E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS

Fazlı Yanık, Yekta Altemur Karamustafaoğlu, Yener Yoruk.

Abstract
Introduction: Primary hyperhidrosis (PH) is defined as localized excessive sweating, such as the palmar, plantar or axillar area. Video-assisted thoracic sympathicotomy (VTS) is successfully used worldwide in the invasive treatment of PH. Thoracoscopic sympathicotomy is a safe and simple procedure compared to other thoracic surgeries.
Methods: We retrospectively evaluated a total of 130 consecutive PH patients who were treated via VTS in our department between June 2008 and June 2018.Fifty seven (77%) patients were male, 73 (23%) patients were female with a mean age of 26,01 ± 7,4 (18–38 years) years. Age, gender, indication and complication of VTS, surgical procedure, applied treatments, surgical outcomes were reviewed.
Results: The operation indications were palmar and axillary hyperhidrosis in 62 (47,7%) patients, palmary hyperhidrosis in 48 (37%), axillary hyperhidrosis in 14 (10,8%) patients, flushing in 6 (4,6%) patients and Reynauld syndrome in 2 (1,6%) patients. Bilateral VTS was performed at T2 for flushing, T2-T3 for palmar-only hyperhidrosis, T2-T4 for palmar and axillary hyperhidrosis, and T3-T4 for axillary-only hyperhidrosis. In one patient additionnaly transaxillary first rib resection was performed for the thoracic outlet syndrome in same time. One hundred fifteen patients (88,5%) were satisfied, whereas only 15 (11,5%) were dissatisfied with the procedure. The mean operation time, chest tube removal time, length of hospital stay time was 32,24 ± 3.41 (20–50) minutes, 1,1 ± 0,3 (1-3) days, 1,6 ± 0,6 (2-5) days, respectively. The most common complication was compensatory hyperhidrosis (CH) (n:78, 59,6%) which was seen in the waist, the umbilicus, and the back during the mean follow-up period of 38,2 ± 9,2 (range 6-60) months. Recurrence was seen in nine (7%) patients in 6,2 ±2,4 months after the operation. There was no statistically significant difference in compensatory hyperhidrosis and recurrence development status with VTS performed ganglion levels (p> 0.05)
Conclusion: Considering possible complication of CH cauterization technique with uniportal VTS can be successfully and safely performed in the treatment of primary hyperhidrosis.

Key words: hyperhidrosis, thoracoscopy, sympathectomy


 
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Pubmed Style

Yanik F, Karamustafaoglu YA, Yoruk Y. EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. Int J Surg Med. 2018; 4(4): 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis


Web Style

Yanik F, Karamustafaoglu YA, Yoruk Y. EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. http://www.ejos.org/?mno=1194 [Access: December 11, 2018]. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis


AMA (American Medical Association) Style

Yanik F, Karamustafaoglu YA, Yoruk Y. EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. Int J Surg Med. 2018; 4(4): 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



Vancouver/ICMJE Style

Yanik F, Karamustafaoglu YA, Yoruk Y. EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. Int J Surg Med. (2018), [cited December 11, 2018]; 4(4): 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



Harvard Style

Yanik, F., Karamustafaoglu, . Y. A. & Yoruk, . Y. (2018) EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. Int J Surg Med, 4 (4), 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



Turabian Style

Yanik, Fazli, Yekta Altemur Karamustafaoglu, and Yener Yoruk. 2018. EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. International Journal of Surgery and Medicine, 4 (4), 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



Chicago Style

Yanik, Fazli, Yekta Altemur Karamustafaoglu, and Yener Yoruk. "EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS." International Journal of Surgery and Medicine 4 (2018), 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



MLA (The Modern Language Association) Style

Yanik, Fazli, Yekta Altemur Karamustafaoglu, and Yener Yoruk. "EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS." International Journal of Surgery and Medicine 4.4 (2018), 170-174. Print. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis



APA (American Psychological Association) Style

Yanik, F., Karamustafaoglu, . Y. A. & Yoruk, . Y. (2018) EVALUATION OF PATIENTS WHO UNDERWENT BILATERAL UNIPORTAL VIDEO ASSISTED THORACIC SYMPATHICOTOMY FOR PRIMARY HYPERHIDROSIS. International Journal of Surgery and Medicine, 4 (4), 170-174. doi:10.5455/ijsm.vats-sympathicotomy-for-primary-hyperhidrosis