CLINICAL EVALUATION OF HYPERHIDROSIS TREATMENT WITH MICROWAVE ABLATION

Introduction: Axillary hyperhidrosis is a condition that causes embarrassment and discomfort. The most common techniques used to inhibit axillary sweat glands are thoracic sympathectomy, liposuction curettage, and injection of botulinum toxin, all of which have immediate benets. However, in return, these can generate unsatisfactory effects after some time. Objective: This work aimed to evaluate the degree of satisfaction, benets, and possible adverse effects of the application of microwaves for the treatment of axillary hyperhidrosis. Methods: This is a retrospective study of patients with clinical diagnoses of primary axillary hyperhidrosis who underwent treatment with microwave ablation from 2015 to 2018. Medical records were analyzed for demographic data, degree of satisfaction (Likert scale), and adverse effects. Patients were classied according to their hyperhidrosis disease severity scale (HDSS) and clinical results of the treatment to the medical record. The correlation between the ndings was made considering the statistical validity of p = 0.05. Conclusion: The treatment of hyperhidrosis with ablation of sweat glands using microwaves (Miradry®) was safe and presented virtually no adverse effects. Although its effectiveness was below expected, the level of patient satisfaction was considered good.

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Adenosine-induced Asystole during AVM Embolization

Clinical Neuroradiology ◽

10.1007/s00062-021-01035-z ◽

2021 ◽

Author(s):

V. Hellstern ◽

P. Bhogal ◽

M. Aguilar Pérez ◽

M. Alfter ◽

A. Kemmling ◽

...

Keyword(s):

Demographic Data ◽

Clinical Results ◽

Endovascular Embolization ◽

Neurological Deficits ◽

Residual Shunt ◽

Grade 5 ◽

Martin Grade ◽

Grade 3 ◽

Brain Avms

Abstract Background Adenosine induced cardiac standstill has been used intraoperatively for both aneurysm and arteriovenous malformation (AVM) surgery and embolization. We sought to report the results of adenosine induced cardiac standstill as an adjunct to endovascular embolization of brain AVMs. Material and Methods We retrospectively identified patients in our prospectively maintained database to identify all patients since January 2007 in whom adenosine was used to induce cardiac standstill during the embolization of a brain AVM. We recorded demographic data, clinical presentation, Spetzler Martin grade, rupture status, therapeutic intervention and number of embolization sessions, angiographic and clinical results, clinical and radiological outcomes and follow-up information. Results We identified 47 patients (22 female, 47%) with average age 42 ± 17 years (range 6–77 years) who had undergone AVM embolization procedures using adjunctive circulatory standstill with adenosine. In total there were 4 Spetzler Martin grade 1 (9%), 9 grade 2 (18%), 15 grade 3 (32%), 8 grade 4 (18%), and 11 grade 5 (23%) lesions. Of the AVMs six were ruptured or had previously ruptured. The average number of embolization procedures per patient was 5.7 ± 7.6 (range 1–37) with an average of 2.6 ± 2.2 (range 1–14) embolization procedures using adenosine. Overall morbidity was 17% (n = 8/47) and mortality 2.1% (n = 1/47), with permanent morbidity seen in 10.6% (n = 5/47) postembolization. Angiographic follow-up was available for 32 patients with no residual shunt seen in 26 (81%) and residual shunts seen in 6 patients (19%). The angiographic follow-up is still pending in 14 patients. At last follow-up 93.5% of patients were mRS ≤2 (n = 43/46). Conclusion Adenosine induced cardiac standstill represents a viable treatment strategy in high flow AVMs or AV shunts that carries a low risk of mortality and permanent neurological deficits.

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Achilles Tendon Ruptures: Comparison between the Clinical Results of Classical Versus Mini-Invasive or Percutaneous Surgical Treatment

ARS Medica Tomitana ◽

10.2478/arsm-2014-0024 ◽

2015 ◽

Vol 20 (3) ◽

pp. 135-138

Author(s):

Obada B. ◽

Serban Al. O.

Keyword(s):

Surgical Treatment ◽

Achilles Tendon ◽

Achilles Tendon Rupture ◽

Functional Results ◽

Clinical Results ◽

Needle Insertion ◽

Invasive Technique ◽

Percutaneous Technique ◽

Degree Of Satisfaction ◽

Invasive Techniques

Abstract The aim of the study is to evaluate the surgical treatment comparing the results obtained with different techniques. We revised 68 cases with acute Achilles tendon rupture who underwent surgical correction between 2004 and 2011, with a 40 month average follow-up. 34 of these were submitted to a classical open repair using the Kessler or Krakow technique, 25 to a mini-invasive technique (Achilon) and 9 to a percutaneous technique (Tenolig). We report a 29% rate of complications when using the classical technique: the major complications were one re-rupture, two surgical wound dehiscences, one infection and one sural nerve injury. In the mini-invasive/percutaneous techniques, two re-ruptures occurred (5.9% total, one in each technique) and one fistula at the needle insertion location. In regards to the percutaneous and mini-invasive techniques, the functional results and degree of satisfaction were higher, with fewer complications, reflecting a trend that has been expressed in the international literature.

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A retrospective review on minimally invasive technique via endoscopic thoracic sympathectomy (ETS) in the treatment of severe primary hyperhidrosis: Experiences from the National Heart Institute, Malaysia

F1000Research ◽

10.12688/f1000research.14777.1 ◽

2018 ◽

Vol 7 ◽

pp. 670

Author(s):

Ahmad Farouk Musa ◽

Vignaa Prashanth Gandhi ◽

Jeswant Dillon ◽

Rusli Bin Nordin

Keyword(s):

Sweat Glands ◽

Invasive Technique ◽

Moderate Degree ◽

Endoscopic Thoracic Sympathectomy ◽

Thoracic Sympathectomy ◽

Primary Hyperhidrosis ◽

Response To Stress ◽

Pertinent Information

Background: Hyperhidrosis is due to the hyperactive autonomic stimulation of the sweat glands in response to stress. Primary hyperhidrosis is a common yet psychologically disabling condition. This study will describe our experience in managing hyperhidrosis via endoscopic thoracic sympathectomy (ETS). Methods: The information was obtained from the patient records from 1st January 2011 until 31st December 2016. Pertinent information was extracted and keyed into a study proforma. Results: 150 patients were operated on but only 118 patients were included in this study. The mean age was 22.9±7.3 years. The majority (54.2%) had palmar-plantar hyperhidrosis and 39.8% had associated axillary hyperhidrosis. Excision of the sympathetic nerve chain and ganglia were the main surgical technique with the majority (55.9%) at T2-T3 level. Mean ETS procedure time was 46.6±14.29 minutes with no conversion. Surgical complications were minimal and no Horner’s Syndrome reported. Mean hospital stay was 3.5±1.05 days. The majority of patients (67.8%) had only one follow-up and only half of the study sample (58.5%) complained mild to moderate degree of compensatory sweating, even though the long-term resolution is yet to be determined by another study. Following ETS, 98.3% of patients had instant relief and resolved their palmar hyperhidrosis. Predictors of CS were sympathectomy level and follow-up. The odds of reporting CS was 2.87 times in patients undergoing ETS at the T2-T3 level compared to those undergoing ETS at the T2-T4 level. The odds of reporting CS was 13.56 times in patients having more than one follow-up compared to those having only one follow-up. Conclusion: We conclude that ETS is a safe, effective and aesthetically remarkable procedure for the treatment of primary hyperhidrosis with only half of the patients developing mild to moderate degree of CS. Significant predictors of CS were sympathectomy level during ETS and frequency of follow-up after ETS.

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Stress and mental health among medical students

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1312780b ◽

2013 ◽

Vol 141 (11-12) ◽

pp. 780-784 ◽

Cited By ~ 3

Author(s):

Dusan Backovic ◽

Milos Maksimovic ◽

Dragana Davidovic ◽

Jelena Ilic-Zivojinovic ◽

Dejan Stevanovic

Keyword(s):

Mental Health ◽

Health Status ◽

Medical Students ◽

Adverse Effects ◽

Mental Health Problems ◽

Demographic Data ◽

General Health Questionnaire ◽

Great Influence ◽

Teaching Staff ◽

Medical Studies

Introduction. Medical studies bring many stressful activities to students. Prolonged stress can make adverse effects to mental health and lead to further professional burnout. Objective. The aim of this study was to assess the association of stress impact and adverse effects of medical studies with psychological distress among medical students. Methods. The cross sectional study was conducted on 367 fourth?year medical students of the Faculty of Medicine in Belgrade, by means of the anonymous questionnaire, containing: socio?demographic data, self?reported health status and stressful influences of studying activities. Mental health status was estimated by General Health Questionnaire (GHQ?12). Results. More than 50% of students perceive frequent feeling of psychic tension, and one third has problems with insomnia. Nearly one?half of students assessed their general stress level as moderate or high. Exams were estimated as high stressor in 63.1% of all students. Stressful effects of communication with teaching staff were reported by one quarter of the examinees. The scores of GHQ?12 were above the threshold in 55.6 % of all students. Mental health problems among students were most significantly associated with stressful experience during exams and contacts with teaching staff. Conclusion. Academic stress makes great influence on mental health of medical students. Reduction of stress effects should be directed to optimization of the examination process and improvement of communication skills.

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Histochemical Investigation on the Axillary Sweat Glands (Eccrine and Apocrine Glands) during Childhood in Japanese, especially on the PAS Positive Substance and Iron

Okajimas Folia Anatomica Japonica ◽

10.2535/ofaj1936.37.3_215 ◽

1961 ◽

Vol 37 (3) ◽

pp. 215-245 ◽

Cited By ~ 2

Author(s):

Iwao Yasui ◽

Hiroshi Kagemoto

Keyword(s):

Sweat Glands ◽

Histochemical Investigation ◽

Apocrine Glands ◽

Axillary Sweat

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Accumulation of FDG in axillary sweat glands in hyperhidrosis: a pitfall in whole-body PET examination

European Radiology ◽

10.1007/s003300050421 ◽

1998 ◽

Vol 8 (3) ◽

pp. 482-483 ◽

Cited By ~ 13

Author(s):

H. Jacobsson ◽

F. Celsing ◽

M. Ingvar ◽

S. Stone-Elander ◽

S. A. Larsson

Keyword(s):

Whole Body ◽

Sweat Glands ◽

Axillary Sweat

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Smokeless Tobacco and Its Adverse Effects on Hematological Parameters: A Cross-Sectional Study

Advances in Preventive Medicine ◽

10.1155/2019/3182946 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Anjani Kumar Shukla ◽

Tanya Khaitan ◽

Prashant Gupta ◽

Shantala R. Naik

Keyword(s):

Adverse Effects ◽

Smokeless Tobacco ◽

Hematological Parameters ◽

Demographic Data ◽

Venous Blood ◽

Membrane Damage ◽

Total Leucocyte Count ◽

Cross Sectional ◽

Blood Profile ◽

Inflammatory Status

Background. Smokeless tobacco (SLT) as a drug substance has been used throughout the world although it has dangerous effects on human health. Among the 28 known carcinogens in SLT, tobacco-specific nitrosamines are considered to be the most potent. This has challenged the metabolic condition leading to a rise in the inflammatory status, increased apoptosis, and red blood cell (RBC) membrane damage. Therefore, the present study was undertaken to evaluate the adverse effects of SLT on hematological parameters and establish a correlation between them. Materials and Methods. A total of 100 subjects (50 SLT users and 50 nonusers) were selected for the study. Complete demographic data and history were taken and clinical examination was done to evaluate any oral mucosal changes. Venous blood samples were taken to analyze the hematological parameters. Results. Significant changes were observed in the complete blood profile in SLT users when compared to nonusers. All the hematological parameters had a negative correlation with form of SLT except for total leucocyte count which had a positive correlation. Conclusion. The current study confers an imperative role into SLT mediated effects on a complete hemogram and might be beneficial in spreading awareness against its usage. It also serves as a forewarning alarm among the population consuming SLT as an alternative to smoking tobacco.

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