and at present palmar hyperhidrosis is the major indication for its regular use. Sympathetic denervation of the hands is currently most easily achieved with minimal morbidity by thoracoscopic ablation of the second thoracic ganglion. Some evidence testifies to the efficacy of sympathectomy in the rare patients with true major causalgia. Clinical experience suggests that Raynaud's phenomenon in the feet can be usefully ameliorated by sympathectomy but in the hands any benefit is short lived and there is no effect on the prognosis of the disease. A weak case can be made for sympathectomy for ischaemic rest pain when arterial surgery is impractical but there is no reliable evidence to support its use in Buerger's disease, intermittent claudication, diabetic vascular disease or ischaemic ulceration or gangrene.
AN: 94237326
UD: 199408
Record 123 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic sympathectomy.
AU: Krasna-MJ; Flowers-J; Morvick-R
SO: Surg-Laparosc-Endosc. 1993 Oct; 3(5): 391-4
JN: Surgical-laparoscopy-and-endoscopy
ISSN: 1051-7200
PY: 1993
LA: ENGLISH
AB: With the advent of advanced video and laparoscopic techniques, new applications have been found for thoracoscopy's expanding role in thoracic surgery. Described herein are three cases of thoracoscopic sympathectomy for three different indications. The evaluation and surgical technique are described in detail. Thoracoscopic sympathectomy is an excellent alternative to open transthoracic approach.
AN: 94084491
UD: 199403
Record 124 of 217 - MEDLINE (R) Advanced
TI: Palmar thermometry for intraoperative success control of thoracic sympathectomy.
AU: Linder-A; Friedel-G; Toomes-H
SO: Thorac-Cardiovasc-Surg. 1993 Aug; 41(4): 242-4
JN: The-Thoracic-and-cardiovascular-surgeon
ISSN: 0172-6137
PY: 1993
LA: ENGLISH
AB: In a pilot study involving six patients, palmar thermometry was used as a non-invasive method for intraoperative success control during thoracic sympathectomy. Using commercially available thermo-elements and amplifier modules, a marked increase in temperature could be registered in five patients after the severance of their rami communicants grisei for the hand. This effect was associated with the long-term success of therapy for hyperhidrosis in all five patients. This initial experience demonstrates that palmar thermometry is sensitive enough to measure surgical success intraoperatively. The limit of the thoracic sympathectomy in the cranial direction is indicated intraoperatively and Horner's syndrome is avoided with certainty.
AN: 94024818
UD: 199401
Record 125 of 217 - MEDLINE (R) Advanced
TI: Prerequisites, indications, and techniques of video-assisted thoracoscopic surgery.
AU: Linder-A; Friedel-G; Toomes-H
SO: Thorac-Cardiovasc-Surg. 1993 Jun; 41(3): 140-6
JN: The-Thoracic-and-cardiovascular-surgeon
ISSN: 0172-6137
PY: 1993
LA: ENGLISH
AB: During the last two years video-assisted operative thoracoscopy has introduced new impetus into thoracic surgery. Today it is viewed as a sparing and safe alternative to thoracotomy for a wide spectrum of indications. The prerequisites, instruments, and operative techniques are discussed. In oncological thoracic surgery it still remains to be verified whether the criteria of radicality are fulfilled by this new technique. Using video-assisted operative thoracoscopy, we have successfully operated on 209 patients with the following indications: recurrent pneumothorax (n = 94), interstitial lung disease (n = 25), coin lesion (n = 20), pleural effusion (n = 17), hyperhidrosis (n = 14), mediastinal tumor or lymphoma (n = 10), thoracic empyema (n = 9), bullous emphysema (n = 8), pleural tumor (n = 5), hematothorax (n = 3), malignant pericardial effusion (n = 3), and chylothorax (n = 1). The advantages of this minimally traumatizing operating technique lie in a better view of the operative site, the objectively measurable reduction in postoperative restriction, less pain, earlier postoperative mobilization, and shorter hospital stay. This operating technique, in addition to being sparing, requires markedly less time than a thoracotomy. The disadvantages are the two-dimensional monitor picture and, especially, the loss of palpation.
AN: 93377243
UD: 199312
Record 126 of 217 - MEDLINE (R) Advanced
TI: Selective video-assisted thoracoscopic sympathectomy.
AU: Friedel-G; Linder-A; Toomes-H
SO: Thorac-Cardiovasc-Surg. 1993 Aug; 41(4): 245-8
JN: The-Thoracic-and-cardiovascular-surgeon
ISSN: 0172-6137
PY: 1993
LA: ENGLISH
AB: Video-assisted and thermometrically controlled thoracoscopic sympathectomy demonstrates new ways in the treatment of upper-limb hyperhidrosis. An anatomical portrayal of the sympathetic chain is possible as a result of the improved visualization and magnification of the operative area provided by the video-optic technique. The difference in temperature, registered by means of a thermometric sensor in the palm of the hand, indicates that the sympathetic nerves responsible for the hyperhidrotic segments have been severed. The number of postoperative Horner's syndromes will be reduced significantly with this method. Until now, we have successfully treated six thermometrically controlled patients. No recurrences have arisen during an 18 months observation period. Neither intraoperative nor postoperative complications were recorded. One patient complained of increased compensatory sweating of the trunk. Thermometrically controlled thoracoscopic sympathectomy is expected to improve the various forms of treatment available for sympathetic reflex dystrophies in the future.
AN: 94024819
UD: 199401
Record 127 of 217 - MEDLINE (R) Advanced
TI: [Chylothorax: a rare complication of transaxillary thoracic sympathectomy]
AU: Levy-I; Ariche-A; Sebbag-G; Hoda-J
SO: Ann-Chir. 1993; 47(8): 769-72
JN: Annales-de-chirurgie
ISSN: 0003-3944
PY: 1993
LA: FRENCH; NON-ENGLISH
AB: Transaxillary upper thoracic sympathectomy is a safe surgical procedure for the treatment of palmar hyperhidrosis. Although thoracic complications such as hemothorax and pneumothorax occasionally occur following this procedure chylothorax is an extremely rare complication. From 1978 to 1991, 215 consecutive patients underwent upper thoracic sympathectomy for the treatment of palmar hyperhidrosis in our institution. We report the surgical management of one patient who developed an intractable chylous fistula which did not respond to non-surgical treatment. Attempts at non-surgical management of the disease, with aspiration therapy, tube thoracostomy and the administration of medium chain triglyceride diet, should be tried first. If, however, this is not successful within two weeks, one should not wait for further metabolic and nutritional impairment before instituting surgical treatment. We believe that proximal thoracic duct ligation is a relatively simple and effective means of controlling chylothorax.
AN: 94145032
UD: 199405
Record 128 of 217 - MEDLINE (R) Advanced
TI: Endoscopic sympathectomy [see comments]
AU: Hederman-WP
SO: Br-J-Surg. 1993 Jun; 80(6): 687-8
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1993
LA: ENGLISH
AN: 93321027
UD: 199310
Record 129 of 217 - MEDLINE (R) Advanced
TI: Transaxillary endoscopic sympathectomy--a report of experience in 150 patients with palmar hyperhidrosis.
AU: Chao-C; Tsai-CT; Hsiao-HC; Wu-WC; Lee-CK
SO: Surg-Laparosc-Endosc. 1993 Oct; 3(5): 365-9
JN: Surgical-laparoscopy-and-endoscopy
ISSN: 1051-7200
PY: 1993
LA: ENGLISH
AB: We report our 1-year experience with transaxillary endoscopic sympathectomy in 150 patients with palmar hyperhidrosis (PH). The double-puncture technique of video laparoscopy was used in a transaxillary approach to perform the sympathectomy by either electrocautery (EC; 93.3%) or electroresection (ER; 7.7%). The procedure was successfully completed in 299 operated limbs and required conversion to open surgery in 1 operated limb because of extensive pleural adhesions. The mean operative time of EC was significantly less than that of ER. In a total of 29 procedures, there were three technical complications. Most patients (92.7%) were discharged after an overnight hospital stay. On the seventh postoperative day, the cure rate was 99.3%. During the mean follow-up period of 200.1 days, there was no recurrence in 130 patients. Apparent compensatory hyperhidrosis occurred in 28 patients (21.5%). In conclusion, transaxillary endoscopic sympathectomy offers a simple and effective treatment to patients with PH, resulting in a shorter hospital stay and convalescent period.
AN: 94084486
UD: 199403
Record 130 of 217 - MEDLINE (R) Advanced
TI: Long-term results of limited thoracic sympathectomy for palmar hyperhidrosis.
AU: Hehir-DJ; Brady-MP
SO: J-Pediatr-Surg. 1993 Jul; 28(7): 909-11
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1993
LA: ENGLISH
AB: Eighteen children (15 females, 3 males) aged 7 to 15 years underwent resection of the thoracic sympathetic chain for severe palmar hyperhidrosis. A localized section of chain immediately below the first thoracic ganglion and including the second thoracic sympathetic ganglion was removed. Patients were followed for 24 to 136 months. All patients had immediate and permanent abolition of palmar hyperhidrosis. There was no mortality, one patient developed intermittent ptosis and myosis, three patients reported compensatory hyperhidrosis and one girl was unhappy with the cosmetic results. We conclude that thoracic sympathectomy is a safe and permanent treatment for severe palmar hyperhidrosis in children. In addition, limited sympathetic resection is associated with a lower incidence of compensatory hyperhidrosis than conventional more radical sympathectomy.
AN: 94046308
UD: 199402
Record 131 of 217 - MEDLINE (R) Advanced
TI: Dorsal sympathectomy and management of thoracic outlet syndrome with VATS.
AU: Urschel-HC Jr
SO: Ann-Thorac-Surg. 1993 Sep; 56(3): 717-20
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1993
LA: ENGLISH
AB: Dorsal sympathectomy and the management of the thoracic outlet syndrome have been considerably improved with the use of video assistance because it affords both magnification and an improved light system. Two techniques of video assistance were employed in the group of patients described here. One involved the sympathectomy done through three ports using standard video-assisted thoracic surgical methods. The second technique involved a transaxillary incision with removal of the first rib using video-assistance magnification and light, operating either directly or secondarily while visualizing the image on the television set. (The vast majority of cases have been performed using this latter technique.) Major indications for performing dorsal sympathectomy include (1) hyperhidrosis, (2) Raynaud's phenomenon, (3) Raynaud's disease, (4) causalgia, (5) reflex sympathetic dystrophy, and (6) vascular insufficiency of the upper extremity. Except for hyperhidrosis, all of the other indications require the usual diagnostic techniques, including cervical sympathetic blockade to assess whether the symptoms are relieved by temporary blockade of the sympathetic ganglia. In 326 patients, sympathectomy, performed either alone or in conjunction with first-rib removal for relief of the thoracic outlet syndrome, has been successful. In only 6 patients has sympathetic activity recurred in less than 6 months. Initially all of them were treated conservatively. Three of the 6 required a repeat sympathectomy. Postsympathectomy neuralgia occurred in only 2 of more than 326 patients. Both cases were managed successfully in a conservative fashion. Among the patients in whom a Horner's syndrome was not deliberately induced, the syndrome developed in 2. In both, the syndrome resolved spontaneously within several months.
AN: 93393327
UD: 199312
Record 132 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopy for autonomic disorders.
AU: Claes-G; Drott-C; Gothberg-G
SO: Ann-Thorac-Surg. 1993 Sep; 56(3): 715-6
JN: The-Annals-of-thoracic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD536 .A75.
LOCATIONS:
CLINICAL LIB 7DAY JRN. Latest 10 years only.
MAIN LIB PERIODICAL. 1,3,5-27,29-52 (1965-1991).
ISSN: 0003-4975
PY: 1993
LA: ENGLISH
AB: Sympathetic denervation of the arm, the hand, and the heart may now be performed using minimal thoracoscopic procedures. During a 5-year period more than 500 patients were operated on with no major and only a few minor complications. An operation time of 25 minutes, a hospital stay of 1 day, and sick leave of less than 1 week have made the operation suitable for autonomous disorders such as hyperhidrosis. Other conditions such as causalgia, vascular insufficiency, and angina pectoris may be improved or disappear after sympathectomy, but the recurrence rate in Raynaud's disease is high.
AN: 93393326
UD: 199312
Record 133 of 217 - MEDLINE (R) Advanced
TI: Electrocautery of the upper thoracic sympathetic chain: a simplified technique.
AU: Gothberg-G; Claes-G; Drott-C
SO: Br-J-Surg. 1993 Jul; 80(7): 862
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1993
LA: ENGLISH
AN: 93379821
UD: 199312
Record 134 of 217 - MEDLINE (R) Advanced
TI: Thoracic dorsal sympathectomy for hyperhidrosis: a new approach [letter; comment]
AU: Schein-M; Kopelman-D; Hashmonai-M
SO: J-Vasc-Surg. 1993 Jun; 17(6): 1137-9
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1993
LA: ENGLISH
AN: 93280785
UD: 199309
Record 135 of 217 - MEDLINE (R) Advanced
TI: Endoscopic electrocautery of the thoracic sympathetic chain. A minimally invasive way to treat palmar hyperhidrosis.
AU: Claes-G; Drott-C; Gothberg-G
SO: Scand-J-Plast-Reconstr-Surg-Hand-Surg. 1993; 27(1): 29-33
JN: Scandinavian-journal-of-plastic-and-reconstructive-surgery-and-hand-surgery
ISSN: 0284-4311
PY: 1993
LA: ENGLISH
AB: Four hundred and fifty patients with palmar hyperhidrosis have undergone endoscopic thoracic sympathetic electrocautery since 1987 in our department. The procedure requires only minor modifications of standard laparoscopic and urological equipment. The median operating time for a bilateral procedure was 31 minutes (15-120), hospital stay was 1 day postoperatively (1-8), and patients returned to work within 4 (1-40) days. Complications in the whole material were few and mild, pneumothorax (n = 2), haemothorax (n = 1), and Horner's syndrome (n = 1). Five patients required reoperation (four because of primary failure to destroy the nerve and one for recurrent symptoms). The first consecutive 130 of these patients have been followed up by a questionnaire. At follow-up (median 196 days after operation, range 35-1419) all patients but three, who are awaiting reoperation were satisfied with the result. The discomfort and side effects of the operation were in most cases mild and short. This technique makes it possible to widen the indications for operation for people with palmar hyperhidrosis.
AN: 93262377
UD: 199308
Record 136 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary osmidrosis.
AU: Endo-T; Nakayama-Y
SO: Ann-Plast-Surg. 1993 Feb; 30(2): 136-9
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1993
LA: ENGLISH
AB: Various types of surgical procedures have been developed for treatment of axillary hyperhidrosis and osmidrosis. However, Asian people tend to seek treatment for osmidrosis rather than hyperhidrosis. In this article, we report a new modified surgical method concerning axillary osmidrosis. At first we make four transverse parallel incisions; two incisions in the center are large (approximately 4 cm in length) and the lateral ones are small (approximately 1.5 cm in length). Then, we do enough undermining from the four wound edges to make a wide subcutaneous tunnel, and the adipose tissue beneath the skin is removed with scissors through each incision. Finally, two pieces of Penrose drain are inserted through the small lateral incisions. With this method we have operated on 21 patients in the past 3 years; 19 patients were female, and only 2 were male. Patients were followed for a minimum of 3 months and a maximum of 22 months, with an average follow-up of 7 months. In terms of results, 14 were good, 5 fair, and 2 poor. Minor complications such as partial epidermal necrosis occurred in only 2 patients, but healed with conservative treatment, and other complications such as hematoma formation or infection did not occur. In this article, we emphasize two merits of our procedure. One is that adding small incisions at both lateral margins makes it possible to perform the further excision of the apocrine glands. The other merit is that drainage from the small incisions is very effective. We believe this procedure is a viable option for treatment of axillary hyperhidrosis and osmidrosis.
AN: 93256459
UD: 199308
Record 137 of 217 - MEDLINE (R) Advanced
TI: Thoracic endoscopic T2-T3 sympathectomy in palmar hyperhidrosis: experience of 112 cases.
AU: Chou-SH; Lee-SH; Kao-EL
SO: Surg-Today. 1993; 23(2): 105-7
JN: Surgery-today
ISSN: 0941-1291
PY: 1993
LA: ENGLISH
AB: Palmar hyperhidrosis is a troublesome and embarrassing disorder that causes professional, psychological, and social handicaps. Its etiology is unknown, although surgical treatment by thoracic sympathectomy is presently believed to be the best method of cure. Up to now, numerous methods of sympathectomy, including open thoracotomy, as well as posterior and supraclavicular approaches have been described. We favor endoscopy at this time due to both its simplicity and its resultant short hospital stay. During the period between March 1988 and October 1990, 112 patients (55 males, 57 females) suffering from palmar hyperhidrosis underwent 222 thoracoscopic T2-T3 sympathectomies under general anesthesia in our department. The remaining 2 hands had a second operation of unilateral open thoracotomy due to pleural adhesion. The patients' ages ranged from 15 to 45 years. A total of 220 hands became dry while the others showed improvements. There were 5 patients who required unilateral chest tube insertion, 2 for post-thoracotomy drainage and 3 for intrathoracic hemorrhage after thoracoscopic pneumonolysis. The average operative time (bilateral) was 30.8 min and hospital stay was 2.87 days. Compensatory hyperhidrosis was the major complication. There was no mortality. We therefore consider thoracoscopic sympathectomy to be a simple, safe, and effective method for treating palmar hyperhidrosis.
AN: 93222599
UD: 199307
Record 138 of 217 - MEDLINE (R) Advanced
TI: Endoscopic procedures of the upper-thoracic sympathetic chain. A review [see comments]
AU: Drott-C; Gothberg-G; Claes-G
SO: Arch-Surg. 1993 Feb; 128(2): 237-41
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1993
LA: ENGLISH
AB: The upsurge of endoscopic surgical procedures now includes procedures of the thoracic sympathetic chain. The number of articles on this issue is rapidly increasing. This article reviews the indications for as well as the technique, complications, side effects, and results of endoscopic upper-thoracic sympathetic ablation. Since 1977, nearly 900 cases have been described in the literature. The main indication is usually hyperhidrosis. The described techniques vary in detail, but the common denominators are simplicity, expedience, minimal surgical trauma, few complications, and low cost compared with standard methods of open surgery. The results are excellent, durable, and stand well compared with results of previous open techniques. Due to the overwhelming advantages of endoscopic methods, we can foresee an increasing adoption of these techniques and a subsequent relegation of the various open surgical procedures of the upper-thoracic sympathetic chain.
AN: 93159338
UD: 199305
Record 139 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopy for upper thoracic chemical sympathectomy.
AU: Bardaxoglou-E; Reigner-B; Enon-B; Tolstuchow-N; Lescalie-F; Peret-M; Chevalier-JM
SO: Ann-Vasc-Surg. 1992 Jul; 6(4): 390-2
JN: Annals-of-vascular-surgery
ISSN: 0890-5096
PY: 1992
LA: ENGLISH
AB: Beginning in April 1989, we have performed eight upper thoracic chemical sympathectomies by transthoracic endoscopy. The indications were occlusive arterial disease in four patients and Raynaud's syndrome and palmar hyperhidrosis in two patients each. Transthoracic endoscopy was performed under general anesthesia, through the third costal interspace on the anterior mid-clavicular line. Five ml of phenol were injected into the parietal pleura covering the three proximal thoracic ganglia. The duration of thoracic drainage was 24 hours. The postoperative course was uneventful except for one case of subcutaneous emphysema and transient Horner's syndrome in three instances. There were no initial failures. Because of its simplicity and the short hospitalization period, chemical sympathectomy by transthoracic endoscopy constitutes a valuable alternative to conventional surgery. This technique is, however, limited in the case of antecedent pleuropulmonary disorders.
AN: 93002226
UD: 199301
Record 140 of 217 - MEDLINE (R) Advanced
TI: Upper thoracic sympathectomy for primary palmar and axillary hyperhidrosis: long-term follow up [letter; comment]
AU: Byrne-J; Walsh-TN; Hederman-WP
SO: Br-J-Surg. 1992 Sep; 79(9): 975-6
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1992
LA: ENGLISH
AN: 93045422
UD: 199302
Record 141 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy: experience in the south west of England.
AU: Adams-DC; Wood-SJ; Tulloh-BR; Baird-RN; Poskitt-KR
SO: Eur-J-Vasc-Surg. 1992 Sep; 6(5): 558-62
JN: European-journal-of-vascular-surgery
ISSN: 0950-821X
PY: 1992
LA: ENGLISH
AB: Thoracic sympathectomy has an established role in the management of primary palmar and axillary hyperhidrosis, Raynaud's phenomenon and occlusive vascular disease. Potential problems with traditional surgical approaches to the sympathetic chain include poor exposure, risk of damage to adjacent structures and postoperative pain. A minimally invasive endoscopic approach helps to overcome these problems. Using this technique, 45 procedures have been performed on 26 patients in two districts in the South West of England over the past five years. Follow-up information was available for 39 procedures. All 27 procedures for hyperhidrosis and both for occlusive vascular disease have produced a long-term improvement. Nine of the 10 procedures for Raynaud's phenomenon have also produced some degree of long-term improvement. Complications included four asymptomatic pneumothoraces, two patients with temporary unilateral Horner's syndrome and two instances of intercosto-brachial numbness. On the positive side, patients expressed satisfaction with the efficacy, rapid recovery and small unobtrusive scars produced by the procedure. Endoscopic transthoracic sympathectomy is effective, safe and well accepted by patients and we believe is now the method of choice for this procedure.
AN: 93012025
UD: 199301
Record 142 of 217 - MEDLINE (R) Advanced
TI: Thoracoscopic transthoracic dorsal sympathectomy.
AU: Pace-RF; Brown-PM; Gutelius-JR
SO: Can-J-Surg. 1992 Oct; 35(5): 509-11
JN: Canadian-journal-of-surgery.-Journal-canadien-de-chirurgie
ISSN: 0008-428X
PY: 1992
LA: ENGLISH
AB: The authors report on the three patients who underwent thoracoscopic transthoracic dorsal sympathectomies by the techniques of minimal-access surgery learned from laparoscopic cholecystectomy. All three had histologic confirmation of removal of the sympathetic chain and have had an encouraging early postoperative result. The authors believe that thoracoscopic transthoracic dorsal sympathectomy can be accurately and safely performed and will become the method of choice for dorsal sympathectomy.
AN: 93007543
UD: 199301
Record 143 of 217 - MEDLINE (R) Advanced
TI: Efficacy of endoscopic transthoracic sympathectomy assessed by peroperative palmar temperature measurement.
AU: Chester-JF; Jeddy-TA; Taylor-RS; Dormandy-JA; Allt-Graham-J
SO: Br-J-Surg. 1992 Aug; 79(8): 752
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1992
LA: ENGLISH
AN: 93006958
UD: 199301
Record 144 of 217 - MEDLINE (R) Advanced
TI: Laser endoscopic sympathectomy for palmar hyperhidrosis.
AU: Kao-MC
SO: Lasers-Surg-Med. 1992; 12(3): 308-12
JN: Lasers-in-surgery-and-medicine
ISSN: 0196-8092
PY: 1992
LA: ENGLISH
AB: Hyperhidrosis palmaris is a common disorder among the Orientals. Despite numerous therapeutic modalities in practice, none has proved entirely satisfactory. With the introduction of video-endoscopic surgery, we combined this system with a fiber optic Nd-YAG laser unit, electrocautery, and a laser Doppler flowmeter to design a new and promising therapeutic technique for palmar hyperhidrosis. General anesthesia with alternating one-lung ventilation is essential for a safe and smooth endoscopic sympathectomy. An operating endoscope was introduced into thoracic cavity via the second intercostal space and then attached to a CCD camera video system, which provided clear visibility of the sympathetic trunk in most cases. The proper level of the sympathetic trunk was further confirmed with the aid of vasomotor response of the palmar skin resulting from electric stimulation on the related sympathetic trunk. Finally, the confirmed target was precisely vaporized with a low power Nd-YAG laser through an endoscope. Twenty patients underwent bilateral sympathectomy, mostly on T2 and its adjacent trunk. This technique did not cause any injury to the lung or bleeding. No Horner's syndrome was produced. It provided a precise ganglionectomy on a confirmed target under clear magnified vision. Consequently, a definite and long-lasting therapeutic effect seemed warranted. It was considered to be a relative minor and safe procedure causing minimal discomfort and an almost invisible scar without producing serious complications. It also shortened the operation time and hospital stay remarkably in comparison with other open sympathectomy procedures.
AN: 92374801
UD: 199211
Record 145 of 217 - MEDLINE (R) Advanced
TI: Transaxillary endoscopic laser sympathectomy.
AU: Austin-JJ; Doobay-B; Schatz-SW
SO: Can-J-Surg. 1992 Aug; 35(4): 414-6
JN: Canadian-journal-of-surgery.-Journal-canadien-de-chirurgie
ISSN: 0008-428X
PY: 1992
LA: ENGLISH
AB: The authors describe a technique of achieving sympathetic denervation of the upper limbs in a 20-year-old woman with hyperhidrosis. A thoracoscope was inserted through a short incision in the axilla. A fibreoptic wave guide was passed through the thoracoscope to allow photocoagulation of the second thoracic sympathetic ganglion by Nd:YAG laser irradiation. The procedure was well tolerated and subsequent scar formation was unobtrusive.
AN: 92361466
UD: 199211
Record 146 of 217 - MEDLINE (R) Advanced
TI: Thorascopic dorsal sympathectomy for hyperhidrosis: a new approach [see comments]
AU: Appleby-TC; Edwards-WH Jr
SO: J-Vasc-Surg. 1992 Jul; 16(1): 121-3
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1992
LA: ENGLISH
AN: 92318339
UD: 199210
Record 147 of 217 - MEDLINE (R) Advanced
TI: Extended thoracoscopic T2-sympathectomy in treatment of hyperhidrosis: experience with 130 consecutive cases.
AU: Lin-CC
SO: J-Laparoendosc-Surg. 1992 Feb; 2(1): 1-6
JN: Journal-of-laparoendoscopic-surgery
ISSN: 1052-3901
PY: 1992
LA: ENGLISH
AB: A new method of thoracoscopic T2-sympathectomy mentioned in a previous report was used on 36 cases of hyperhidrosis at Tainan Municipal Hospital in Taiwan between October 1, 1989 and July 31, 1990. To reduce the possibility of incomplete resection of sympathetic nerve tracts, including ganglions and their regeneration, the method was modified on August 1, 1990. Thereafter, routine total removal of T2 and T3 sympathetic ganglions, as well as wide lateral incisions of the pleura on the second, third, and fourth rib beds were performed for treatment of hyperhidrosis. This newly modified method, "extended thoracoscopic T2-sympathectomy," can be performed easily by thoracoscopic approach in the treatment of hyperhidrosis palmaris. From August 1, 1990 to May 31, 1991, 130 consecutive cases of hyperhidrosis (56 males and 74 females) ranging in age from 8 to 51 years underwent extended thoracoscopic T2-sympathectomy. In addition to a nearly 100% cure rate of hyperhidrosis palmaris, significant saving in operative time and hospital stay were achieved. High simultaneous cure rate (70.6%) and subjective improvement (17.4%) of excessive sweating of feet (hyperhidrosis plantaris) were also noted in the 109 cases followed up, and complications were minor. Extended thoracoscopic T2-sympathectomy is not only a time-saving method but also a very simple and effective method in the treatment of hyperhidrosis. It is worthy of being propagated worldwide.
AN: 92248156
UD: 199208
Record 148 of 217 - MEDLINE (R) Advanced
TI: Upper thoracic sympathectomy for primary palmar hyperhidrosis: long-term follow-up [see comments]
AU: Hashmonai-M; Kopelman-D; Kein-O; Schein-M
SO: Br-J-Surg. 1992 Mar; 79(3): 268-71
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1992
LA: ENGLISH
AB: Primary palmar hyperhidrosis is a functionally and socially disabling condition. Upper thoracic sympathectomy is the best curative treatment. Several surgical approaches have been suggested and, recently, less invasive techniques have been communicated. To evaluate which method is the best, the short- and particularly the long-term results must be compared. A series is presented of 170 upper thoracic sympathectomies by the supraclavicular approach performed on 85 patients with palmar hyperhidrosis. Follow-up for a mean of 8.3 years was obtained on 124 operated limbs. The immediate failure rate for relief from hyperhidrosis was 2.4 per cent and hyperhidrosis recurred in another 4.1 per cent of limbs after a period of between 2 and 18 months. Thirteen per cent of patients were dissatisfied with the results of operation, one because of persisting vasomotor rhinitis, two because of Horner's syndrome and five because of persisting or recurrent hyperhidrosis. Satisfactory results in approximately 87 per cent of cases make the operation rewarding. This outcome should be compared with the long-term results of other methods, such as percutaneous phenol injection and the transthoracoscopic approach, when such data are compiled and published.
AN: 92208730
UD: 199207
Record 149 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic sympathectomy in the treatment of hyperhidrosis.
AU: Edmondson-RA; Banerjee-AK; Rennie-JA
SO: Ann-Surg. 1992 Mar; 215(3): 289-93
JN: Annals-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A55.
LOCATIONS:
PERIODICAL ROOM. 131- Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. 1-130 (1885-1949).
ISSN: 0003-4932
PY: 1992
LA: ENGLISH
AB: A 5-year experience of 50 endoscopic transaxillary dorsal sympathectomies is presented. The procedure was successful in either curing or improving the symptoms of hyperhidrosis in the great majority of patients. The commonest side effects were compensatory sweating (75%) and gustatory sweating (48%); despite this, there was an extremely high level of patient satisfaction. Permanent Horner's syndrome did not occur. The procedure is effective, simple, cheap, and requires only an overnight stay; and is recommended as the method of choice for the surgical treatment of upper limb hyperhidrosis.
AN: 92181249
UD: 199206
Record 150 of 217 - MEDLINE (R) Advanced
TI: Surgical management of primary hyperhidrosis [letter; comment]
AU: Pillay-PK
SO: Br-J-Surg. 1991 Nov; 78(11): 1401
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 92103480
UD: 199204
Record 151 of 217 - MEDLINE (R) Advanced
TI: Surgical management of primary hyperhidrosis [letter; comment]
AU: Adams-DC; Poskitt-KR
SO: Br-J-Surg. 1991 Aug; 78(8): 1019-20
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 92004644
UD: 199201
Record 152 of 217 - MEDLINE (R) Advanced
TI: Surgical management of primary hyperhidrosis [letter; comment]
AU: Birnstingl-M
SO: Br-J-Surg. 1991 Jun; 78(6): 761
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 91300306
UD: 199110
Record 153 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis [letter; comment]
AU: Claes-G; Gothberg-G
SO: Br-J-Surg. 1991 Jun; 78(6): 760
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 91300304
UD: 199110
Record 154 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis [letter; comment]
AU: Weale-F
SO: Br-J-Surg. 1991 May; 78(5): 635
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 91283857
UD: 199110
Record 155 of 217 - MEDLINE (R) Advanced
TI: Surgical management of primary hyperhidrosis [see comments]
AU: Moran-KT; Brady-MP
SO: Br-J-Surg. 1991 Mar; 78(3): 279-83
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AB: Primary hyperhidrosis, although lacking a precise definition and of unknown aetiology, disrupts professional and social life and may lead to emotional problems. A variety of treatment methods are used to control or reduce the profuse sweating which involves mainly the palms, soles and axillae. The simplest method, the application of topical agents, is usually attempted first for axillary and plantar sweating. Iontophoresis may provide relief especially in patients with plantar or palmar involvement. In severe cases operative intervention is necessary. Excision of sweat glands is successful in patients with axillary hyperhidrosis but the role of suction-assisted removal of axillary sweat glands remains to be determined. Sympathectomy remains the standard by which other treatments must be judged. For upper thoracic sympathectomy a variety of surgical approaches are used with satisfactory relief of hyperhidrosis. Complications related to the surgical approach, such as Horner's syndrome, brachial plexus injuries, pneumothorax and painful scars may occur, while following sympathectomy compensatory hyperhidrosis is usual and hyperhidrosis may recur. Plantar hyperhidrosis which may be exacerbated or ameliorated by upper thoracic sympathectomy and which fails to respond to non-operative intervention is relieved by lumbar sympathectomy.
AN: 91215429
UD: 199108
Record 156 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis [letter; comment]
AU: Cameron-A
SO: Br-J-Surg. 1991 Feb; 78(2): 252
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1991
LA: ENGLISH
AN: 91198735
UD: 199107
Record 157 of 217 - MEDLINE (R) Advanced
TI: Functional applications of suction-assisted lipectomy: a new treatment for old disorders.
AU: Apesos-J; Chami-R
SO: Aesthetic-Plast-Surg. 1991 Winter; 15(1): 73-9
JN: Aesthetic-plastic-surgery
ISSN: 0364-216X
PY: 1991
LA: ENGLISH
AB: Ever since the introduction of suction-assisted lipectomy in the United States in 1981, the technique has been applied to an increasing number of disorders of the subcutaneous tissues. Indeed, suction-assisted lipectomy has evolved into the method of choice in the treatment of certain pathological entities. While the extraction of lipomas is the most common functional application, suction-assisted lipectomy has also been used successfully to treat such conditions as gynecomastia, axillary hyperhidrosis, benign symmetric lipomatosis (Madelung's disease), congenital body asymmetry, congenital or acquired lymphedema, flap defatting, traumatic or postoperative hematomas, and fat necrosis. We have successfully treated patients presenting with the above disorders. No morbidities or mortalities were encountered in our series of 18 patients. The final results were considered favorable by the majority of patients. Acceptance by the patients of this treatment modality was extremely high because of the smaller incisions required, the exactness in contouring, the simple and minimal postoperative care needed, and the ease with which the procedure can be repeated to refine the results. A comprehensive review of the literature is presented along with our own patient management and long-term results.
AN: 91135531
UD: 199105
Record 158 of 217 - MEDLINE (R) Advanced
TI: [Surgical thoracoscopy]
AU: Wittmoser-R
SO: Langenbecks-Arch-Chir-Suppl-II-Verh-Dtsch-Ges-Chir. 1990; 1325-31
JN: Langenbecks-Archiv-fur-Chirurgie.-Supplement-II,-Verhandlungen-der-Deutschen-Gesellschaft-fur-Chirurgie
PY: 1990
LA: GERMAN; NON-ENGLISH
AB: Thoracoscopic adhesiolysis since 1913 (Jacobaeus). Thoracoscopic targets: Sympathetic system, vagus system, lymphatic system, lung. Indications: Arterial circulation disturbances, posttraumatic reflexdystrophy ("Sudeck"), Hyperhidrosis syndromes, erythrodermy syndromes; pain syndromes: causalgiform, splanchnicotomy for chronic pancreatitis. For peptic jejunal ulcer thoracoscopic splanchnico-vagotomy. For bronchial asthma selective vagotomy of bronchial rami. Operative techniques. Hemostasis: low-frequency thermocoagulation, unipolar and bipolar high-frequency coagulation, with thermostabilisation. Videoendoscopy with minicameras. Electronic frame freezing for colour slides.
AN: 92163205
UD: 199206
Record 159 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis [see comments]
AU: Byrne-J; Walsh-TN; Hederman-WP
SO: Br-J-Surg. 1990 Sep; 77(9): 1046-9
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1990
LA: ENGLISH
AB: Endoscopic transthoracic electrocautery of the sympathetic chain has been the preferred treatment for palmar or axillary hyperhidrosis in this unit since 1980. A retrospective study was carried out of the first 112 patients with case material derived from a postal questionnaire, chart review and outpatient assessment. Eighty-five patients undergoing bilateral transthoracic electrocautery who replied to the questionnaire (76 per cent response rate) form the basis of this study. There were 65 females and 20 males with a mean age of 24.3 years (range 15-40 years). The hands alone were affected in 20 patients (24 per cent), the axillae alone in 17 (20 per cent) and both areas in 48 (56 per cent). Mean hospital stay was 3.1 days (range 1-7 days). Outcome was assessed by 92 per cent of patients immediately after operation as 'very much improved' or 'moderately improved', and this assessment persisted in 85 per cent after a mean follow-up of 43 months (range 3-95 months). Cosmetic results were rated as satisfactory by 95 per cent. Apart from pain after operation, morbidity was limited to transient Horner's syndrome in three patients, surgical emphysema in three, and pneumothorax requiring a chest drain in one. A repeat procedure was needed in one patient because of an inadequate first operation. Some compensatory hyperhidrosis occurred in 54 (64 per cent) patients. As a minimally invasive procedure, endoscopic transthoracic electrocautery should be considered the treatment of choice for palmar and axillary hyperhidrosis.
AN: 91003256
UD: 199101
Record 160 of 217 - MEDLINE (R) Advanced
TI: A new method of thoracoscopic sympathectomy in hyperhidrosis palmaris.
AU: Lin-CC
SO: Surg-Endosc. 1990; 4(4): 224-6
JN: Surgical-endoscopy
ISSN: 0930-2794
PY: 1990
LA: ENGLISH
AB: Although hyperhidrosis palmaris is a benign condition, it may cause considerable psychological, social, and occupational disturbances. There are many conservative measures used to treat hyperhidrosis, but surgical sympathectomy is the only permanent cure. Of the various surgical approaches to the upper thoracic sympathetic ganglia, one must select the approach that combines good functional results and a satisfactory cosmetic outcome with only minor complications. Twenty-one patients (10 men and 11 women) with hyperhidrosis palmaris underwent synchronous bilateral T2 sympathectomy between 1 October 1989 and 30 April 1990. These patients underwent a new method of thoracoscopic sympathectomy without preoperative pneumothorax. All were relieved of excessive sweating in their upper extremities immediately after the operation. In addition, the technique led to significant savings in operation and hospitalization time. We recommend thoracoscopic sympathectomy as the best approach for sympathectomy in cases of hyperhidrosis palmaris.
AN: 91150017
UD: 199106
Record 161 of 217 - MEDLINE (R) Advanced
TI: Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis [letter; comment]
AU: Banerjee-AK; Edmonson-R; Rennie-JA
SO: Br-J-Surg. 1990 Dec; 77(12): 1435
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1990
LA: ENGLISH
AN: 91113850
UD: 199105
Record 162 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary osmidrosis.
AU: Yoshikata-R; Yanai-A; Takei-T; Shionome-H
SO: Br-J-Plast-Surg. 1990 Jul; 43(4): 483-5
JN: British-journal-of-plastic-surgery
ISSN: 0007-1226
PY: 1990
LA: ENGLISH
AN: 90366817
UD: 199012
Record 163 of 217 - MEDLINE (R) Advanced
TI: [Axillary hyperhidrosis. Etiopathogenesis and surgical treatment]
AU: Miard-F; Pailheret-JP; Loncle-L; Perez-M
SO: Ann-Chir-Plast-Esthet. 1989; 34(2): 136-9
JN: Annales-de-chirurgie-plastique-et-esthetique
ISSN: 0294-1260
PY: 1989
LA: FRENCH; NON-ENGLISH
AB: Axillary hyperhidrosis consists of excessive sweating, producing severe embarrassment and a personal and social handicap. Anatomy and physiology of sweating are reviewed. A localized surgical attack on the excessively active sweat glands is preferred to topical anti-perspirants and systemic medications which are inadequate. Flaps are elevated and the resection includes the glands down to the dermal level. No skin excision seems to be necessary. Long term results are analysed, and the satisfaction of the patients demonstrates the efficacy of this treatment.
AN: 89286069
UD: 198909
Record 164 of 217 - MEDLINE (R) Advanced
TI: Prophylactic antibiotics in surgical treatment of axillary hyperhidrosis.
AU: Ma-S; Chiang-SS; Fang-RH
SO: Ann-Plast-Surg. 1989 May; 22(5): 436-9
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1989
LA: ENGLISH
AB: A randomized, prospective, double-blind study designed to compare the effectiveness of the use of cloxacillin with the result of nontreatment in patients undergoing surgical intervention of axillary hyperhidrosis was conducted from August 1987 to October 1987 at the Veterans General Hospital, Taipei, Taiwan. Forty-two patients were enrolled in this study. Fifty wounds (25 patients) were control subjects, and 34 wounds (17 patients) received cloxacillin. The positive bacterial culture rates of the tissues and draining from patients in the treatment group compared with the control group was statistically significantly lower (p less than 0.01). No significant differences presented in relation to age, sex, complication rate, fever index, and length of hospital stay. Prophylactic antibiotic is of no value in elective surgical intervention of axillary hyperhidrosis.
AN: 89271534
UD: 198909
Record 165 of 217 - MEDLINE (R) Advanced
TI: Transthoracic sympathectomy for palmar hyperhidrosis in children under 16 years of age.
AU: Law-NW; Ellis-H
SO: Ann-R-Coll-Surg-Engl. 1989 Jan; 71(1): 70-1
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1989
LA: ENGLISH
AB: Palmar hyperhidrosis can be a disabling condition in children. We report the results of transthoracic sympathectomy in 18 children aged 16 years or under. Follow-up, 1 to 11 years after surgery, revealed a high incidence of late sequelae, but these were not significant when compared to the primary condition. Transthoracic sympathectomy is recommended for children with severe palmar hyperhidrosis.
AN: 89165219
UD: 198906
Record 166 of 217 - MEDLINE (R) Advanced
TI: Re: Shenaq and Spir: treatment of bilateral axillary hyperhidrosis by suction-assisted lipolysis technique [letter]
AU: Tofield-JJ
SO: Ann-Plast-Surg. 1988 Jul; 21(1): 99
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1988
LA: ENGLISH
AN: 88339252
UD: 198812
Record 167 of 217 - MEDLINE (R) Advanced
TI: Dorsal sympathectomy for hyperhidrosis--the posterior paravertebral approach.
AU: Golueke-PJ; Garrett-WV; Thompson-JE; Talkington-CM; Smith-BL
SO: Surgery. 1988 May; 103(5): 568-72
JN: Surgery-
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .S78.
LOCATIONS:
PERIODICAL ROOM. 1- (1937-) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0039-6060
PY: 1988
LA: ENGLISH
AB: Definitive therapy for hyperhidrosis is sympathectomy. The authors have used a posterior approach to perform 36 dorsal sympathectomies for upper extremity hyperhidrosis in 18 patients (12 female, 6 male). All 18 patients suffered from excessive sweating of the upper extremity (17 palmar, 1 axillary) that caused significant psychological and occupational problems. Eleven patients (61.1%) had lower extremity involvement as well. For all 18 patients conservative medical treatment had failed. Bilateral operations were performed, via a posterior extrapleural approach, through the bed of the third rib. All 36 limbs were relieved of excess sweating. There were no deaths and only two minor wound complications. In no patient did Horner's syndrome develop. Long-term follow-up did not reveal any recurrence of hyperhidrosis. Two patients did complain of compensatory hyperhidrosis of the lower extremities. Dorsal sympathectomy was effective in all of the patients with upper extremity hyperhidrosis in this series. The posterior approach is technically simple, allows simultaneous bilateral operations, and is associated with only infrequent minor complications.
AN: 88205189
UD: 198808
Record 168 of 217 - MEDLINE (R) Advanced
TI: Treatment of bilateral axillary hyperhidrosis by suction-assisted lipolysis technique [published erratum appears in Ann Plast Surg 1990 Mar;24(3):212]
AU: Shenaq-SM; Spira-M; Christ-J
SO: Ann-Plast-Surg. 1987 Dec; 19(6): 548-51
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1987
LA: ENGLISH
AB: Axillary hyperhidrosis, although not life-threatening, is a troublesome condition which produces a personal and social handicap of great significance to patients for many years before they seek a cure. Treatment has consisted of application of topical antiperspirants, systemic anticholinergic medications, excision and primary closure of the involved axillary skin, subdermal shaving of the subcutaneous fat pad containing the hypersecreting sweat glands, and combinations of all of the above. Medical treatment is frequently inadequate and surgical techniques so far described may carry significant morbidity. We have used the technique of suction-assisted lipolysis as an alternative method of treatment for this condition. The procedure has been employed successfully in one patient with no recurrence after one year of follow-up. The operation is done as an outpatient procedure under general or local anesthesia. Suction is carried out through a 1-cm incision in the anterior axillary fold and the entire surface of the dermis is fully "vacuumed" in all directions with 15 to 20 strokes, using a 5- or 7-mm diameter cannula. The area treated includes the area of maximal axillary hair growth and 5 to 6 cm beyond. Routine dressings are removed five days posteroperatively, with the patient generally resuming all activities within one week.
AN: 88148847
UD: 198806
Record 169 of 217 - MEDLINE (R) Advanced
TI: Upper dorsal sympathectomy for palmar hyperhidrosis.
AU: Conlon-KC; Keaveny-TV
SO: Br-J-Surg. 1987 Jul; 74(7): 651
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1987
LA: ENGLISH
AN: 87300482
UD: 198712
Record 170 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary hyperhidrosis.
AU: Bisbal-J; del-Cacho-C; Casalots-J
SO: Ann-Plast-Surg. 1987 May; 18(5): 429-36
JN: Annals-of-plastic-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118.A1 A66.
LOCATION:
PERIODICAL ROOM. 16- (1986-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0148-7043
PY: 1987
LA: ENGLISH
AB: In the human axilla, the proportion of eccrine and apocrine sweat glands is 1:1. The former are in the dermis, while most of the latter are in the subcutaneous cellular tissue. After studying the difficult methods that have been described for the surgical treatment of axillary hyperhidrosis, we concluded that the treatment should be as radical as possible and deal with both types of glands. The technique described here is a combined method which removes en bloc the skin and subcutaneous cellular tissue of more than half the area of sweating and the subcutaneous cellular tissue of the rest, leaving an S-shaped scar that follows the main axis of the axilla. Problems with this method have been minimal. Follow-up studies carried out up to 3 years after the operation have indicated excellent results.
AN: 87239900
UD: 198709
Record 171 of 217 - MEDLINE (R) Advanced
TI: Cardiovascular changes after bilateral upper dorsal sympathectomy. Short- and long-term effects.
AU: Papa-MZ; Bass-A; Schneiderman-J; Drori-Y; Tucker-E; Adar-R
SO: Ann-Surg. 1986 Dec; 204(6): 715-8
JN: Annals-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A55.
LOCATIONS:
PERIODICAL ROOM. 131- Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. 1-130 (1885-1949).
ISSN: 0003-4932
PY: 1986
LA: ENGLISH
AB: The effect of bilateral upper dorsal sympathectomy (UDS) on cardiac function was investigated in two groups of young healthy patients who underwent bilateral excision of T2 and T3 ganglia for palmar hyperhidrosis. In ten patients echocardiography of left ventricular function (LVF) was performed before operation and 2 weeks after operation. Electrocardiograms (ECG) were done before operation, during operation immediately after sectioning each sympathetic chain, and at 2 weeks after operation. The mean pulse rate decreased significantly in patients after they underwent bilateral UDS. There were no clinical arrhythmias or changes in LVF in any patient. Submaximal exercise testing and ECG tracings done at rest and after effort were obtained for 29 patients before undergoing bilateral UDS, 30 days after operation, and 1-3 more times within a 2-year postoperative period. Pulse rates taken at rest and after effort were significantly lower than those taken after operation, and the blood pressure response to exercise was blunted. ECG tracings showed a significant change in the electrical frontal plane axis and shortening of the QTc interval. These changes were evident 30 days after operation and persisted for 2 years. In conclusion, bilateral UDS has no overt arrhythmogenic effect in the young, healthy heart and its beta-blocker-like effect persists for at least 2 years.
AN: 87075109
UD: 198703
Record 172 of 217 - MEDLINE (R) Advanced
TI: Endoscopic thoracic sympathectomy in the treatment of upper limb hyperhydrosis [letter]
SO: Ann-R-Coll-Surg-Engl. 1986 Sep; 68(5): 292-3
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1986
LA: ENGLISH
AN: 87074610
UD: 198703
Record 173 of 217 - MEDLINE (R) Advanced
TI: Endoscopic thoracic sympathectomy in the treatment of upper limb hyperhidrosis.
AU: Malone-PS; Cameron-AE; Rennie-JA
SO: Ann-R-Coll-Surg-Engl. 1986 Mar; 68(2): 93-4
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1986
LA: ENGLISH
AB: The technique of endoscopic sympathectomy is described and its value in the treatment of upper limb hyperhidrosis is reported in an initial series of 7 patients (13 sympathectomies). It is recommended as the treatment of choice for this condition.
AN: 86157360
UD: 198606
Record 174 of 217 - MEDLINE (R) Advanced
TI: Upper dorsal sympathectomy.
AU: Manart-FD; Sadler-TR Jr; Schmitt-EA; Rainer-WG
SO: Am-J-Surg. 1985 Dec; 150(6): 762-6
JN: American-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A5.
LOCATIONS:
PERIODICAL ROOM. 20-34;1- (1906-) Bound vols in MAIN, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. 20-34;1-78.
REMOTE STOR A: ASK AT DSK. Second set of numbers represent new series.
ISSN: 0002-9610
PY: 1985
LA: ENGLISH
AB: Over a 20 year period, 60 patients underwent 76 procedures for upper dorsal sympathectomy, usually with a transaxillary approach but occasionally with an anterior approach. Procedures in male patients and in those that were carried out on the right side were most frequent. There were few simultaneous procedures. The extent of sympathectomy included resection of the lower half of the stellate ganglion through the fourth thoracic ganglion. The results were satisfying for patients with vasospastic disorders and hyperhidrosis and quite acceptable for those with causalgia and vaso-occlusive disorders. Complication rates and the incidence of postoperative Horner's syndrome were low. There were prominent differences in results among the various age groups. In addition, female patients and those with bilateral procedures had less favorable results. Factors that did not appear to affect results included technique of surgical approach, extent of sympathectomy, presence of Horner's syndrome, or the addition of other procedures. Current indications for upper dorsal sympathectomy include cases of Raynaud's and Buerger's diseases refractory to drug therapy, causalgia, vaso-occlusive disorders, and hyperhidrosis.
AN: 86074723
UD: 198603
Record 175 of 217 - MEDLINE (R) Advanced
TI: Thoracic sympathectomy as a therapy for upper extremity ischemia. A long-term follow-up study.
AU: van-de-Wal-HJ; Skotnicki-SH; Wijn-PF; Lacquet-LK
SO: Thorac-Cardiovasc-Surg. 1985 Jun; 33(3): 181-7
JN: The-Thoracic-and-cardiovascular-surgeon
ISSN: 0171-6425
PY: 1985
LA: ENGLISH
AB: Fifty-seven patients who had 72 thoracic sympathectomies have been reviewed. Twenty-five patients were preoperatively diagnosed as having primary Raynaud's phenomenon, 14 as having Raynaud's phenomenon secondary to arterial occlusion, 17 as having ischemia secondary to arterial occlusion and one as having hyperhidrosis. Twenty percent of the patients initially diagnosed as having primary Raynaud's phenomenon at the time of operation developed a collagenosis during the follow-up period. Improvement after 8 years' follow-up did not depend on the primary indication. Up to the fifth year after surgery a relapse was seen in cases of primary Raynaud's phenomenon. In secondary Raynaud's phenomenon a gradual decrease in improvement of 2% a year was seen during follow-up. In ischemia secondary to arterial occlusion, after 2 years the percentage of improved patients remained constant at a level of 70%. The mean improvement after 8 years follow-up according to the survival test of Gehan was 70 +/- 10%.
AN: 85273408
UD: 198511
Record 176 of 217 - MEDLINE (R) Advanced
TI: Transthoracic endoscopic sympathectomy.
AU: Milewski-PJ; Hodgson-SP; Higham-A
SO: J-R-Coll-Surg-Edinb. 1985 Aug; 30(4): 221-3
JN: Journal-of-the-Royal-College-of-Surgeons-of-Edinburgh
ISSN: 0035-8835
PY: 1985
LA: ENGLISH
AN: 86037006
UD: 198602
Record 177 of 217 - MEDLINE (R) Advanced
TI: Current status of thoracic dorsal sympathectomy.
AU: Welch-E; Geary-J
SO: J-Vasc-Surg. 1984 Jan; 1(1): 202-14
JN: Journal-of-vascular-surgery
*LHM: The Library subscribes to the electronic version of this publication
CLICK HERE TO SEE AVAILABLE ISSUES FROM WWW
ISSN: 0741-5214
PY: 1984
LA: ENGLISH
AB: This article summarizes over 20 years of experience (1962 to 1982) with cervical sympathectomy (thoracic dorsal sympathectomy) in 46 patients undergoing 68 sympathectomies. All operations were performed through an anterior supraclavicular approach. Indications for surgery were intractable Raynaud's disease (26 patients), atherosclerotic obliterative arterial disease (five), causalgia (five), posttraumatic sympathetic dystrophy (seven), collagen vascular disorders (eight), hyperhidrosis (12), occupational-related digital thrombosis (four), and thrombosis secondary to intra-arterial injection (one). The incidence of complications and side effects, both temporary and permanent, including Horner's syndrome, is reviewed in detail. Particular reference is made to the various surgical techniques of managing the stellate ganglion; four patients had two-third to three-fourth resection of the stellate ganglion down to and including the T-3 thoracic ganglion, two had preservation of the stellate ganglion and resection of the T-2 through T-4 ganglia, seven had excision of the entire stellate ganglion down to and including the T-4 ganglion, seven had resection of the lower third of the stellate ganglion down to and including the T-4 ganglion, and 48 had removal of the lower half of the stellate ganglion down to and including the T-3 ganglion. The study reviews the literature germane to anatomic considerations and suggests revisions in current texts and atlases. By retrospective analysis of the records and a follow-up questionnaire, which provided an 86% follow-up (average 8.4 years), the paper points to the distinctive clinical characteristics of the different groups within the population undergoing the operation and provides guidelines for patient selection and conclusions on the place for this operation in the management of vascular diseases involving the upper extremity.
AN: 85009893
UD: 198501
Record 178 of 217 - MEDLINE (R) Advanced
TI: Modified supraclavicular approach for upper thoracic sympathectomy.
AU: Soliman-SM
SO: J-R-Coll-Surg-Edinb. 1984 May; 29(3): 162-6
JN: Journal-of-the-Royal-College-of-Surgeons-of-Edinburgh
ISSN: 0035-8835
PY: 1984
LA: ENGLISH
AN: 84267582
UD: 198411
Record 179 of 217 - MEDLINE (R) Advanced
TI: [Should iontophoresis replace sympathectomy in the treatment of palmoplantar hyperhidrosis? (letter)]
AU: Vayssairat-M; Cormier-JM; Priollet-P; Bourdin-JP; Brun-JP; Housset-E
SO: Presse-Med. 1983 Feb 5; 12(5): 301-2
JN: La-Presse-medicale
PY: 1983
LA: FRENCH; NON-ENGLISH
AN: 83169577
UD: 198307
Record 180 of 217 - MEDLINE (R) Advanced
TI: [A successfully operated case of atrial septal defect with pheochromocytoma]
AU: Ohkubo-T; Uno-T; Suzuki-K; Ueyama-T; Yamaguchi-T; Harada-Y; Yoshimura-K
SO: Nippon-Geka-Gakkai-Zasshi. 1983 Nov; 84(11): 1198-203
JN: Nippon-Geka-Gakkai-zasshi
ISSN: 0301-4894
PY: 1983
LA: JAPANESE; NON-ENGLISH
AB: A 16 year-old male, who had marked hypertension and complained of palpitation, hyperhidrosis, headache and weight-loss, was diagnosed as atrial septal defect with pheochromocytoma. The first operation was performed for tumor on September 3, 1981. The hemodynamic change was recorded through the operation. The total systemic peripheral resistance and the total pulmonary resistance were improved after surgery. The systemic and pulmonary blood pressure were also decreased to normal level after surgery, although pulmonary arterial flow was increased. On one hundred and third day after this operation, radical correction for the cardiac malformation was performed. Operative and postoperative course were uneventful and the patient is free from all untoward complaints at this moment. Blood or urine catecholamine levels have also improved and are within normal limits.
AN: 84191026
UD: 198408
Record 181 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of primary hyperhidrosis. A report of 42 cases.
AU: Bogokowsky-H; Slutzki-S; Bacalu-L; Abramsohn-R; Negri-M
SO: Arch-Surg. 1983 Sep; 118(9): 1065-7
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1983
LA: ENGLISH
AB: Forty-two patients suffering from primary hyperhidrosis underwent upper dorsal sympathectomy using the supraclavicular approach. The postoperative course and results were devoid of complications. All the patients except one were satisfied with the results of surgery, which greatly improved the quality of their lives.
AN: 83307953
UD: 198312
Record 182 of 217 - MEDLINE (R) Advanced
TI: Axillary transpleural sympathectomy: indication, technique, and results.
AU: Linder-F; Jenal-G; Assmus-H
SO: World-J-Surg. 1983 May; 7(3): 437-9
JN: World-journal-of-surgery
ISSN: 0364-2313
PY: 1983
LA: ENGLISH
AN: 83277846
UD: 198311
Record 183 of 217 - MEDLINE (R) Advanced
TI: An effective local application for axillary hyperhidrosis.
AU: Perdikis-P; Hansen-DA
SO: S-Afr-J-Surg. 1983 Mar; 21(1): 17-8
JN: South-African-journal-of-surgery
ISSN: 0038-2361
PY: 1983
LA: ENGLISH
AN: 83276103
UD: 198311
Record 184 of 217 - MEDLINE (R) Advanced
TI: The surgical treatment of associated axillary and palmar hyperhidrosis.
AU: Kenawi-MM; El-Mofty-M; Wishahy-AH
SO: J-R-Coll-Surg-Edinb. 1983 Mar; 28(2): 116-20
JN: Journal-of-the-Royal-College-of-Surgeons-of-Edinburgh
ISSN: 0035-8835
PY: 1983
LA: ENGLISH
AN: 83241402
UD: 198310
Record 185 of 217 - MEDLINE (R) Advanced
TI: Axillary skin excision for the treatment of axillary hyperhidrosis.
AU: Taylor-GD
SO: Aust-N-Z-J-Surg. 1982 Feb; 52(1): 56-9
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 1982
LA: ENGLISH
AB: In fourteen patients with axillary hyperhidrosis, good control of sweating has been achieved by resection of a longitudinal ellipse of axillary skin and Z-plasty closure. Axillary scarring has been extensive, but inconspicuous.
AN: 82181903
UD: 198208
Record 186 of 217 - MEDLINE (R) Advanced
TI: Transaxillary thoracic sympathectomy for primary hyperhidrosis of the upper limbs.
AU: Sternberg-A; Brickman-S; Kott-I; Reiss-R
SO: World-J-Surg. 1982 Jul; 6(4): 458-63
JN: World-journal-of-surgery
ISSN: 0364-2313
PY: 1982
LA: ENGLISH
AN: 83018089
UD: 198301
Record 187 of 217 - MEDLINE (R) Advanced
TI: [Sympathectomy in the palmar and plantar hyperhidrosis. Thirty seven operations]
AU: Bouchet-A; Putot-JP; Maurin-T
SO: Chirurgie. 1982; 108(2): 197-201
JN: Chirurgie; memoires-de-l'Academie-de-chirurgie
ISSN: 0001-4001
PY: 1982
LA: FRENCH; NON-ENGLISH
AN: 83003125
UD: 198301
Record 188 of 217 - MEDLINE (R) Advanced
TI: Transaxillary sympathectomy--is a one-stage bilateral procedure safe?
AU: Campbell-WB; Cooper-MJ; Sponsel-WE; Baird-RN; Peacock-JH
SO: Br-J-Surg. 1982 Jun; 69 Suppl: S29-31
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1982
LA: ENGLISH
AN: 82207366
UD: 198210
Record 189 of 217 - MEDLINE (R) Advanced
TI: [Surgical treatment of palmar hyperhidrosis]
AU: Paulik-J; Slancik-J; Labas-P; Siska-K
SO: Rozhl-Chir. 1980 Nov; 59(11): 734-9
JN: Rozhledy-V-Chirurgii
ISSN: 0035-9351
PY: 1980
LA: SLOVAK; NON-ENGLISH
AN: 82039905
UD: 198202
Record 190 of 217 - MEDLINE (R) Advanced
TI: [Neurogenic appendicopathy -- a common disorder, seldom diagnosed (author's transl)]
AU: Hofler-H
SO: Langenbecks-Arch-Chir. 1980; 351(3): 171-8
JN: Langenbecks-Archiv-fur-Chirurgie
ISSN: 0023-8236
PY: 1980
LA: GERMAN; NON-ENGLISH
AB: Over 5000 routine appendix specimens were examined at the Institute for Pathological Anatomy, Graz University, for the presence of neurogenic appendicopathy (n.a.). With light microscopy it was possible to differentiate intramucosal, finely vacuolated nerve proliferations and central neuromas (n.a. in the narrower sense), as well as neuromuscular proliferations in the submucosa. All three forms are considerably more common in females. A diagnosis of neurogenic appendicopathy was made in 17.9% of all cases. The disorder is uncommon in the first decade of life, more common in the second decade, and, after the age of 45, is diagnosed histologically in a scant half of the cases. Clinically, n.a. cannot be distinguished with certainty from purulent or chronic recurrent appendicitis; leukocytosis and fever are also not sure criteria for a differential diagnosis. N.a. in the narrower sense is frequently accompanied by vegetative symptoms (variable blood pressure, constipation and diarrhea, meteorism, sweating). These symptoms are probably caused by hormones produced by the endocrine cells which are present in abnormally large quantities in the epithelial tissue and especially in the mucous stroma. As neurogenic appendicopathy can, at present, be diagnosed only histologically, it is to be encouraged that all such material, even when macroscopically unremarkable, be so examined.
AN: 81097990
UD: 198105
Record 191 of 217 - MEDLINE (R) Advanced
TI: Palmar primary hyperhidrosis in children.
AU: O'Donoghue-G; Finn-D; Brady-MP
SO: J-Pediatr-Surg. 1980 Apr; 15(2): 172-4
JN: Journal-of-pediatric-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD137.A1 J6.
LOCATION:
PERIODICAL ROOM. 1- (1966-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0022-3468
PY: 1980
LA: ENGLISH
AB: Palmar Primary Hyperhidrosis, though an uncommon problem in the paediatric age group, is an unpleasant and socially disabling one for the affected child. Although the condition occurring in adults has been extensively documented, little, if any, attention has been given to the problem in children. We describe the clinical presentation of four such patients who presented in our unit over the past 4 yr. All had an upper dorsal sympathectomy performed with excellent results.
AN: 80184428
UD: 198009
Record 192 of 217 - MEDLINE (R) Advanced
TI: Sexual function after bilateral lumbar sympathectomy and aorto-iliac by-pass surgery.
AU: Quayle-JB
SO: J-Cardiovasc-Surg-Torino. 1980 Mar-Apr; 21(2): 215-8
JN: The-Journal-of-cardiovascular-surgery
ISSN: 0021-9509
PY: 1980
LA: ENGLISH
AB: Sexual function has been assessed in 44 patients under 60 years old after bilateral lumbar sympathectomy. 21 had lumbar sympathectomy alone, but in 23 it was combined with by-pass aorto-iliac surgery. Half these patients produced seminal fluid for analysis and spermatozoa were present in all. In those patients who also had aorto-iliac surgery, sexual function was impairedin 40%, ejaculation and erection difficulties occurring in the same proportion. In patients who had only bilateral sympathectomy, these complications occurred in 24% and mainly consisted of ejaculation disturbances. Only three patients became impotent, each having had aortic surgery. Serious sexual complications caused by lumbar sympathectomy alone seem relatively rare and should only preclude its use in young men wishing to reproduce.
AN: 80160132
UD: 198008
Record 193 of 217 - MEDLINE (R) Advanced
TI: The distribution, size and density of the apocrine glands in hidradenitis suppuritiva.
AU: Morgan-WP; Hughes-LE
SO: Br-J-Surg. 1979 Dec; 66(12): 853-6
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1979
LA: ENGLISH
AB: The distribution, size and density of the apocrine glands in hidradenitis suppuritiva as compared with those in axillary hyperhidrosis and normal controls have been studied. There are no significant differences in the size or density of the apocrine glands in hidradenitis suppuritiva as compared with normal controls. The apocrine glands in axillary hyperhidrosis are significantly larger than those in axillary hidradenitis and in normal controls. A simple method that can be used to demonstrate the distribution of the apocrine glands preoperatively is described. This has proved useful in delineating the area which it is necessary to excise to obtain complete apocrine gland excision in the diseased area. The apocrine gland-containing skin in the diseased region does not always correspond exactly to the hair-bearing area in that region.
AN: 80066241
UD: 198004
Record 194 of 217 - MEDLINE (R) Advanced
TI: Transaxillary sympathectomy in the treatment of hyperhidrosis of the upper limb.
AU: Ellis-H
SO: Am-Surg. 1979 Sep; 45(9): 546-51
JN: The-American-surgeon
ISSN: 0003-1348
PY: 1979
LA: ENGLISH
AB: Idiopathic (primary) hyperhidrosis is a common and distressing condition. Excessive axillary sweating responds to local excision of the eccrine glands. In severe cases, sympathectomy may be indicated to deal with hyperhidrosis of the hands and feet. The surgical anatomy of transthoracic sympathectomy is described.
AN: 80063344
UD: 198003
Record 195 of 217 - MEDLINE (R) Advanced
TI: Axillary hyperhidrosis: surgical cure with aesthetic scars.
AU: Breach-NM
SO: Ann-R-Coll-Surg-Engl. 1979 Jul; 61(4): 295-7
JN: Annals-of-the-Royal-College-of-Surgeons-of-England
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .L6.
LOCATIONS:
REMOTE STOR A: ASK AT DSK. 1-45 (1947-1969).
PERIODICAL ROOM. 46- (1969-) Bound vols in MAIN/No circ 10 yrs.
ISSN: 0035-8843
PY: 1979
LA: ENGLISH
AB: By using a technique in which the hair-bearing skin of the axilla is undermined through three small incisions the eccrine glands can be methodically removed. The resulting scarring is minimal and is aesthetically acceptable. In a series of 25 patients (50 axillae) 23 were totally cured of their hyperhidrosis. The remaining 2 patients were sufficiently improved not to require any further treatment. The technique may be undertaken under either local or general anaesthesia.
AN: 79254316
UD: 197912
Record 196 of 217 - MEDLINE (R) Advanced
TI: The surgical treatment of axillary hyperhidrosis.
AU: Bergkvist-L; Engevik-L
SO: Br-J-Surg. 1979 Jul; 66(7): 482-4
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1979
LA: ENGLISH
AB: Axillary hyperhidrosis is a common condition and young people often suffer unnecessarily for many years in spite of the availability of good surgical methods for cure. We describe our own modification of Pettersson and Stromback's (1970) method of excision of the sweat glands. During the years 1972-6 218 axillary operations have been performed on 109 patients at the surgical clinic in Vasteras for axillary hyperhidrosis. We reviewed 104 of these and found that 71 patients were completely satisfied and only 7 unsatisfied. Twelve patients wanted to be reoperated either because they still sweated or because they were unhappy with their scars. Thus, we found that overall the surgical methods are safe, simple and give good results.
AN: 79233603
UD: 197912
Record 197 of 217 - MEDLINE (R) Advanced
TI: The anatomy of the lumbar sympathetic trunks in man (with special reference to the question of regeneration after sympathectomy).
AU: Simeone-FA
SO: J-Cardiovasc-Surg-Torino. 1979 May-Jun; 20(3): 283-8
JN: The-Journal-of-cardiovascular-surgery
ISSN: 0021-9509
PY: 1979
LA: ENGLISH
AB: Although possible to decentralize the sympathetic outflow to the leg, below the knee, by resecting only the third lumbar sympathetic ganglion, the likelihood of restoration of normal vasoconstrictor activity warrants a more extensive resection to include at least the second and third lumbar ganglia, and preferably the second, third, and fourth lumbar ganglia. When cross-over fibers are suspected or demonstrated following unilateral sympathectomy, the denervation should include the fourth and fifth lumbar ganglia. The first lumbar ganglion should be spared at least unilaterally if interference with reproductive function is to be avoided.
AN: 79194308
UD: 197910
Record 198 of 217 - MEDLINE (R) Advanced
TI: Thoracic endoscopic sympathectomy in palmar and axillary hyperhidrosis.
AU: Kux-M
SO: Arch-Surg. 1978 Mar; 113(3): 264-6
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1978
LA: ENGLISH
AB: An endoscopic technique is described for thoracic sympathectomy. After establishment of a pneumothorax, the thoracoscope is introduced into the pleural cavity. The telescope is equipped with a wire electrode, a grasping forceps, and a suction coagulation probe for endoscopic electroresection of the sympathetic trunk. In 63 patients, 124 endoscopic sympathectomies were performed. All patients were relieved of sweating in the hands; 18.6% still had some perspiration of the axilla. Side effects of thoracic sympathectomy were compensatory and gustatory sweating that, in four patients, were more embarrassing than the original form of hyperhidrosis. Fifty-five patients were highly satisfied with the result of endoscopic sympathectomy, which is considered the appropriate minor procedure for the treatment of upper limb hyperhidrosis, causing minimal discomfort to the patient and almost invisible scars.
AN: 78143817
UD: 197807
Record 199 of 217 - MEDLINE (R) Advanced
TI: [Causes and methods of re-operation in a patient with a jejuno-ileal bypass for obesity]
AU: Mascia-D; Martini-M; Rosato-G; Rapani-C
SO: Chir-Ital. 1978 Dec; 30(6): 883-91
JN: Chirurgia-italiana
ISSN: 0009-4773
PY: 1978
LA: ITALIAN; NON-ENGLISH
AB: One case of re-operation in a patient who previously underwent a jejunoileal by-pass for obesity is described. The serious complications following first surgery are shown. Reasons for re-operation and special pre- and post-operative care are considered.
AN: 79234807
UD: 197912
Record 200 of 217 - MEDLINE (R) Advanced
TI: [Late results of thoracic sympathectomy in various diseases]
AU: Sebesteny-M; Mogan-I; Papp-S; Szabo-I; Soltesz-L
SO: Acta-Chir-Acad-Sci-Hung. 1978; 19(1): 69-74
JN: Acta-chirurgica-Academiae-Scientiarum-Hungaricae
ISSN: 0001-5431
PY: 1978
LA: GERMAN; NON-ENGLISH
AB: The late results of 171 thoracal sympathectomies performed on 142 patients in the 20-year period 1952 to 1971 are described. Favourable results were achieved in Raynaud's disease, obliterating endarteritis and other occlusive vascular diseases, and also in hyperhidrosis.
AN: 79038394
UD: 197902
Record 201 of 217 - MEDLINE (R) Advanced
TI: Radical operation to stop axillary odor and hyperhidrosis.
AU: Inaba-M; Anthony-J; Ezaki-T
SO: Plast-Reconstr-Surg. 1978 Sep; 62(3): 355-60
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1978
LA: ENGLISH
AB: We have developed a subcutaneous tissue shaver for the radical treatment of hircismus and hyperhidrosis. With this shaver the sweat glands can be removed from the undersurface of the axillary skin through a small incision. We report 3,000 cases of hircismus and hyperhidrosis treated by our method. The postoperative scar has been minimal, healing has been quick, and good results were achieved by this method.
AN: 79012878
UD: 197901
Record 202 of 217 - MEDLINE (R) Advanced
TI: Palmar hyperhidrosis and its surgical treatment: a report of 100 cases.
AU: Adar-R; Kurchin-A; Zweig-A; Mozes-M
SO: Ann-Surg. 1977 Jul; 186(1): 34-41
JN: Annals-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A55.
LOCATIONS:
PERIODICAL ROOM. 131- Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
REMOTE STOR A: ASK AT DSK. 1-130 (1885-1949).
ISSN: 0003-4932
PY: 1977
LA: ENGLISH
AB: One hundred patients with primary palmar hyperhidrosis (HH) underwent bilateral upper dorsal sympathectomy (UDS) by the supraclavicular approach. Pre-operative epidemiological and clinical data are described. The immediate and late results, as well as the complications and side-effects are detailed. Follow-up was completed on 93 patients between four and 50 months after the operation (average 18 months). Of 93 patients, 91 had drying of the hands. In 58% some moisture returned to the hands but in no case did the hyperhidrotic state recur. Subjective patient evaluation was excellent or good in 83 patients (89%) and only one patient (a technical failure) was completely dissatisfied. Reasons for some degree of dissatisfaction with operation were mainly compensatory HH in non denervated areas, and Horner's syndrome. Compensatory HH usually decreased with passage of time and, permanent Horner's syndrome occurred in 8% of patients (4% of procedures). Technical failure can be avoided by use of frozen section examination intraoperatively. For severe cases of palmar HH that cause social, professional and emotional embarassment, bilateral simultaneous UDS by the supraclavicular approach is the procedure of choice: Morbidity is small, and almost all patients enjoy improved quality of life after the operation.
AN: 77220613
UD: 197710
Record 203 of 217 - MEDLINE (R) Advanced
TI: Upper dorsal sympathectomy for palmar primary hyperhidrosis by the supraclavicular approach.
AU: Kurchin-A; Zweig-A; Adar-R; Mozes-M
SO: World-J-Surg. 1977 Sep; 1(5): 667-74
JN: World-journal-of-surgery
ISSN: 0364-2313
PY: 1977
LA: ENGLISH
AN: 78098596
UD: 197805
Record 204 of 217 - MEDLINE (R) Advanced
TI: Surgical management of hyperhidrosis.
AU: Keaveny-TV; Fitzgerald-PA; Donnelly-C; Shanik-GD
SO: Br-J-Surg. 1977 Aug; 64(8): 570-1
JN: The-British-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1.B7.
LOCATIONS:
PERIODICAL ROOM. 48- (1960-) Bound vols in MAIN, No circ 10 yrs.
REMOTE STOR A: ASK AT DSK. 8-20,22-27,30-47 (1920-1960).
ISSN: 0007-1323
PY: 1977
LA: ENGLISH
AB: Sixty-five patients with severe disabling hyperhidrosis were subjected to operation. Eighty-nine sympathectomies and 42 axillary skin excisions were performed to abolish sweating. Almost 90% of these patients were extremely satisfied with the outcome of surgery which resulted in a change for the better in their social and working lives. When conservative therapy fails, we recommend these procedures, which often alleviate this most distressing symptom.
AN: 77243246
UD: 197712
Record 205 of 217 - MEDLINE (R) Advanced
TI: [Thoracic sympathectomy in the overall treatment of angiotrophic neuroses]
AU: Volkolakov-IaV; Leishe-AA; Latsis-GV
SO: Khirurgiia-Mosk. 1977 May; (5): 7-12
JN: Khirurgiia-
ISSN: 0023-1207
PY: 1977
LA: RUSSIAN; NON-ENGLISH
AN: 77190848
UD: 197709
Record 206 of 217 - MEDLINE (R) Advanced
TI: New instrument for hircismus and hyperhidrosis operation: subcutaneous tissue shaver.
AU: Inaba-M; Ezaki-T
SO: Plast-Reconstr-Surg. 1977 Jun; 59(6): 864-6
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1977
LA: ENGLISH
AN: 77173389
UD: 197708
Record 207 of 217 - MEDLINE (R) Advanced
TI: Axillary hyperhidrosis.
AU: Rigg-BM
SO: Plast-Reconstr-Surg. 1977 Mar; 59(3): 334-42
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1977
LA: ENGLISH
AB: The literature of axillary hyperhidrosis is reviewed. For treatment, we present a technique of radical glandular clearance, converting the flaps to attached "skin grafts". The extent of the area may be varied, according to the degree of excessive sweating.
AN: 77125977
UD: 197706
Record 208 of 217 - MEDLINE (R) Advanced
TI: Editorial: The treatment of axillary hyperhidrosis.
AU: Goldwyn-RM
SO: Arch-Surg. 1976 Jan; 111(1): 13
JN: Archives-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A63.
LOCATIONS:
PERIODICAL ROOM. 81- (1960- ) Bound vols in Main, No circ 10 yrs.
CLINICAL LIB 7DAY JRN. Latest 10 years only.
ISSN: 0004-0010
PY: 1976
LA: ENGLISH
AN: 76087158
UD: 197604
Record 209 of 217 - MEDLINE (R) Advanced
TI: [Surgical indications and results of thoracic sympathectomy]
AU: Gruss-JD; Bartels-D; Stojanovic-R
SO: J-Chir-Paris. 1976; 112(5): 307-14
JN: Journal-de-chirurgie
ISSN: 0021-7697
PY: 1976
LA: FRENCH; NON-ENGLISH
AB: Between the 1st of July 1971 and the 31st of December 1974, among 1,459 operations on vascular surgery, we carried out 77 thoracic sympathectomies in 46 patients. In most patients there was an oblitering angiopathie of digital type, stage II to IV, confirmed by angiography. Two patients had mixed type obstructions, two others had hyperhidrosis, one patient suffered from cleroderma, another had a thoracic outlet syndrome with digital arterial obstruction. In all cases, the transaxillary approach was that which caused the least complications and which permitted satisfactory exposure of the sympathetic nerve. The cosmetic results were good. The second and third thoracic ganglia were resected and the planes of cleavage marked with silver clips. In advanced stage III and stage IV, we noted 92 p. 100 improvements i.e. return to stages I or II. The operative mortality was nil. The most serious complication was a case of hemothorax which required later pulmonary decortication. We noted in two cases, a Horner's syndrome.
AN: 77094045
UD: 197705
Record 210 of 217 - MEDLINE (R) Advanced
TI: Axillary sympathectomy for upper extremities.
AU: Man-B; Kraus-L; Motovic-A
SO: Vasc-Surg. 1976 May-Jun; 10(3): 138-43
JN: Vascular-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD598 .V3.
LOCATION:
PERIODICAL ROOM. 1-11,14- (1967-) Bound vols in MAIN, No circ 10 yrs.
ISSN: 0042-2835
PY: 1976
LA: ENGLISH
AB: Among the several various surgical approaches to the cervico-dorsal sympathetic system, the axillary approach seems to us the operation of choice. The operation is simple, gives excellent access to the required sympathetic ganglions, including the lower part of the stellate ganglion, down to the fifth thoracic ganglion. In all cases the sympathectomy was clinically complete. The postoperative course was mostly smooth, and the few cases of transient Horner's Syndrome, pneumothorax and hemothorax could have been avoided.
AN: 76273610
UD: 197612
Record 211 of 217 - MEDLINE (R) Advanced
TI: A comparison of the supraclavicular and axillary approaches to upper thoracic sympathectomy.
AU: Little-JM; May-J
SO: Aust-N-Z-J-Surg. 1975 May; 45(2): 143-6
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 1975
LA: ENGLISH
AB: Twenty-nine upper dorsal sympathectomies have been carried out in 18 patients and a comparison made of the supraclavicular with the axillary approach to the upper thoracic sympathetic chain. Thirteen of these operations were carried out for essential hyperhidrosis, 15 for ischaemia in the hand and one for post-traumatic pain syndrome. Fourteen sympathectomies were carried out through the axilla and 15 through the supraclavicular approach. Post-operative pain was felt to be somewhat more severe when the axillary approach was used, but other complications were infrequent and hospital stay was slightly shorter in the axillary group. The axillary approach was felt to offer superior exposure, the capability for wider sympathetic excision, good cosmetic results, avoidance of Horner's syndrome and low morbidity. In the absence of lung disease or the need for a direct exploration of the root of the neck, the axillary approach is to be preferred for upper dorsal sympathectomy.
AN: 76061142
UD: 197603
Record 212 of 217 - MEDLINE (R) Advanced
TI: A serious complication of an operation for axillary hyperhidrosis.
AU: Shaw-MH
SO: Br-J-Plast-Surg. 1974 Apr; 27(2): 196-7
JN: British-journal-of-plastic-surgery
ISSN: 0007-1226
PY: 1974
LA: ENGLISH
AN: 74268546
UD: 197410
Record 213 of 217 - MEDLINE (R) Advanced
TI: Radical sweat gland ablation for axillary hyperhidrosis.
AU: Bretteville-Jensen-G
SO: Br-J-Plast-Surg. 1973 Apr; 26(2): 158-62
JN: British-journal-of-plastic-surgery
ISSN: 0007-1226
PY: 1973
LA: ENGLISH
AN: 73183188
UD: 197309
Record 214 of 217 - MEDLINE (R) Advanced
TI: Surgical treatment of axillary hyperhidrosis.
AU: Davis-PK
SO: Br-J-Plast-Surg. 1971 Jan; 24(1): 99-100
JN: British-journal-of-plastic-surgery
ISSN: 0007-1226
PY: 1971
LA: ENGLISH
AN: 71136103
UD: 197106
Record 215 of 217 - MEDLINE (R) Advanced
TI: Cervico-dorsal sympathectomy in the management of essential hyperhidrosis in the upper limb.
AU: Renwick-S; Loewenthal-J
SO: Aust-N-Z-J-Surg. 1969 Feb; 38(3): 221-3
JN: The-Australian-and-New-Zealand-journal-of-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD1 .A85.
LOCATIONS:
PERIODICAL ROOM. 40-46,49- (1970/1971-) Bound vols in MAIN, No circ 10 yrs.
PERIODICAL ROOM. Vols. 40-41 incomplete.
ISSN: 0004-8682
PY: 1969
LA: ENGLISH
AN: 69130835
UD: 196906
Record 216 of 217 - MEDLINE (R) Advanced
TI: Axillary hyperhidrosis and its surgical treatment.
AU: Tipton-JB
SO: Plast-Reconstr-Surg. 1968 Aug; 42(2): 137-40
JN: Plastic-and-reconstructive-surgery
*LHM: The Library subscribes to the print version of this publication
CALL NUMBER: RD118 .P53.
LOCATION:
PERIODICAL ROOM. 31- (1963- ) Bound vols in Main, No circ 10 yrs.
ISSN: 0032-1052
PY: 1968
LA: ENGLISH
AN: 68356597
UD: 196811
Record 217 of 217 - MEDLINE (R) Advanced September
TI: [Video-thoracoscopic sympathectomy in the treatment of Raynaud's disease and palmar hyperhidrosis]
AU: Trignano-M; Boatto-R; Mastino-GP; Ferrandu-T; Padula-G; Loi-V; Pala-C
SO: Minerva-Chir. 2000 Jan-Feb; 55(1-2): 17-23
JN: Minerva-chirurgica
ISSN: 0026-4733
PY: 2000
LA: ITALIAN; NON-ENGLISH
AB: BACKGROUND AND AIM: Raynaud's syndrome is a clinical entity characterised by episodic vascular spasm, digital ischemia in response to cold or emotional stimuli and hyperhidrosis. Many patients suffering from Raynaud's syndrome are successfully treated using medical therapy alone. Those patients who do not respond to medical treatment undergo surgery but the indications continue to be a source of controversy. A modern approach to thoracic sympathectomy requires a video-assisted technique. The aim of this study is to attempt to use mini-invasive type surgery to treat Raynaud's disease and hyperhidrosis in order to evaluate the real efficacy of thoracic sympathectomy in a large number of patients. The results of this method were compared for the two different pathologies in question. METHODS: The methodology used by this study is based on instrumental and clinical tests performed before and after surgery on treated patients using a comparative criterion and with a minimum 5-year follow-up. The pre- and postoperative diagnostic tests were performed by the vascular surgery laboratory and using a C.W. Doppler and a reflected light photoplethysmograph. Capillaroscopy and laboratory evaluations relating to secondary Raynaud's disease were carried out by internist type structures. The patients enrolled in the study responded to the following criteria: primary Raynaud's disease, palmar hyperhidrosis and associated syndromes. The population came from a mixed sociodemographic background, albeit within a strictly regional zone (Sardinia). A total of 42 patients were studied. The surgical technique used consisted of the ablation of thoracic ganglia from the 2nd to the 4th. RESULTS: The results showed a resolution of symptoms in 95% of patients treated for hyperhidrosis, whereas a 50% recidivation rate was observed in patients with Raynaud's disease alone, although symptoms were less intense. The results for Raynaud's disease were more disappointing, but it is important to remember that surgery is the ultimate choice for cases with advanced lesions which do not respond to medical treatment. Under these circumstances, the possibility of halting the evolution of the pathology represents an auspicious achievement. CONCLUSIONS: The authors affirm that mini-invasive surgical treatment of hyperhidrosis was resolutive during a mean follow-up of 3 years. It therefore represents a valid method which causes minimum esthetic damage to the patient and the greatest functional benefit. The postoperative period is short (about 3 days) and free of major complications. There is virtually no post-surgical pain.
AN: 20291750
UD: 200009
