One stage single port bilateral sympathectomy for palmar hyperhidrosis trans-axillary versus midclavicul arapproache

Osman, Dina Mohamed; Abdrabo, Mahmoud Mohamed; Elsharawy, Mamdouh

doi:10.21608/zumj.2021.86661.2287

One stage single port bilateral sympathectomy for palmar hyperhidrosis trans-axillary versus midclavicul arapproache

Document Type : Original Article

Authors

¹ cardiothoracic surgery zagazig university egypt

² cardiothoracic surgery faculty of medicine zagazig university Egypt

³ Cardiothoracic Surgery, Faculty of Medicine, Zagazig University, Egypt

10.21608/zumj.2021.86661.2287

Abstract

Objective :
, video-assisted thoracoscopicsympathectomy had proven as a safe, minimally invasive process for palmar, axillary hyper-hidrosis. Our look at will speak the successful bilateral unmarried port sympathectomy as opposed to bilateral trans axillary unmarried-port video assisted thoracoscopicsympathectomy.
METHODS:
Cases underwent up information accumulated, analyzed in Zagazig University, king Khalid health center Najran KSA among December 2017, April 2021. .In our approach all cases inside the supine function with arms lightly kidnapped underwent endoscopic technique treatment thru 3cm incision inside the areola just underneath the nipple in case, 3cm sub mammary incisions incase inside the line, the thoracic hollow space became approached thru the fourth intercostal area. In institution B the sufferers had placed in lateral decubitus function. A unmarried 2-cm lengthy transverse axillary incision turned into made in the fourth intercostal area.
Results:
There became exceedingly statistically enormous difference among the 2 studied companies as regard imply operative time it become forty eight.2±nine.6 in institution A, 60.3±10.Four in organization B. There become no statistically good sized difference between the 2 studied agencies as regard submit-operative observe up information such as postoperative pain,compensatoryhyperhydrosis,or worsening of the circumstance. There changed into no statistically sizable difference between the two studied businesses as regard different publish-operative headaches inclusive of residual pneumothrax segmental fall apart horners syndrome residual shoulder ache There became huge difference in,superb wound restoration, higher beauty apearence.
Conclusion:.Bilateral mid clavicular one-staged video-assisted thoracoscopicsympathectomies had much less operative time less submit-operative difficulty within the shape of much less contamination, pneumothorax, fall apart.

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