PURPOSE: To investigate the association between intraoperative palm temperature change and the curative effect of sympathicotomy. METHODS: 49 patients with palmar hyperhidrosis were treated with bilateral endoscopic sympathicotomy. Ipsilateral palm temperature was monitored before and at 3-5 min increments after the sympathetic trunk was transected. The maximum temperature elevation (Tmax) was calculated and used to evaluate the effect on postoperative cure rates. RESULTS: Forty-nine patients underwent 98 sympathicotomies. There were 77 T4 sympathicotomies, 15 T4 + T5 sympathicotomies, and six T3 sympathicotomies due to pleural adhesions or neurovascular proximity. The Tmax was ≤1°C in 49 (50.0%), 1-1.5°C in 17 (17.3%), and >1.5°C in 32 (32.7%) palms. Ninety-two palms of 46 patients were followed with complete efficacy, and three patients were lost to follow up. Cure was achieved in 86 palms (93.4%). Of the 71 palms which underwent T4 sympathicotomy, cure was achieved in 67 palms (94.3%). In those palms which did not achieve cure, the Tmax was less than 1°C in each case, while in palms with a Tmax ≤1°C, 32 of 36 (88.9%) were cured. CONCLUSION: There is an association between intraoperative palmar temperature change and curative effect. However, palmar temperature change cannot be used to predict cure or guide surgical approach.
PURPOSE: To investigate the association between intraoperative palm temperature change and the curative effect of sympathicotomy. METHODS: 49 patients with palmar hyperhidrosis were treated with bilateral endoscopic sympathicotomy. Ipsilateral palm temperature was monitored before and at 3-5 min increments after the sympathetic trunk was transected. The maximum temperature elevation (Tmax) was calculated and used to evaluate the effect on postoperative cure rates. RESULTS: Forty-nine patients underwent 98 sympathicotomies. There were 77 T4 sympathicotomies, 15 T4 + T5 sympathicotomies, and six T3 sympathicotomies due to pleural adhesions or neurovascular proximity. The Tmax was ≤1°C in 49 (50.0%), 1-1.5°C in 17 (17.3%), and >1.5°C in 32 (32.7%) palms. Ninety-two palms of 46 patients were followed with complete efficacy, and three patients were lost to follow up. Cure was achieved in 86 palms (93.4%). Of the 71 palms which underwent T4 sympathicotomy, cure was achieved in 67 palms (94.3%). In those palms which did not achieve cure, the Tmax was less than 1°C in each case, while in palms with a Tmax ≤1°C, 32 of 36 (88.9%) were cured. CONCLUSION: There is an association between intraoperative palmar temperature change and curative effect. However, palmar temperature change cannot be used to predict cure or guide surgical approach.
Authors: John Hornberger; Kevin Grimes; Markus Naumann; Dee Anna Glaser; Nicholas J Lowe; Hans Naver; Samuel Ahn; Lewis P Stolman Journal: J Am Acad Dermatol Date: 2004-08 Impact factor: 11.527
Authors: Augusto Ishy; José Ribas Milanez de Campos; Nelson Wolosker; Paulo Kauffman; Miguel Lia Tedde; Camila Ribeiro Chiavoni; Fábio Biscegli Jatene Journal: Interact Cardiovasc Thorac Surg Date: 2011-01-13
Authors: Robert J Cerfolio; Jose Ribas Milanez De Campos; Ayesha S Bryant; Cliff P Connery; Daniel L Miller; Malcolm M DeCamp; Robert J McKenna; Mark J Krasna Journal: Ann Thorac Surg Date: 2011-05 Impact factor: 4.330