Intraoperative monitoring of skin temperature changes of hands before, during, and after endoscopic thoracic sympathectomy: Using infrared thermograph and thermometer for measurement

Chuang, Tien-Yow; Yen, Yu‐Shu; Chiu, Jen-Hwey; Chan, Rai-Chi; Chiang, Shu-Chyong; Hsiao, Meng-Ping; Lee, Liang-Shong

doi:10.1016/s0003-9993(97)90016-2

Cited by 25 publications

(16 citation statements)

References 11 publications

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“…Thumb temperature was an excellent indicator [3,8,9,14,17,27] of successful treatment of palmar hyperhidrosis when we performed a percutaneous T2 and T3 ganglionectomy and sympathectomy under local anesthesia by thermocoagulation [4]. In the present study, we noted a marked increase in thumb temperature: from 21.2 ± 0.6 to 36.0 ± 0.1°C, with a mean increase of 14.8°C, at room temperature 21.4 ± 0.6°C.…”

Section: Discussioncontrasting

confidence: 99%

“…In the present study, we noted a marked increase in thumb temperature: from 21.2 ± 0.6 to 36.0 ± 0.1°C, with a mean increase of 14.8°C, at room temperature 21.4 ± 0.6°C. Our results differ from those in the literature [8,9,14,17] that show an increase in mean temperature between 2.8 and 5.3°C (mean 3.82°C) following lesioning of the sympathetic trunk at the T2 level. The difference may be attributable to the fact that these other studies used general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Alteration in cardiovascular function and body surface temperature during percutaneous stereotactic upper thoracic ganglionectomy and sympathectomy in palmar hyperhidrotic patients

Chuang

Liu²,

Liu³

2004

Clin Auton Res

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We assessed changes in cardiovascular function, specifically arterial blood pressure and heart rate in 6 palmar hyperhidrotic patients before, during, and after T2 and T3 ganglionectomy and sympathectomy. We also assessed changes in skin temperature, specifically at the forehead, axilla, thumb, loin, and sole of the foot (all bilaterally) in 10 palmar hyperhidrotic patients before, during, and after T2 ganglionectomy and sympathectomy. In both methods, ganglionectomy and sympathectomy were done by percutaneous stereotactic thermocoagulation, under local anesthesia, at room temperature 21.4 +/- 0.6 degrees C. During the procedure we found a significant acute decrease in systolic and pulse pressures, from 153 +/- 10 to 127 +/- 9 and from 80 +/- 7 to 56 +/- 4mmHg respectively, and a lesser decrease in diastolic pressure; heart rate showed no statistically significant changes. We also noted a marked increase in thumb temperature, from 21.2 +/- 0.6 to 36.0 +/- 0.1 degrees C, with a mean increase of 14.8 degrees C, at a room temperature 21.4 +/- 0.6 degrees C, after complete bilateral T2 ganglionectomy and sympathectomy. Skin temperature at the forehead, axilla, loin, and sole of the foot, all measured bilaterally, showed no significant increase, although there was a decrease in sweating in both forehead and axillary regions. The decrease in systolic and pulse pressures observed during the thermocoagulation procedure were temporary effects. The increase in thumb temperature, however, appears to be a permanent effect for palmar hyperhidrotic patients. Finally, the data indicate that the sympathetic innervation of the blood vessel in the periphery presents a segmental organization.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Alteration in cardiovascular function and body surface temperature during percutaneous stereotactic upper thoracic ganglionectomy and sympathectomy in palmar hyperhidrotic patients

Chuang

Liu²,

Liu³

2004

Clin Auton Res

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“…Some authors performed TG in patients with hyperhidrosis to control an effectiveness of SE (ref. 22,34,37 ). Rieger et al studied the skin on the feet and showed a clear average temperature increase of 2.8 °C (range 2.3 -4.2 °C) after SE on the one side, compared with the unoperated side 22 .…”

Section: Discussionmentioning

confidence: 99%

Risk of sympathectomy after anterior and lateral lumbar interbody fusion procedures

Hrabálek¹,

Šternberský²,

Adamus³

2015

BIOMED PAP

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Aim. The aim of this study was to identify retrospectively, lumbar sympathectomy (SE) using thermography (TG) and to evaluate clinically, the severity of post-sympathectomy (post-SE) dysfunction after anterior and lateral lumbar interbody fusion procedures (ALIF, XLIF). Methods. Twenty eight patients with suspected SE were referred for TG to both legs. They completed our questionnaire on severity of difficulties after SE. We evaluated the ability of physical examinations to reveal the SE in contrast to TG and compared the symptoms (warmer leg and inhibited leg sweating) of SE with questionnaire responses as subjective measure and TG as objective measure. Results. SE was diagnosed in 0.5% after ALIF at L5/S1, in 15% after ALIF at Th12-L5 and in 4% after XLIF at T12-L5. SE severely reduced the quality of life in two cases. The ability to distinguish differences in leg temperature by palpation after SE was found in 32%. All physical examinations together were insufficient for reliably disclosing SE. Subjective symptoms of SE were often false positive and proven SE by TG was often a clinically false negative. Conclusion. This is the first study to examine post-SE dysfunction objectivelya using TG after ALIF and XLIF, and the first to evaluate clinically, the severity of the post-SE syndrome. Before surgery we cannot foresee potentially poor SE results. For this reason, injury to the sympathetic chain during surgery must be avoided. The advantage of TG for identifying SE is its non-invasiveness and reliability.

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“…[25]). In the case of disorders within the face, many authors perform Th2 resection, often together with resection of 1/3 of the lower pole of the “stellate ganglion”.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of thoracic sympathectomy in the treatment of primary hyperhidrosis of hands and armpits using the measurement of skin resistance.

Misiak

Jabłoński²,

Rzepkowska-Misiak³

et al. 2012

Videosurgery and Other Miniinvasive Techniques

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IntroductionHyperhidrosis is excessive sweating beyond the needs of thermoregulation. It is disease which mostly affects young people, often carrying a considerable amount of socio-economic implications. Thoracic sympathectomy is now considered to be the "gold standard" in the treatment of idiopathic hyperhidrosis of hands and armpits.AimAssessment of early effectiveness of thoracic sympathectomy using skin resistance measurements performed before surgery and in the postoperative period.Material and methodsA group of 20 patients with idiopathic excessive sweating of hands and the armpit was enrolled in the study. Patients underwent two-stage thoracic sympathectomy with resection of Th2-Th4 ganglions. The skin resistance measurements were made at six previously designated points on the day of surgery and the first day after the operation.ResultsIn all operated patients we obtained complete remission of symptoms on the first day after the surgery. Inhibition of sweating was confirmed using the standard starch iodine (Minor) test. At all measurement points we obtained a statistically significant increase of skin resistance, assuming p < 0.05. To check whether there is a statistically significant difference in the results before and after surgery we used sequence pairs Wilcoxon test.ConclusionsThoracic sympathectomy is an effective curative treatment for primary hyperhidrosis of hands and armpits. Statistically significant increase of skin resistance in all cases is a good method of assessing the effectiveness of the above surgery in the early postoperative period.

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Intraoperative monitoring of skin temperature changes of hands before, during, and after endoscopic thoracic sympathectomy: Using infrared thermograph and thermometer for measurement

Cited by 25 publications

References 11 publications

Alteration in cardiovascular function and body surface temperature during percutaneous stereotactic upper thoracic ganglionectomy and sympathectomy in palmar hyperhidrotic patients

Alteration in cardiovascular function and body surface temperature during percutaneous stereotactic upper thoracic ganglionectomy and sympathectomy in palmar hyperhidrotic patients

Risk of sympathectomy after anterior and lateral lumbar interbody fusion procedures

Evaluation of the effectiveness of thoracic sympathectomy in the treatment of primary hyperhidrosis of hands and armpits using the measurement of skin resistance.

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