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Selective division of T3 rami communicantes (T3 ramicotomy) in the treatment of palmar hyperhidrosis

DC FieldValueLanguage
dc.contributor.author백효채-
dc.contributor.author이두연-
dc.date.accessioned2018-12-18T16:40:44Z-
dc.date.available2018-12-18T16:40:44Z-
dc.date.issued2004-
dc.identifier.issn0003-4975-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/166175-
dc.description.abstractBACKGROUND: Compensatory sweating (CS) is the main cause of a patient's dissatisfaction after sympathetic surgery for palmar hyperhidrosis. Preservation of the sympathetic nerve trunk and limitations on the range of dissection are necessary to reduce CS. METHODS: We compared 64 patients (31 male, 33 female) (group 1) who underwent a T2 sympathicotomy between July 1998 and February 1999 and 83 patients (58 male, 25 female) (group 2) who underwent a T3 ramicotomy between August 2000 and December 2002. RESULTS: In group 1, 60 patients (93.8%) exhibited a decreased sweating on both hands, but 4 patients (6.2%) exhibited a persistent sweating on both hands. For group 2, 58 patients (69.9%) experienced a decreased sweating on both hands, 15 patients (18.1%) experienced a persistent sweating on both hands, and 10 patients (12.0%) experienced a persistent sweating on one hand. The grade of CS in group 2 was significantly lower than in group 1 (p < 0.001) and, notably, the rate of embarrassing and disabling CS in group 2 (15.5% [9 out of 58]) was significantly lower than in group 1 (43.3% [26 out of 60], p value < 0.001). The rate of satisfaction was 78.1% (50 out of 64) for group 1 and 68.6% (57 out of 83) for group 2 with no significant statistical difference indicated (p = 0.202). CONCLUSIONS: The incidence of sweating postoperatively was relatively high in the T3 ramicotomy group, although the T3 surgery did result in a lower incidence of CS when compared with a T2 sympathicotomy.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfANNALS OF THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHHand/innervation-
dc.subject.MESHHand/surgery-
dc.subject.MESHHumans-
dc.subject.MESHHyperhidrosis/surgery*-
dc.subject.MESHMale-
dc.subject.MESHPatient Satisfaction-
dc.subject.MESHRecurrence-
dc.subject.MESHReoperation-
dc.subject.MESHSympathetic Nervous System/surgery*-
dc.titleSelective division of T3 rami communicantes (T3 ramicotomy) in the treatment of palmar hyperhidrosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorDoo Yun Lee-
dc.contributor.googleauthorDo Hyung Kim-
dc.contributor.googleauthorHyo Chae Paik-
dc.identifier.doi10.1016/j.athoracsur.2004.03.034-
dc.contributor.localIdA01846-
dc.contributor.localIdA02745-
dc.contributor.localIdA02745-
dc.relation.journalcodeJ00183-
dc.identifier.eissn1552-6259-
dc.identifier.pmid15337046-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0003497504006897-
dc.contributor.alternativeNamePaik, Hyo Chae-
dc.contributor.affiliatedAuthor백효채-
dc.contributor.affiliatedAuthor이두연-
dc.contributor.affiliatedAuthor이두연-
dc.citation.volume78-
dc.citation.number3-
dc.citation.startPage1052-
dc.citation.endPage1055-
dc.identifier.bibliographicCitationANNALS OF THORACIC SURGERY, Vol.78(3) : 1052-1055, 2004-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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