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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La simpatectom&#237;a de la cadena tor&#225;cica constituye un procedimiento quir&#250;rgico efectivo en el tratamiento de las hiperhidrosis axilopalmares</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La introducci&#243;n de la cirug&#237;a videotoracosc&#243;pica ha permitido realizar en los &#250;ltimos a&#241;os este procedimiento quir&#250;rgico de manera poco invasiva y con buenos resultados</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En este art&#237;culo describimos la t&#233;cnica y nuestra casu&#237;stica&#44; con una serie de 50 pacientes&#44; con edades comprendidas entre los 16 y los 48 a&#241;os</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El abordaje al principio fue unilateral en tiempos quir&#250;rgicos sucesivos&#44; para pasar despu&#233;s a efectuarlo bilateral&#44;primero en dec&#250;bitos laterales secuenciales y luego en posi-ci&#243;n semisentada</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones de la serie consistieron en un s&#237;ndro-me de Claude Bernard Horner incompleto que cedi&#243; espont&#225;neamente a los 2 meses de la intervenci&#243;n&#59; un fallo en la consecuci&#243;n de la simpatectom&#237;a por no localizaci&#243;n de la cadena&#44; lo que oblig&#243; a la reintervenci&#243;n temprana&#46; Un 12&#37; de neumot&#243;rax laminares&#59; un 26&#37; de hipersudaciones compensadoras&#44; un 10&#37; de dolor tor&#225;cico por afecci&#243;n de los intercostales que con el tiempo cedieron y un 8&#37; de hemorragias discretas</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En todos los casos se obtuvieron excelentes resultados cl&#237;nicos&#44; con desaparici&#243;n completa de la sudaci&#243;n tanto axilar como palmar&#46; El grado de satisfacci&#243;n de los pacientes fue calificado de 9&#44;2&#47;10 &#40;puntuaci&#243;n obtenida en la consulta postoperatoria al a&#241;o&#41;&#46; La estancia hospitalaria media fue inferior a las 36 h</p>"
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Vol. 38. Issue 9.
Pages 421-426 (September 2002)
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Vol. 38. Issue 9.
Pages 421-426 (September 2002)
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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
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R. Guijarro Jorge
Corresponding author
guijarro@comv.es

Correspondencia: Servicio de Cirugía Torácica. Hospital General Universitario. Avda. Tres Cruces, s/n. Valencia
, A. Arnau Obrer, A. Fernández Centeno, F. Regueiro Mira, A. Pérez Alonso, M. Cañizares Carretero, A. Cantó Armengod
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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Article information

La simpatectomía de la cadena torácica constituye un procedimiento quirúrgico efectivo en el tratamiento de las hiperhidrosis axilopalmares

La introducción de la cirugía videotoracoscópica ha permitido realizar en los últimos años este procedimiento quirúrgico de manera poco invasiva y con buenos resultados

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

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

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

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

Palabras clave:
Hiperhidrosis axilar y palmar
Simpatectomía torácica bilateral
Cirugía videotoracoscópica

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

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

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%

Outcome was excellent, with complete disappearance of axillary and palmar perspiration. Patient satisfaction was 9.2/10 one year after surgery. Mean hospital stay was less than 36 h

Keywords:
Axillary hyperhidrosis
Palmar hyperhidrosis
Bilateral thoracic sympathectomy
Video-assisted thoracic surgery
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Copyright © 2002. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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