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Simpatectomía toracoscópica: una revisión de la literatura
Other Titles: Thoracoscopic sympathectomy: a literature review
Authors: Bejarano, B. (B.)
Manrique, M. (Miguel)
Keywords: Sympathectomy
Raynaud disease
Issue Date: 2010
Publisher: Sociedad Española de Neurocirugía
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ISSN: 1130-1473
Citation: Bejarano B, Manrique M. Simpatectomía toracoscópica: una revisión de la literatura. Neurocirugia (Astur) 2010 Feb;21(1):5-13.
INTRODUCTION: Since its first description by Kux in 1954, the thoracic endoscopic (thoracoscopic) sympathectomy has rendered the open techniques obsolete in the treatment of the hyperhidrosis and other sympathetic-related diseases. AIM. The goal of this article is to present a critical review of the current indications, results and complications of the endoscopic thoracic sympathectomy. MATERIAL AND METHODS: An extensive search and review of published papers on the thoracoscopic sympathectomy was undertaken. RESULTS: The thoracoscopic sympathectomy has evolved as a therapeutic choice in patients with focal hyperhidrosis, pain syndromes and peripheral vascular disorders, particularly. The results, recurrences and complications are similar to the previously established open procedures; nevertheless, the morbidity, the hospital stay and the time to return to activities of daily living are substantially reduced. The highest success and satisfaction rates (over 95%) were observed among patients treated for focal hyperhidrosis. CONCLUSIONS: The success and complication rates of thoracoscopic sympathectomy are comparable to those of open techniques, with an easier postoperative period and an earlier return to labor and daily living.
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Appears in Collections:DA - CUN - Neurología - Artículos de revista
DA - CUN - Neurocirugía - Artículos de revista

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