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

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Presentation on theme: "A Novel Approach to Treat Women Patients With Palmar Hyperhidrosis: Transumbilical Thoracic Sympathectomy With an Ultrathin Gastroscope  Weisheng Chen,"— Presentation transcript:

1 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 (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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

3 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  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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

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

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