{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T14:34:45Z","timestamp":1720708485804},"reference-count":23,"publisher":"Royal College of Surgeons of England","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> Thorascopic sympathectomy is accepted as an effective treatment for palmar hyperhidrosis, facial blushing and to a lesser extent for digital ischaemia and axillary hyperhidrosis. <\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p> Data were collected retrospectively on patients undergoing thorascopic sympathectomy at St Peter's Hospital between 1987 and 2006. Patients were followed up by telephone interview. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> A total of 233 thorascopic sympathectomy procedures were performed by a single operator in 123 patients. Ages ranged from 9\u201371 years and 75 were women. In patients, 105 had a bilateral and 13 a unilateral procedure, 5 patients had a bilateral procedure performed in two stages. In 6 upper limbs, the procedure could not be done. Overall, 110 patients (90%) had the procedure performed for palmar hyperhidrosis, 8 (6%) for facial blushing and in 5 (4%) patients the operation was performed for digital ischaemia with tissue loss. There were no deaths and all patients were discharged on day 1 following the procedure. Complications included bleeding (2), pulmonary oedema (1) and failed procedure (2); however, no incidences of Horner's syndrome occurred. Only 40 of 123 (32.5%) patients gave follow-up information. Of this small group, 33 of 40 (83%) were cured, 4 of 40 (10%) were better, 2 of 40 (5%) were unchanged and 1 patient was worse. Only 22 out of 40 (55%) of these patients were troubled by compensatory sweating, with only 4 of 40 (10%) reporting this as a major problem. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> Thorascopic sympathectomy is safe and can be carried out as a single bilateral procedure in the majority of cases. The laser allows the use of a single port, requires less dissection than surgical or clipping techniques, is more precise than diathermy and may be less likely to cause a Horner's syndrome. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588408x261654","type":"journal-article","created":{"date-parts":[[2008,2,29]],"date-time":"2008-02-29T00:55:07Z","timestamp":1204246507000},"page":"142-145","source":"Crossref","is-referenced-by-count":1,"title":["Thorascopic Sympathectomy Performed Using Laser"],"prefix":"10.1308","volume":"90","author":[{"given":"SA","family":"Black","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, St Peter's Hospital Chertsey, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FGM","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Peter's Hospital Chertsey, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MH","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, St Peter's Hospital Chertsey, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Ariga","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Peter's Hospital Chertsey, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MH","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Peter's Hospital Chertsey, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050047"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-2896(04)75475-7"},{"key":"b3","first-page":"38","volume":"23","author":"Kao MC","year":"1994","journal-title":"Ann Acad Med Singapore"},{"key":"b4","first-page":"306","volume":"50","author":"Han PP","year":"2002","journal-title":"Neurosurgery"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.06.003"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)01069-5"},{"key":"b7","first-page":"19","volume":"580","author":"Krasna MJ","year":"1998","journal-title":"Eur J Surg Suppl"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1097\/00129689-200208000-00011"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8940-5"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.2001.450119.x"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(81)90188-1"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62480-0"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1016\/S0034-5687(97)02524-3"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1378\/chest.101.1.275"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4511"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02422-5"},{"key":"b17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.00992.x"},{"key":"b18","first-page":"39","volume":"99","author":"Yoon DH","year":"2003","journal-title":"J Neurosurg"},{"key":"b19","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s00701-003-0011-8","volume":"145","author":"Yoon SH","year":"2003","journal-title":"Acta Neurochir (Wien)"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.23"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.57.11.2095"},{"key":"b22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2003.05620.x"},{"key":"b23","first-page":"36","volume":"113","author":"Schnider P","year":"2001","journal-title":"Wien Klin Wochenschr"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588408X261654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:58:36Z","timestamp":1684144716000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588408X261654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["10.1308\/003588408X261654"],"URL":"https:\/\/doi.org\/10.1308\/003588408x261654","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}