Simpaticectomia Videotoracoscópica.ppt
•Download as PPT, PDF•
0 likes•961 views
This document discusses alterations of eccrine sweat glands, including hyperhidrosis (increased sweating), anhidrosis (lack of sweating), and miliaria. It describes different types of each alteration such as generalized vs localized hyperhidrosis, causes, symptoms, and treatments. The most common technical difficulties during thoracoscopic sympathectomy for plantar hyperhidrosis were pleural adhesions and anatomical variations such as azygos lobes. Postoperative satisfaction was initially high but decreased over time due to recurrence risk, while effectiveness and lack of compensatory sweating led to an excellent quality of life for most patients.
Simpaticectomia Videotoracoscópica.ppt
- 1. ALTERACION DE LAS GLANDULAS SUDORIPARAS ECRINAS DR. Carlos Renato Cengarle miércoles, 14 de diciembre de 2022
- 2. ALTERACION DE LAS GLANDULAS SUDORIPARAS • HIPERHIDROSIS • ANHIDROSIS • MILIARIA
- 3. HIPERHIDROSIS • AUMENTO DE LA SUDORACION • GENERALIZADA • LOCALIZADA • SECUNDARIA A: DROGAS • ANOMALIAS DEL S.IMPATICO
- 5. GENERALIZADA 1. NERVIOSO POR CALOR O EMOCIONES. 2. INFECCIONES CON FIEBRE 3. PROCESOS MALIGNOS 4. ENFERMEDADES SISTEMICAS ( TIROIDES, DIABETES, OBESIDAD, ICC. TETANOS, PARKINSSON, ANSIEDAD, MENOPAUSIA, GOTA
- 7. LOCALIZADA • ALTERACION DE LA MEDULA ESPINAL • LESIONES CEREBRALES • IDIOPATICAS • REGIONALES ( > AXILAS, PALMO- PLANTAR, FACIAL.)
- 8. LOCALIZADA • AXILAR • FACIAL • PALMOPLANTAR
- 9. AXILAR • ESTIMULOS TERMICOS • PSIQUICOS • 25 % ASOCIADO A PALMOPLANTAR
- 10. LOCALIZADA • AXILAR • FACIAL • PALMOPLANTAR
- 11. FACIAL • DIABETES • GUSTATORIA ( PICANTE, NERVIOSO )
- 12. LOCALIZADA • AXILAR • FACIAL • PALMOPLANTAR
- 13. PALMO-PLANTAR • PSIQUICOS • EMOCIONALES ( NO EN SUEÑO ) • CALOR • PUEDE DAR MACERACION • MAL OLOR
- 14. ALTERACION DE LAS GLANDULAS SUDORIPARAS • HIPERHIDROSIS • ANHIDROSIS • MILIARIA
- 15. ANHIDROSIS • FALTA DE SUDORACION ANTE ESTIMULOS ADECUADOS. • GENERALIZADA • LOCALIZADA
- 18. ANHIDROSIS LOCALIZADA • DIABETES • ALTERACIONES O REACCIONES DEL SIMPATICO
- 19. ALTERACION DE LAS GLANDULAS SUDORIPARAS • HIPERHIDROSIS • ANHIDROSIS • MILIARIA
- 20. MILIARIA • OCLUSION DEL CONDUCTO SUDORIPARO. • CRISTALINA • RUBRA • PUSTULOSA
- 21. CRISTALINA • POR AUMENTO DE TEMPERATURA • SUDORACION
- 22. MILIARIA • OCLUSION DEL CONDUCTO SUDORIPARO. • CRISTALINA • RUBRA • PUSTULOSA
- 23. RUBRA • PAPULAS • VESICULAS • PRURIGINOSAS • CALOR • HUMEDAD • COCINEROS • PANADEROS
- 25. MILIARIA • OCLUSION DEL CONDUCTO SUDORIPARO. • CRISTALINA • RUBRA • PUSTULOSA
- 28. OTRAS ALTERACIONES • PSEUDOCROMOHIDROSIS • BROMHIDROSIS • PERIPORITIS
- 29. PSEUDOCROMOHIDROSIS • COLORACION DEL SUDOR • POR MEDICAMENTOS • TINTES DE ROPA
- 30. OTRAS ALTERACIONES • PSEUDOCROMOHIDROSIS • BROMHIDROSIS • PERIPORITIS
- 31. BROMHIDROSIS • FLUIDO FETIDO • ALIMENTOS ( AJO, CEBOLLA ) • OTRAS SUBSTANCIAS QUIMICAS
- 32. OTRAS ALTERACIONES • PSEUDOCROMOHIDROSIS • BROMHIDROSIS • PERIPORITIS
- 33. PERIPORITIS • INFECCION POR BACTERIAS
- 54. Success rate for thoracoscopic sympathetectomy was 93% (79/85) overall.Conclusion TS for PH is a safe and feasible operation in children. It is successful in the majority; however, the procedure is not trouble free. Therapeutic success was achieved in 91% of the cases as evidenced by anhidrosis. The most common and severe technical difficulty during the procedure was pleural adhesions in 116 cases (6.7%); azygos lobes were seen in 7 patients (0.4%) and apical blebs in 3 patients (0.2%) Postoperative satisfaction degree is high but decreases over time owing to the appearance of recurrence. Effectiveness and the absence of CS determine an excellent quality of life. Six percent of the patients regret the surgery because of severe CS. Informing patients of possible side effects before TS is essential.