ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical results of 349 thoracoscopic sympathectomies
Oryal Erdik1, Sezgin Karasu1, İsmail Haberal2, Akın Yıldızhan1, Ali Ayata3, Ayhan Yıldırım4
1Diyarbakır Asker Hastanesi, Göğüs Cerrahisi Kliniği, Diyarbakır
2Diyarbakır Asker Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Diyarbakır
3Diyarbakır Asker Hastanesi, Göz Hastalıkları Kliniği, Diyarbakır
4Diyarbakır Asker Hastanesi,Beyin Cerrahisi Kliniği, Diyarbakır
Background: Hyperhydrosis and vasospastic vessel disease (VVD) applications are among the major interventions in thoracic surgery. In this study, the results of thoracoscopic sympathectomy operations with two-ports (TPTS) in our clinic were reported.

Methods: Between January 2002 and December 2005, medical records of a total of 188 patients (185 males, 3 females; mean age 20.7 years; range 20-32) admitted to our clinic with palmar hyperhidrosis and/or axillary hyperhidrosis and dorsal hyperhidrosis or VVD which had undergone TPTS were investigated according to gender, age, sex, applied surgical procedure, operation duration, intraoperative and postoperative complications and duration of hospitalization time in the post-operative period.

Results: Bilateral thoracic sympathectomies were performed in two different operations to 126 patients with hyperhydrosis. Unilateral thoracic sympathectomy was applied to 17 patients. Because of VVD, bilateral thoracic sympathectomy was applied in two different operations to 35 patients andunilateral thoracic sympathectomy was applied 10 patients. In 3 cases, thoracoscopic decortication was applied and expansion obtained because of intraoperative space of expansion fault for the thickened visceral pleura in the upper-medium or lower lobes. During a postoperative follow-up period of 10-58 months, compensatory sweating was recorded only in two patients.

Conclusions: In our study, TPTS procedures were found to be safe and succesfull in the treatment of hyperhidrosis and VVD.

Keywords : Hyperhidrosis/surgery; sympathectomy/methods;thoracoscopy
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