- el 68,6% de los operados quedo con sc. De estos algunos puede llegar a ser disabilitador
-recomienda otros metodos selectivos alternativos en vez de cortar el tronco principal, esto se deberia hacer para asegurar la eficacia en reduccion de la complicacion del sc


http://www.ncbi.nlm.nih.gov/pubmed/18521466?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

1: Saudi Med J. 2008 Jun;29(6):863-6.Links
Complications of video assisted thoracoscopic sympathectomy for primary hyperhidrosis.Al-Tarshihi MI, Khamash FA, El-Khushman HM.
Thoracic Surgery Division, King Hussein Medical Center, PO Box 6926, Amman 11118, Jordan. Tel. +962 (79) 5542420. Fax. +962 (6) 5854566. E-mail: mtarshihi@gmail.com.

OBJECTIVE: To document the possible complications of video-assisted thoracoscopic sympathectomy procedure and their frequency of occurrence. METHODS: This retrospective study was conducted at King Hussein Medical Center, Amman, Jordan, between April 2001 and January 2006. Two hundred and seven patients underwent thoracoscopic sympathectomy for the treatment of facial, axillary, and/or palmar hyperhidrosis. Follow up was completed for one year. All possible early and late complications were documented and analyzed. RESULTS: Males constituted 59.4% of the studied patients. Mean age range was 25.2+/-4.6 13-34 years. One hundred and fifty-three patients 73.9% had palmar hyperhidrosis as the main indication for sympathectomy, 4 patients 1.9% had axillary hyperhidrosis, and facial sweating or blushing in 7 patients 3.4%. Palmar hyperhidrosis combined with axillary and/or facial sweating were found in 43 patients 20.8%. The most common recorded complication was compensatory hyperhidrosis, which occurred in 142 patients 68.6%. CONCLUSION: Compensatory sweating remains the most common, and most disabling complication of video-assisted thoracoscopic sympathectomy. Other alternative more selective methods, rather than cutting the main trunk should be studied thoroughly to assess their efficacy in reducing the complication of compensatory sweating.

PMID: 18521466 [PubMed - in process]
