2011
DOI: 10.1055/s-0030-1250646 View full text |Buy / Rent full text
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Abstract: This study demonstrates that preserving the T2 ganglion is safe, and does not compromise the effectiveness of the procedure. Sympathicotomy has the same success rate as sympathectomy, but requires significantly less dissection and results in less tissue trauma.

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“…Conventionally, the main innervation pathway was the T2 ganglion for the hands, and most thoracic sympathectomies were performed at this site [5,6]. However, the incidence of CH is often high after T2 thoracic sympathectomy, which affects the quality of life of patients [2,7]. Reisfeld's research has shown that sympathetic nerve chains from low to high continuously had sympathetic nerve fibers added to the upstream fibers; the higher the level of surgical cut-off, the larger the sympathetic range will be, and the CH will be more severe [8].…”
Section: Discussionmentioning
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“…Conventionally, the main innervation pathway was the T2 ganglion for the hands, and most thoracic sympathectomies were performed at this site [5,6]. However, the incidence of CH is often high after T2 thoracic sympathectomy, which affects the quality of life of patients [2,7]. Reisfeld's research has shown that sympathetic nerve chains from low to high continuously had sympathetic nerve fibers added to the upstream fibers; the higher the level of surgical cut-off, the larger the sympathetic range will be, and the CH will be more severe [8].…”
Section: Discussionmentioning
“…According to the anatomical characteristics of the thoracic sympathetic nerve chain, reducing the cut-off plane of the sympathetic nerve chain should be helpful in reducing the scope and degree of surgical sympathetic denervation to make the surgical sympathetic denervation effect more targeted. Turhan et al compared T2 and T3 sympathectomy and suggested that denervation of the T2 ganglion should be avoided to decrease the incidence of CH [ 7 ]. Since then, T3 and T4 sympathectomy procedures have been widely used for low incidences of complications such as CH [ 9 11 ].…”
Section: Discussionmentioning
“…3,17 The results of a study that compared R2 TS versus R3 TS suggested that avoiding the R2 ganglion might decrease the risk of CS. 18 Gray reported that the preganglionic fibers to the arm originate mostly from the third to the sixth spinal segments, and the third and fourth segments were considered as the main contributors. 19 Both R3 and R4 TS have been reported in the past several years, 10,11,13,20 and result in fairly good outcomes and varying incidences of postoperative CS.…”
Section: Discussionmentioning
“…4 Günümüzde hiperhidrozisin tedavisinde kabul ve tercih edilen tedavi yaklaşımı endoskopik torakal sempatektomidir (ETS). 5 Horner sendromu bu işlemin en ciddi komplikasyonlarından bir tanesi olup, bu işlemlerden sonra genellikle %5'in altında geçiçi veya kalıcı Horner sendromu bildirilmektedir. 4 Görür ve arkadaşları tarafından 368 hastada uygulanan 530 ETS ameliyatı sonrasında %2,4 (9 hasta) oranında Horner sendromu görülürken; olguların sadece bir tanesinde (%0,2) izole miyozis izlenmiştir.…”
Section: Discussionunclassified