Palmar skin temperature importance during transthoracic endoscopic sympathectomy for palmar hyperhidrosis [Palmar hiperhidrozis i?çin yapılan transtorasik endoskopik sempatektomi sırasında palmar cilt sıcaklı?ının önemi]

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dc.contributor.authorOncel M.
dc.contributor.authorSudam G.S.
dc.contributor.authorKarabagli H.
dc.contributor.authorKara I.
dc.contributor.authorCelik J.B.
dc.date.accessioned2020-03-26T18:32:25Z
dc.date.available2020-03-26T18:32:25Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The primary goal of this study is to identity and analysis age, diagnosis, sympathic chain levels, complications and results associated with successful endoscopic surgical treatment for hyperhydrosis and also this study was to investigate of palmar temperature changes during the operation and to prove the successful surgical procedures and beneficial of the bilateral sympathectomy during the peroperative case. Methods: Fifty one patients with severe primary palmar hyperhidrosis received bilateral endoscopic thoracic sympathectomy. Different levels of transection from T4 to T2 were performed step by step until the successful extirpation was implied by the recorded unilateral right palmar temperature intraoperative monitoring. The results of the operations were studied. All patients were followed up and evaluated for symptom resolution, postoperative complication, levels of satisfaction, and severity of compensatory sweating. Effective extirpation ganglia occurred with the intraoperative increasing palmar temperature. Results: Of a total of 102 lateral procedures, 76 laterals (76%) ended the procedure at the T4 level, 23 laterals (23%) ended the procedure at the T3-T5 level, and 1 lateral (1%) ended the procedure at the T2 level. The postoperative complication was minor, and no Horner's syndrome was detected. The rate of symptom resolution was 100% and no recurrence was found. The satisfaction rate was 92%, and the incidence of mild, moderate, and severe compensatory sweating were 12%, 8%, and 6%, respectively. Conclusions: Concerning the sympathectomy for palmar hyperhidrosis, there is a possibility that the level of the transection varies and should be adjusted for each individual patient. Intraoperative monitoring of temperature may be a useful tool in establishing a kind of standardized reference for finding the correct target level.en_US
dc.identifier.endpage290en_US
dc.identifier.issn1300-1817en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage285en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28692
dc.identifier.volume29en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherEge University Pressen_US
dc.relation.ispartofJournal of Neurological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectEndoscopic sympathectomyen_US
dc.subjectHyperhydrosisen_US
dc.subjectSympathetic chainen_US
dc.titlePalmar skin temperature importance during transthoracic endoscopic sympathectomy for palmar hyperhidrosis [Palmar hiperhidrozis i?çin yapılan transtorasik endoskopik sempatektomi sırasında palmar cilt sıcaklı?ının önemi]en_US
dc.typeArticleen_US

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