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Ann Thorac Surg 1993;56:715-716
© 1993 The Society of Thoracic Surgeons

Articles

Thoracoscopy for autonomic disorders

Göran Claes, MD, PhD*, Christer Drott, MD, PhD, Gunnar Göthberg, MD, PhD

Department of Surgery, Borås Hospital, Borås, Sweden

* Address reprint requests to Dr Claes, Department of Surgery, Borås Hospital, S-501 82 Borås, Sweden.

Sympathetic denervation of the arm, the hand, and the heart may now be performed using minimal thoracoscopic procedures. During a 5-year period more than 500 patients were operated on with no major and only a few minor complications. An operation time of 25 minutes, a hospital stay of 1 day, and sick leave of less than 1 week have made the operation suitable for autonomous disorders such as hiperhidrosis. Other conditions such as causalgia, vascular insufficiency, and angina pectoris may be improved or disappear after sympathectomy, but the recurrence rate in Raynaud's disease is high.




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