Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed as an outpatient procedure?
Introduction : The videothoracoscopic approach is minimally invasive with benefits that include less postoperative pain and shorter hospital stay. It is also a safe procedure which can be performed on an outpatient basis. Aim: To determine whether videothoracoscopic sympathicotomy can be perform...
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Medycyna Praktyczna
2016-05-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.termedia.pl/Single-stage-bilateral-uniportal-videothoracoscopic-sympathicotomy-for-hyperhidrosis-can-it-be-managed-r-nas-an-outpatient-procedure-,42,27647,1,1.html |
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| author | Ahmet Demirkaya Ezel Erşen Burcu Kılıç Hasan Volkan Kara Mehlika İşcan Kamil Kaynak Akif Turna |
| author_facet | Ahmet Demirkaya Ezel Erşen Burcu Kılıç Hasan Volkan Kara Mehlika İşcan Kamil Kaynak Akif Turna |
| author_sort | Ahmet Demirkaya |
| collection | DOAJ |
| description | Introduction : The videothoracoscopic approach is minimally invasive with benefits that include less postoperative pain and shorter hospital stay. It is also a safe procedure which can be performed on an outpatient basis.
Aim: To determine whether videothoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure.
Material and methods: Between July 2005 and October 2015, a total of 92 patients underwent bilateral and single port thoracoscopic sympathicotomy in our department on an outpatient basis. The level of sympathicotomy was T2 in 2 (2.2%) patients, T2 to T3 in 31 (33%) patients, T2 to T4 in 46 (50%) patients and T3 to T4 in 12 (13%) patients. Demographic data, length of postoperative stay, substitution index (SI), admission rate (AR) and readmission rate (RR), complications and patient satisfaction were reviewed retrospectively.
Results: Two (2.2%) patients suffered from chest pain, while 4 (4.3%) patients complained about pain at the port site. Mean discharge time after surgery was 5.1 h (range: 4–6 h), mean duration of hospital stay was 0.15 days (0–3 days) postoperatively and the mean operation time was 43.6 min (15–130 min). In 8 (8.6%) patients, pneumothorax was detected on postoperative chest X-ray, while 5 (5.4%) patients required chest tube drainage. Mild or moderate compensatory sweating developed in 32 (34.7%) patients. No recurrence was observed, and the satisfaction rate was 96.7%. Substitution index and admission rate were 91.3% and 11% respectively, while RR was 0%.
Conclusions : Bilateral video-assisted thoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure. |
| format | Article |
| id | doaj-art-0c8b11c501c442439b4b74ca2ffb824f |
| institution | OA Journals |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-0c8b11c501c442439b4b74ca2ffb824f2025-08-20T02:02:53ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542016-05-01112889310.5114/wiitm.2016.6018227647Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed as an outpatient procedure?Ahmet DemirkayaEzel ErşenBurcu KılıçHasan Volkan KaraMehlika İşcanKamil KaynakAkif TurnaIntroduction : The videothoracoscopic approach is minimally invasive with benefits that include less postoperative pain and shorter hospital stay. It is also a safe procedure which can be performed on an outpatient basis. Aim: To determine whether videothoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure. Material and methods: Between July 2005 and October 2015, a total of 92 patients underwent bilateral and single port thoracoscopic sympathicotomy in our department on an outpatient basis. The level of sympathicotomy was T2 in 2 (2.2%) patients, T2 to T3 in 31 (33%) patients, T2 to T4 in 46 (50%) patients and T3 to T4 in 12 (13%) patients. Demographic data, length of postoperative stay, substitution index (SI), admission rate (AR) and readmission rate (RR), complications and patient satisfaction were reviewed retrospectively. Results: Two (2.2%) patients suffered from chest pain, while 4 (4.3%) patients complained about pain at the port site. Mean discharge time after surgery was 5.1 h (range: 4–6 h), mean duration of hospital stay was 0.15 days (0–3 days) postoperatively and the mean operation time was 43.6 min (15–130 min). In 8 (8.6%) patients, pneumothorax was detected on postoperative chest X-ray, while 5 (5.4%) patients required chest tube drainage. Mild or moderate compensatory sweating developed in 32 (34.7%) patients. No recurrence was observed, and the satisfaction rate was 96.7%. Substitution index and admission rate were 91.3% and 11% respectively, while RR was 0%. Conclusions : Bilateral video-assisted thoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure.https://www.termedia.pl/Single-stage-bilateral-uniportal-videothoracoscopic-sympathicotomy-for-hyperhidrosis-can-it-be-managed-r-nas-an-outpatient-procedure-,42,27647,1,1.html<i>video-thoracoscopy uniportal sympathicotomy outpatient</i> |
| spellingShingle | Ahmet Demirkaya Ezel Erşen Burcu Kılıç Hasan Volkan Kara Mehlika İşcan Kamil Kaynak Akif Turna Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed as an outpatient procedure? Videosurgery and Other Miniinvasive Techniques <i>video-thoracoscopy uniportal sympathicotomy outpatient</i> |
| title | Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed
as an outpatient procedure? |
| title_full | Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed
as an outpatient procedure? |
| title_fullStr | Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed
as an outpatient procedure? |
| title_full_unstemmed | Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed
as an outpatient procedure? |
| title_short | Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed
as an outpatient procedure? |
| title_sort | single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis can it be managed as an outpatient procedure |
| topic | <i>video-thoracoscopy uniportal sympathicotomy outpatient</i> |
| url | https://www.termedia.pl/Single-stage-bilateral-uniportal-videothoracoscopic-sympathicotomy-for-hyperhidrosis-can-it-be-managed-r-nas-an-outpatient-procedure-,42,27647,1,1.html |
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