Anesthetic management of thoracic sympathectomy surgery: Retrospective clinical trial
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Anaesthesiology and Intensive Care Society
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction Thoracic sympathectomy is a simple and reliable method in the. treatment of primary hyper- hidrosis and some vascular diseases. Sympathectomy applications performed previoiusly using thoracotomy are now done icith the aid of thoracoscope procedure which is a video-assisted minimally invasive surgical technique. In this retrospective study, we aimed to present the anesthetic Management of thoracic sympathectomy performed on 84 patients. Material and Method: A total of 84 patients who hail undergone thoracic sympathectomy between the years 1099, and 2014 were included in the study after approval from the ethics committee was obtained. Information about the patient were obtained from patient files and anesthesia records. Result The mean age of the patients treated with thoracic sympathectomy teas 23.65±6.93 years. Fifty-one (60.7%) patient s were female and33 (39.3%) of them were male. Mean operative time was recorded as 86.0li.42.31 minutes. Surgery left? scheduled with the indications of hyperhidrosit (n-64; 76.2%), Raynaud's syndrome, (n- 13:15.5%) and reflex sympathetic dystrophy (n 7; 8.3%) Surgical techniques applied were open thoracotomy (n- II; 13.2%), uniport VATS (n 17; 20.2%), and 3-port VATS (n- 56; 66.6%). No complication was observed in 73 (86.9%) patients. However in the early Postoperutiue pe-riod pneumothorax was observed in 8 (9.5%), prolonged air leak in 2 (2.4%), and transient paresthesia on foot in I (1.2%) patient. The average time (o discharge time was recorded as 3.02±2.42 day. Discussion and Conclusion: In conclusion, thanks to developments in surgical methods, despite lower complication, mortality, and morbidity rates, need for analgesic drugs, and operative timet in thoracic sympathectomy applications in this group of low risk patients, one should also be careful in terms for posloperative complications and intraoperative management.
Açıklama
Anahtar Kelimeler
Postoperative analgesia, Sympathectomy, Video-assisted thoracoscope surgery
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
21
Sayı
3
