A Novel Approach to Treat Women Patients With Palmar Hyperhidrosis: Transumbilical Thoracic Sympathectomy With an Ultrathin Gastroscope Weisheng Chen,

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Presentation transcript:

A Novel Approach to Treat Women Patients With Palmar Hyperhidrosis: Transumbilical Thoracic Sympathectomy With an Ultrathin Gastroscope Weisheng Chen, MD, Long Chen, MD, Lihuan Zhu, MD, Shengsheng Yang, MD, Xuegang Feng, MD, Jixue Zhang, MD, Xianjin Cheng, MD, Daoming Liu, MD, Wen Wang, MD The Annals of Thoracic Surgery Volume 96, Issue 6, Pages 2028-2032 (December 2013) DOI: 10.1016/j.athoracsur.2013.06.046 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The newly developed long trocar. The Annals of Thoracic Surgery 2013 96, 2028-2032DOI: (10.1016/j.athoracsur.2013.06.046) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 After deflation of the right lung, a 5-mm incision was made with a needle knife in the right diaphragm. The Annals of Thoracic Surgery 2013 96, 2028-2032DOI: (10.1016/j.athoracsur.2013.06.046) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The T3 sympathetic ganglion was identified at the third rib level and ablated with a hot biopsy forceps. The Annals of Thoracic Surgery 2013 96, 2028-2032DOI: (10.1016/j.athoracsur.2013.06.046) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The gastroscope was recurved to check that no hemorrhaging was observed in the incision of the diaphragm. The Annals of Thoracic Surgery 2013 96, 2028-2032DOI: (10.1016/j.athoracsur.2013.06.046) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) An invisible umbilical incision with a belly button piercing. (B) No incisions on the chest wall. The Annals of Thoracic Surgery 2013 96, 2028-2032DOI: (10.1016/j.athoracsur.2013.06.046) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions