Nuestra experiencia en el tratamiento de las hiperhidrosis de los miembros superiores mediante videotoracoscopia: análisis tras las primeras 100 intervenciones
Our experience in the treatment of hyperhidrosis of the upper limbs by video-assisted thoracoscopy:an analysis of our first 100 procedures
R. Guijarro Jorge
, A. Arnau Obrer, A. Fernández Centeno, F. Regueiro Mira, A. Pérez Alonso, M. Cañizares Carretero, A. Cantó Armengod
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guijarro@comv.es
Correspondencia: Servicio de Cirugía Torácica. Hospital General Universitario. Avda. Tres Cruces, s/n. Valencia
Correspondencia: Servicio de Cirugía Torácica. Hospital General Universitario. Avda. Tres Cruces, s/n. Valencia
Servicios de Cirugía Torácica, Hospital General Universitario de Valencia
M. Granell Gila
a Servicios de Anestesiología. Hospital General Universitario de Valencia
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"apellidos" => "Guijarro Jorge" "email" => array:1 [ 0 => "guijarro@comv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Arnau Obrer" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Centeno" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Regueiro Mira" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Pérez Alonso" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Cañizares Carretero" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Cantó Armengod" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Cirugía Torácica, Hospital General Universitario de Valencia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital General Universitario. Avda. Tres Cruces, s/n. Valencia" ] ] ] 1 => array:3 [ "autoresLista" => "M. Granell Gil" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Granell Gil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de Anestesiología. Hospital General Universitario de Valencia" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Our experience in the treatment of hyperhidrosis of the upper limbs by video-assisted thoracoscopy:an analysis of our first 100 procedures" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-01-24" "fechaAceptado" => "2002-05-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190461" "palabras" => array:3 [ 0 => "Hiperhidrosis axilar y palmar" 1 => "Simpatectomía torácica bilateral" 2 => "Cirugía videotoracoscópica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190462" "palabras" => array:4 [ 0 => "Axillary hyperhidrosis" 1 => "Palmar hyperhidrosis" 2 => "Bilateral thoracic sympathectomy" 3 => "Video-assisted thoracic surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La simpatectomía de la cadena torácica constituye un procedimiento quirúrgico efectivo en el tratamiento de las hiperhidrosis axilopalmares</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La introducción de la cirugía videotoracoscópica ha permitido realizar en los últimos años este procedimiento quirúrgico de manera poco invasiva y con buenos resultados</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En este artículo describimos la técnica y nuestra casuística, con una serie de 50 pacientes, con edades comprendidas entre los 16 y los 48 años</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El abordaje al principio fue unilateral en tiempos quirúrgicos sucesivos, para pasar después a efectuarlo bilateral,primero en decúbitos laterales secuenciales y luego en posi-ción semisentada</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones de la serie consistieron en un síndro-me de Claude Bernard Horner incompleto que cedió espontáneamente a los 2 meses de la intervención; un fallo en la consecución de la simpatectomía por no localización de la cadena, lo que obligó a la reintervención temprana. Un 12% de neumotórax laminares; un 26% de hipersudaciones compensadoras, un 10% de dolor torácico por afección de los intercostales que con el tiempo cedieron y un 8% de hemorragias discretas</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En todos los casos se obtuvieron excelentes resultados clínicos, con desaparición completa de la sudación tanto axilar como palmar. El grado de satisfacción de los pacientes fue calificado de 9,2/10 (puntuación obtenida en la consulta postoperatoria al año). La estancia hospitalaria media fue inferior a las 36 h</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Sympathectomy of the thoracic chain is an effective surgical procedure for treating axillary and palmar hyperhidrosis. The procedure has been performed with minimal invasion and good results in recent years through the use of videothoracoscopic surgery</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">This paper describes the technique and our experience with a series of 50 patients between 16 and 48 years old. The earliest approach was unilateral in successive operations. The procedure was later performed bilaterally, at first with the patients in sequential lateral decubitus positions and later in semi-seated position</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Complications were 1 case of incomplete Claude-Bernard-Horner syndrome that resolved spontaneously two months after surgery; 1 death when sympathectomy was performed without location of the chain, obliging rapid re-operation; laminar pneumothorax in 12% of the series; compensatory hyperhidrosis in 26%; 10% with chest pain due to intercostal involvement, resolving with time; and slight bleeding in 8%</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Outcome was excellent, with complete disappearance of axillary and palmar perspiration. Patient satisfaction was 9.2/10 one year after surgery. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 3 | 4 |
| 2024 October | 31 | 35 | 66 |
| 2024 September | 28 | 22 | 50 |
| 2024 August | 47 | 44 | 91 |
| 2024 July | 34 | 30 | 64 |
| 2024 June | 46 | 47 | 93 |
| 2024 May | 44 | 36 | 80 |
| 2024 April | 25 | 39 | 64 |
| 2024 March | 34 | 53 | 87 |
| 2024 February | 20 | 68 | 88 |
| 2024 January | 0 | 22 | 22 |
| 2023 December | 0 | 30 | 30 |
| 2023 November | 0 | 18 | 18 |
| 2023 October | 0 | 17 | 17 |
| 2023 September | 0 | 10 | 10 |
| 2023 August | 0 | 12 | 12 |
| 2023 July | 0 | 12 | 12 |
| 2023 June | 0 | 17 | 17 |
| 2023 March | 7 | 9 | 16 |
| 2023 February | 26 | 36 | 62 |
| 2023 January | 24 | 54 | 78 |
| 2022 December | 21 | 66 | 87 |
| 2022 November | 41 | 35 | 76 |
| 2022 October | 33 | 58 | 91 |
| 2022 September | 16 | 48 | 64 |
| 2022 August | 34 | 54 | 88 |
| 2022 July | 22 | 52 | 74 |
| 2022 June | 21 | 79 | 100 |
| 2022 May | 26 | 51 | 77 |
| 2022 April | 36 | 61 | 97 |
| 2022 March | 29 | 62 | 91 |
| 2022 February | 31 | 59 | 90 |
| 2022 January | 22 | 74 | 96 |
| 2021 December | 20 | 56 | 76 |
| 2021 November | 20 | 56 | 76 |
| 2021 October | 21 | 54 | 75 |
| 2021 September | 19 | 64 | 83 |
| 2021 August | 17 | 68 | 85 |
| 2021 July | 18 | 35 | 53 |
| 2021 June | 24 | 49 | 73 |
| 2021 May | 21 | 34 | 55 |
| 2021 April | 51 | 91 | 142 |
| 2021 March | 24 | 48 | 72 |
| 2021 February | 30 | 31 | 61 |
| 2021 January | 30 | 34 | 64 |
| 2020 December | 25 | 26 | 51 |
| 2020 November | 19 | 27 | 46 |
| 2020 October | 16 | 23 | 39 |
| 2020 September | 18 | 16 | 34 |
| 2020 August | 19 | 23 | 42 |
| 2020 July | 27 | 20 | 47 |
| 2020 June | 13 | 11 | 24 |
| 2020 May | 10 | 19 | 29 |
| 2020 April | 19 | 22 | 41 |
| 2020 March | 20 | 23 | 43 |
| 2020 February | 23 | 29 | 52 |
| 2020 January | 33 | 22 | 55 |
| 2019 December | 28 | 22 | 50 |
| 2019 November | 5 | 14 | 19 |
| 2019 October | 19 | 10 | 29 |
| 2019 September | 13 | 22 | 35 |
| 2019 August | 13 | 5 | 18 |
| 2019 July | 14 | 21 | 35 |
| 2019 June | 8 | 18 | 26 |
| 2019 May | 31 | 25 | 56 |
| 2019 April | 15 | 30 | 45 |
| 2019 March | 10 | 28 | 38 |
| 2019 February | 10 | 7 | 17 |
| 2019 January | 12 | 11 | 23 |
| 2018 December | 8 | 13 | 21 |
| 2018 November | 28 | 18 | 46 |
| 2018 October | 25 | 11 | 36 |
| 2018 September | 15 | 8 | 23 |
| 2018 May | 11 | 2 | 13 |
| 2018 April | 7 | 11 | 18 |
| 2018 March | 7 | 8 | 15 |
| 2018 February | 6 | 12 | 18 |
| 2018 January | 7 | 8 | 15 |
| 2017 December | 12 | 18 | 30 |
| 2017 November | 4 | 5 | 9 |
| 2017 October | 7 | 9 | 16 |
| 2017 September | 4 | 4 | 8 |
| 2017 August | 8 | 21 | 29 |
| 2017 July | 14 | 7 | 21 |
| 2017 June | 11 | 28 | 39 |
| 2017 May | 10 | 14 | 24 |
| 2017 April | 6 | 7 | 13 |
| 2017 March | 4 | 26 | 30 |
| 2017 February | 6 | 5 | 11 |
| 2017 January | 8 | 10 | 18 |
| 2016 December | 17 | 11 | 28 |
| 2016 November | 26 | 13 | 39 |
| 2016 October | 40 | 17 | 57 |
| 2016 September | 32 | 17 | 49 |
| 2016 August | 18 | 7 | 25 |
| 2016 July | 24 | 8 | 32 |
| 2016 June | 26 | 9 | 35 |
| 2016 May | 19 | 8 | 27 |
| 2016 April | 12 | 1 | 13 |
| 2016 March | 9 | 2 | 11 |
| 2016 February | 10 | 3 | 13 |
| 2016 January | 30 | 23 | 53 |
| 2015 December | 30 | 15 | 45 |
| 2015 November | 37 | 8 | 45 |
| 2015 October | 139 | 1 | 140 |
| 2015 September | 130 | 0 | 130 |
| 2015 August | 142 | 0 | 142 |
| 2015 July | 170 | 0 | 170 |
| 2015 June | 171 | 0 | 171 |
| 2015 May | 159 | 0 | 159 |
| 2015 April | 141 | 0 | 141 |
| 2015 March | 137 | 0 | 137 |
| 2015 February | 137 | 0 | 137 |
| 2015 January | 127 | 0 | 127 |
| 2014 December | 85 | 0 | 85 |
| 2014 November | 113 | 0 | 113 |
| 2014 October | 167 | 0 | 167 |
| 2014 September | 119 | 0 | 119 |
| 2014 August | 99 | 0 | 99 |
| 2014 July | 101 | 0 | 101 |
| 2014 June | 112 | 0 | 112 |
| 2014 May | 94 | 0 | 94 |
| 2014 April | 117 | 0 | 117 |
| 2014 March | 92 | 0 | 92 |
| 2014 February | 83 | 0 | 83 |
| 2014 January | 87 | 0 | 87 |
| 2013 December | 65 | 0 | 65 |
| 2013 November | 68 | 0 | 68 |
| 2013 October | 93 | 0 | 93 |
| 2013 September | 81 | 0 | 81 |
| 2013 August | 76 | 0 | 76 |
| 2013 July | 86 | 0 | 86 |
| 2013 June | 63 | 0 | 63 |
| 2013 May | 44 | 0 | 44 |
| 2013 April | 48 | 0 | 48 |
| 2013 March | 9 | 0 | 9 |
| 2000 January | 5224 | 0 | 5224 |
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