Quality of life, before and after thoracic sympathectomy: report on 378 operated patients

Campos, José Ribas Milanez de; Kauffman, Paulo; Werebe, Eduardo de Campos; Filho, Laert Oliveira Andrade; Kusniek, Sergio; Wolosker, Nelson; Jatene, Fábio Biscegli

doi:10.1016/s0003-4975(03)00895-6

Cited by 270 publications

(102 citation statements)

References 12 publications

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“…In general, however, this is considered not more than a nuisance and does not affect overall patient satisfaction. However, a small percentage (1-2%) of patients regret the intervention afterwards [85][86][87][88][89].…”

Section: Results and Complicationsmentioning

confidence: 99%

Advanced techniques in medical thoracoscopy

Tassi¹,

Davies²,

Noppen³

2006

Eur Respir J

103

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For expert pulmonologists, advanced procedures in medical thoracoscopy are the nonroutine and more complex applications of the method. The main current indications are the treatment of infected pleural space, forceps lung biopsy and sympathectomy.In parapneumonic effusions and empyema, medical thoracoscopy is as a drainage procedure, intermediate between tube thoracostomy and video-assisted thoracoscopic surgery (VATS), which is efficient, significantly lower in cost and avoids surgical thoracoscopy under general anaesthesia. It is essential that it is performed early in the course of the disease and is particularly advisable for frail patients at high surgical risk.The efficacy of forceps lung biopsy has been demonstrated in diffuse lung diseases, whereas results in localised lung diseases and chest-wall lesions have been less positive. However, VATS is currently the preferred approach for these indications. The technique still maintains its efficacy for visceral pleura and peripheral lung biopsy, in particular in the presence of pleural effusion and lung disorders.At the present time, thoracoscopic sympathectomy is minimally invasive and is an accepted intervention for patients with a variety of autonomous nervous system disturbances. Essential hyperhidrosis patients, and well-selected patients with other disorders, can be helped with this procedure, which can also be performed by interventional pulmonologists.

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Section: Results and Complicationsmentioning

confidence: 99%

Advanced techniques in medical thoracoscopy

Tassi¹,

Davies²,

Noppen³

2006

Eur Respir J

103

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“…Besides compensatory hyperhidrosis, excessive dryness of the hands can also influence the degree of postoperative patient satisfaction [26,27]. In our study, almost a quarter of patients experienced some form of overdryness of the hand.…”

Section: Discussionmentioning

confidence: 61%

Long-term results of a randomized controlled trial of T2 versus T2–T3 ablation in endoscopic thoracic sympathectomy for palmar hyperhidrosis

et al. 2015

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“…Die Behandlung von Patienten mit einer Hyperhidrose der oberen Extremität mittels thorakaler Sympathektomie führt zu einer Verbesserung der Lebensqualität der Patienten [26,33]. In unserem Patientenkollektiv traf dies auf die meisten Patienten mit palmar-plantarer und palmar-axillärer Hyperhidrose, aber nur auf knapp die Hälfte der Patienten mit isolierter axillärer Hyperhidrose zu.…”

Section: Diskussionunclassified

Treatment of palmar and axillary hyperhidrosis

Rieger

Pedevilla

Pöchlauer

2008

Chirurg

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Video-assisted thoracoscopic resection of the sympathetic chain from T2 to T4-5 is safe and effective and leads in almost 100% of cases to the elimination of palmar and axillary hyperhidrosis. In contrast to the excellent results in patients with palmar-plantar and palmar-axillary hyperhidrosis, outcome in patients with isolated axillary hyperhidrosis was impaired by a high rate of disturbing compensatory sweating.

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Quality of life, before and after thoracic sympathectomy: report on 378 operated patients

Cited by 270 publications

References 12 publications

Advanced techniques in medical thoracoscopy

Advanced techniques in medical thoracoscopy

Long-term results of a randomized controlled trial of T2 versus T2–T3 ablation in endoscopic thoracic sympathectomy for palmar hyperhidrosis

Treatment of palmar and axillary hyperhidrosis

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