Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?
This study compares early results of video-assisted thoracoscopic sympathectomy (VTS) at the thoracic T2 versus T3 ganglion denervation levels for the treatment of palmar hyperhydrosis (PH). Sixty patients with PH were prospectively randomized for VTS at the thoracic T2 or T3 ganglion denervation le...
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| Veröffentlicht in: | Journal of vascular surgery 2005-08, Vol.42 (2), p.281-285 |
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| container_title | Journal of vascular surgery |
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| creator | Yazbek, Guilherme Wolosker, Nelson Milanez de Campos, José Ribas Kauffman, Paulo Ishy, Augusto Puech-Leão, Pedro |
| description | This study compares early results of video-assisted thoracoscopic sympathectomy (VTS) at the thoracic T2 versus T3 ganglion denervation levels for the treatment of palmar hyperhydrosis (PH).
Sixty patients with PH were prospectively randomized for VTS at the thoracic T2 or T3 ganglion denervation levels. The patients underwent postoperative evaluation on three occasions: before surgery, and 1 and 6 months after the operation. Endpoints included the absence of PH, the presence, location, and severity of compensatory hyperhydrosis (CH), and a quality-of-life assessment.
Fifty-nine of 60 patients reported complete resolution of PH after surgery. One failure occurred in the T3 group. CH was observed in 26 patients (86.66%) in the T2 group and in 27 patients (90%) in the T3 group at 1 month. At 6 months, 30 of 30 patients in the T2 group and 29 of 30 in the T3 group experienced CH, although in the T3 group, CH was less severe at both 1 and 6 months (P < .05). Quality of life was very poor in both groups before surgery. One month after operation, quality of life was improved similarly in both groups. This improvement was maintained at 6 months in both groups.
PH is well treated by VTS at either the T2 or T3 levels. Denervation at the T3 level appears associated with less severe CH in the early postoperative period. Quality of life improved significantly in both groups. |
| doi_str_mv | 10.1016/j.jvs.2005.03.041 |
| format | Article |
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Sixty patients with PH were prospectively randomized for VTS at the thoracic T2 or T3 ganglion denervation levels. The patients underwent postoperative evaluation on three occasions: before surgery, and 1 and 6 months after the operation. Endpoints included the absence of PH, the presence, location, and severity of compensatory hyperhydrosis (CH), and a quality-of-life assessment.
Fifty-nine of 60 patients reported complete resolution of PH after surgery. One failure occurred in the T3 group. CH was observed in 26 patients (86.66%) in the T2 group and in 27 patients (90%) in the T3 group at 1 month. At 6 months, 30 of 30 patients in the T2 group and 29 of 30 in the T3 group experienced CH, although in the T3 group, CH was less severe at both 1 and 6 months (P < .05). Quality of life was very poor in both groups before surgery. One month after operation, quality of life was improved similarly in both groups. This improvement was maintained at 6 months in both groups.
PH is well treated by VTS at either the T2 or T3 levels. Denervation at the T3 level appears associated with less severe CH in the early postoperative period. Quality of life improved significantly in both groups.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2005.03.041</identifier><identifier>PMID: 16102627</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Hand ; Humans ; Hyperhidrosis - surgery ; Male ; Medical sciences ; Prospective Studies ; Quality of Life ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Sympathectomy - methods ; Thoracoscopy ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Video-Assisted Surgery</subject><ispartof>Journal of vascular surgery, 2005-08, Vol.42 (2), p.281-285</ispartof><rights>2005 The Society for Vascular Surgery</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-4dc1d364e8e1e390a6e5a13764fb3427a2aace2ef26ece1fa4808d23ffa41113</citedby><cites>FETCH-LOGICAL-c424t-4dc1d364e8e1e390a6e5a13764fb3427a2aace2ef26ece1fa4808d23ffa41113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jvs.2005.03.041$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17155150$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16102627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yazbek, Guilherme</creatorcontrib><creatorcontrib>Wolosker, Nelson</creatorcontrib><creatorcontrib>Milanez de Campos, José Ribas</creatorcontrib><creatorcontrib>Kauffman, Paulo</creatorcontrib><creatorcontrib>Ishy, Augusto</creatorcontrib><creatorcontrib>Puech-Leão, Pedro</creatorcontrib><title>Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>This study compares early results of video-assisted thoracoscopic sympathectomy (VTS) at the thoracic T2 versus T3 ganglion denervation levels for the treatment of palmar hyperhydrosis (PH).
Sixty patients with PH were prospectively randomized for VTS at the thoracic T2 or T3 ganglion denervation levels. The patients underwent postoperative evaluation on three occasions: before surgery, and 1 and 6 months after the operation. Endpoints included the absence of PH, the presence, location, and severity of compensatory hyperhydrosis (CH), and a quality-of-life assessment.
Fifty-nine of 60 patients reported complete resolution of PH after surgery. One failure occurred in the T3 group. CH was observed in 26 patients (86.66%) in the T2 group and in 27 patients (90%) in the T3 group at 1 month. At 6 months, 30 of 30 patients in the T2 group and 29 of 30 in the T3 group experienced CH, although in the T3 group, CH was less severe at both 1 and 6 months (P < .05). Quality of life was very poor in both groups before surgery. One month after operation, quality of life was improved similarly in both groups. This improvement was maintained at 6 months in both groups.
PH is well treated by VTS at either the T2 or T3 levels. Denervation at the T3 level appears associated with less severe CH in the early postoperative period. Quality of life improved significantly in both groups.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Hand</subject><subject>Humans</subject><subject>Hyperhidrosis - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Sympathectomy - methods</subject><subject>Thoracoscopy</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Video-Assisted Surgery</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9u1DAQhy1ERZfCA3BBvtBbUo_tOFk4VKjin1QJDnu3vPZk41USBzsbtDfUZ-AJeRJc7Uq9cZo5fL-fZj5C3gArgYG62Zf7JZWcsapkomQSnpEVsHVdqIatn5MVqyUUFQd5SV6mtGcMoGrqF-QSFDCueL0iDz9MP5hIu-OEsfMuhuTT399_fnXedtQnOndIt5hm2uOCPQ0tdThiXMzsw0gPyY87uniHoTApR2d0ORKisSHZMHlL03GYTG6xcxiO7-mG0xDpRtCdGXd97rh9RS5a0yd8fZ5XZPP50-bua3H__cu3u4_3hZVczoV0FpxQEhsEFGtmFFYGRK1kuxWS14YbY5FjyxVahNbIhjWOizZvACCuyPWpdorh5yF_pAefLPa9GTEcklaNbColVQbhBNosI0Vs9RR9dnTUwPSjd73X2bt-9K6Z0Nl7zrw9lx-2A7qnxFl0Bt6dAZOs6dtoRuvTE1dDVUHFMvfhxGE2sXiMOlmPo0XnY1aoXfD_OeMfV0ukBg</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Yazbek, Guilherme</creator><creator>Wolosker, Nelson</creator><creator>Milanez de Campos, José Ribas</creator><creator>Kauffman, Paulo</creator><creator>Ishy, Augusto</creator><creator>Puech-Leão, Pedro</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?</title><author>Yazbek, Guilherme ; Wolosker, Nelson ; Milanez de Campos, José Ribas ; Kauffman, Paulo ; Ishy, Augusto ; Puech-Leão, Pedro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-4dc1d364e8e1e390a6e5a13764fb3427a2aace2ef26ece1fa4808d23ffa41113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Hand</topic><topic>Humans</topic><topic>Hyperhidrosis - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Sympathectomy - methods</topic><topic>Thoracoscopy</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Video-Assisted Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yazbek, Guilherme</creatorcontrib><creatorcontrib>Wolosker, Nelson</creatorcontrib><creatorcontrib>Milanez de Campos, José Ribas</creatorcontrib><creatorcontrib>Kauffman, Paulo</creatorcontrib><creatorcontrib>Ishy, Augusto</creatorcontrib><creatorcontrib>Puech-Leão, Pedro</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yazbek, Guilherme</au><au>Wolosker, Nelson</au><au>Milanez de Campos, José Ribas</au><au>Kauffman, Paulo</au><au>Ishy, Augusto</au><au>Puech-Leão, Pedro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>42</volume><issue>2</issue><spage>281</spage><epage>285</epage><pages>281-285</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>This study compares early results of video-assisted thoracoscopic sympathectomy (VTS) at the thoracic T2 versus T3 ganglion denervation levels for the treatment of palmar hyperhydrosis (PH).
Sixty patients with PH were prospectively randomized for VTS at the thoracic T2 or T3 ganglion denervation levels. The patients underwent postoperative evaluation on three occasions: before surgery, and 1 and 6 months after the operation. Endpoints included the absence of PH, the presence, location, and severity of compensatory hyperhydrosis (CH), and a quality-of-life assessment.
Fifty-nine of 60 patients reported complete resolution of PH after surgery. One failure occurred in the T3 group. CH was observed in 26 patients (86.66%) in the T2 group and in 27 patients (90%) in the T3 group at 1 month. At 6 months, 30 of 30 patients in the T2 group and 29 of 30 in the T3 group experienced CH, although in the T3 group, CH was less severe at both 1 and 6 months (P < .05). Quality of life was very poor in both groups before surgery. One month after operation, quality of life was improved similarly in both groups. This improvement was maintained at 6 months in both groups.
PH is well treated by VTS at either the T2 or T3 levels. Denervation at the T3 level appears associated with less severe CH in the early postoperative period. Quality of life improved significantly in both groups.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16102627</pmid><doi>10.1016/j.jvs.2005.03.041</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB Electronic Journals Library |
| subjects | Adult Biological and medical sciences Hand Humans Hyperhidrosis - surgery Male Medical sciences Prospective Studies Quality of Life Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Sympathectomy - methods Thoracoscopy Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Video-Assisted Surgery |
| title | Palmar hyperhidrosis—which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion? |
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