{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T11:31:50Z","timestamp":1648726310544},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>OBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS: Analysis of the outcomes obtained from 36 patients regarding the rate of resolution of the symptoms and the compensatory sweating (CS). All subjects were followed-up for 36 months. RESULTS: Good outcomes were observed in 98.6% for palmar and 60% for axillary hyperhidrosis (p=0.0423), respectively. Of the subjects, 86% reported some postoperative episode of CS, however only 45% (p=0.0031) still noticed it at the end of the follow-up period. CONCLUSIONS: VATS is effective for the excessive palmar sweating, whereas it is fully efficient for only two thirds of the cases sustaining associated axillar hyperhidrosis. CS is expected as a rule following the proposed operative protocol, however it is usually self-limited.<\/jats:p>","DOI":"10.1590\/s0004-282x2012000600003","type":"journal-article","created":{"date-parts":[[2012,6,13]],"date-time":"2012-06-13T05:04:48Z","timestamp":1339563888000},"page":"398-403","source":"Crossref","is-referenced-by-count":4,"title":["Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis"],"prefix":"10.1590","volume":"70","author":[{"given":"Leandro Pretto","family":"Flores","sequence":"first","affiliation":[{"name":"Hospital Santa Helena; Hospital de Base do Distrito Federal,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"1590","article-title":"1239 cases of thorascopic sympathectomy and vagotomy; preliminary report","volume":"78","author":"Kux E","year":"1953","journal-title":"Dtsch Med 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hyperhidrosis","volume":"24","author":"Lyra RM","year":"2008","journal-title":"J Bras Pneumol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.ejcts.2008.10.048","article-title":"Surgical treatment of primary palmar hyperhidrosis: a prospective randomized study comparing T3 and T4 sympathicotomy","volume":"35","author":"Liu Y","year":"2009","journal-title":"Eur J Cardiothorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/1010-7940","issn-type":"print"},{"key":"ref24","first-page":"S88","article-title":"Thoracoscopic approaches to the thoracic spine: experience with 241 surgical procedures","volume":"51","author":"Han PP","year":"2002","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s00464-010-1482-3","article-title":"Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-analysis of studies published during the past decade","volume":"25","author":"Deng B","year":"2011","journal-title":"Surg Endosc","ISSN":"http:\/\/id.crossref.org\/issn\/0930-2794","issn-type":"print"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.ejcts.2007.12.058","article-title":"Topographical considerations under video-scope guidance in the T3,4 levels sympathetic surgery","volume":"33","author":"Kim do H","year":"2008","journal-title":"Eur J Cardiothorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/1010-7940","issn-type":"print"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1055\/s-2007-989327","article-title":"Thoracic endoscopic surgery for hyperhidrosis: comparison of different techniques","volume":"56","author":"Inan K","year":"2008","journal-title":"Thorac Cardiovasc 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