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World Journal of Surgery

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01-09-2015 | Original Scientific Report with Video

Single-Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis

Authors: Ye Ning, Yanan Wang, Xiandong Tao, Hua Tang, Jingjing Jiang, Yonghua Li, Guangyuan Sun, Lei Xue, Xuewei Zhao

Published in: World Journal of Surgery | Issue 9/2015

Abstract

Objectives

Thoracic sympathectomy is considered the most effective method to treat palmar hyperhidrosis. We presented a novel procedure for thoracic sympathectomy treating palmar hyperhidrosis which could be performed under monitored anesthesia care. The aim of this study was to evaluate the continuing efficacy and safety of this innovative surgery.

Method

From May 2011 to May 2014, we performed the single-port endoscopic thoracic sympathectomy (ETS) with a flexible thoracoscopy in 32 patients under monitored anesthesia care. All patients were followed up until today.

Results

Under monitored anesthesia, all patients were awake during the procedure. A proper sedation and local anesthesia make it possible for patients to communicate with surgeons. The symptoms disappeared immediately when the sympathectomy was done. No surgical complications occurred during the procedure. All patients were discharged from the hospital on the first morning of postoperative day. Compared with the traditional approach, the advantages of less operative costs, fewer hospital days, and better recovery were suggested.

Conclusions

Single-port ETS with flexible thoracoscopy under monitored anesthesia is a promising procedure for palmar hyperhidrosis.

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Title: Single-Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis
Authors: Ye Ning
Yanan Wang
Xiandong Tao
Hua Tang
Jingjing Jiang
Yonghua Li
Guangyuan Sun
Lei Xue
Xuewei Zhao
Publication date: 01-09-2015
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 9/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-015-3104-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis

Abstract

Objectives

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Method

Results

Conclusions

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