alexa Minimally Invasive Thoracic Sympathectomy For Palmar Hyperhidrosis Via A Single-incision Approach By The Pleura Videoscope
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
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4th International Conference on Clinical & Experimental Dermatology
April 14-16, 2014 Hilton San Antonio Airport, TX, USA

Yun Hai Yang
ScientificTracks Abstracts: J Clin Exp Dermatol Res
DOI: 10.4172/2155-9554.C1.013
Abstract
Palmar hyperhidrosis is a common disease that causes intense significant for patients. Bilateral single-port thoracoscopic sympathectomy approach is an effective surgical treatment with high success rates and improvement in quality of life. In order to reduce surgical invasion and seek for better cosmetic results, we describe a novel protocol for thoracic sympathectomy in the treatment of palmar hyperhidrosis. Between January 2012 and September 2012, bilateral thoracic sympathectomy was performed through the anterior mediastinal pleura using the pleura videoscope with a single skin incision in 10 men and 6 women. A total of 16 patients were cured and the skin temperature increased by a mean of (2.7�0.6) 0 C. The average operation time of was 67.9�15.8 min, with postoperative hospital stay of 1.9�0.6 days and operative bleeding of less than 20ml. All operations were successful with no severe complications or perioperative mortality. A 9.8�2.3 month (7-14 month) follow- up showed that palmar sweating improved in all patients and the effective rate was 100%. Single-incision bilateral thoracic sympathectomy through the anterior mediastinal pleura is an effective, feasible, safe and minimally invasive procedure with excellent cosmetic results.
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