Abstract：
INTRODUCTION:The aim of this study is to evaluate the impact of transthoracic endoscopic sympathectomy on plantar hyperhidrosis in patients operated on for upper limb hyperhidrosis. MATERIALS AND METHODS:From 2003 to 2011, 41 consecutive patients underwent videothoracoscopic T3-T4 sympathicotomy or T3-T4 ganglion block at our Unit for upper limb hyperhidrosis. Twenty-one (51%) were affected by palmar hyperhidrosis and 20 (49%) by palmar and axillary hyperhidrosis combined. The patients affected by the plantar form were 26 (63%). Clinical follow-up was performed at 3, 6 and 12 months after surgery. Phone interviews and/or clinical assessment were made after a variable period of time (range 6 months to 8 years) to asses long term results. RESULTS:Plantar hyperhidrosis improved in 14 patients, which represents the 54% of the sufferers and the 34% of all patients. It was partially regressed in 11 patients (79%) and resolved in 3 cases (21%). There were not significant differences between patients treated with sympathicotomy and those treated with ganglion block. CONCLUSIONS:Transthoracic endoscopic sympathectomy performed through T3-T4 sympathicotomy or ganglion block improves plantar hyperhidrosis in approximately 54% of the affected patients, with a partial and complete resolution rate of 79% and 21% respectively.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Paliogiannis P,Scognamillo F,Attene F,Pala C,Marrosu A,Pulighe F,Trignano Msubject
Has Abstractpub_date
2014-03-01 00:00:00pages
114-9issue
2eissn
0003-469Xissn
2239-253Xpii
S0003469X1302126Xjournal_volume
85pub_type
杂志文章abstract：:Venous leg ulcer is the most frequent cause of trophic lesions of the limbs in patients with chronic venous insufficiency. Appropriate management of cutaneous vascular lesions is based on systemic, vascular and local assessment. The Authors used a protease-modulating matrix in 126 patients suffering from venous leg ul...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：:After about 30 years from the first trials on concurrent chemoradiation in the treatment of rectal carcinoma, a large experience in this field has been shared, both in terms of laboratory and clinical data. The possibility of concurrent chemoradiation to improve the clinical outcome and sphincter preservation in low r...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2001-09-01 00:00:00
abstract：INTRODUCTION:The recent Sars-CoV2 pandemic has dramatically slowed patients' access to our clinic for vascular pathology when the contagion curve peaked. The need to restore the assistance activity has led us to adopt new individual prophylaxis and hygiene measures. METHODS:Doctors and staff must wear dedicated clothe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:A correlation between the location of mutation in the adenomatous polyposis coli (APC) gene and clinical manifestations of familial adenomatous polyposis (FAP) has repeatedly been reported. Some Authors suggest the use of mutational analysis as a guide to select the best surgical option in FAP patients. Howe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Abdominoperineal resection for rectal cancer are being performed with decreasing frequency in favour of sphincter-saving resections. It remains to be demonstrated that sphincter preservation has not resulted in compromised local disease control and survival. For this purpose 342 patients with rectal carcinoma have bee...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:We report the fourth worldwide case of pure primary squamous cell carcinoma of the breast presenting as an abscess. An inflammatory breast lesion in postmenopausal woman must be suspected as a malignant one and drainage of the abscess has to be followed by an accurate excision. The finding of a pure squamous cell carc...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2004-03-01 00:00:00
abstract：:Between January 1995 and February 1997 we performed 30 laparoscopic Nissen-Rossetti fundoplications and 3 laparotomic Nissen fundoplications. All patients were suffering from gastro-esophageal reflux disease (GERD) resistant to medical therapy, 19 patients were suffering also from hiatal hernia and 2 pz. were sufferin...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:Six cases of anal canal squamous carcinoma are presented. The authors precise the present view about pathological, epidemiological, clinical and therapeutical aspects of these lesions. They stress, also, the primary role of embryology and anatomy in the oncogenesis of such tumours; the importance to single out specifi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1994-07-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：:Multiple endocrine neoplasia type 2 (MEN 2) is a rare autosomal dominant cancer syndrome. Forty to fifty percent of patients with MEN 2A develops pheochromocytoma. Surgeons treating these patients with pheochromocytoma have always been faced with question of whether to perform mono-or bilateral adrenalectomy and the t...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-12-29 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVE:Primary hyperparathyroidism (pHPT) is often accompanied by underlying thyroid pathology and 1 to 36% of these thyroid pathologies are malignant. How the identification of these lesions affects patient management is unclear. We present a single-center experience with the prevalence of concomitant thyroid cance...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:Curative surgical treatment of esophageal cancer involves the complete macroscopic and microscopic removal of the tumor (R0-resection). Only by these means the prognosis can be improved. The treatment of choice for squamous cell cancer is transthoracic en-bloc esophagectomy. Preoperative risk analysis of the patient a...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1992-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
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更新日期：2010-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2013-09-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2012-03-01 00:00:00
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journal_title：Annali italiani di chirurgia
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doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2007-09-01 00:00:00
