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Evaluation of blood perfusion using laser doppler flowmetry during endoscopic lumbar sympathectomy in patients with plantar hyperhidrosis: a retrospective observational study. | LitMetric

Evaluation of blood perfusion using laser doppler flowmetry during endoscopic lumbar sympathectomy in patients with plantar hyperhidrosis: a retrospective observational study.

Sci Rep

Department of Family Medicine, Yonsei University College of Medicine, Severance Hospital, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Published: July 2022

AI Article Synopsis

  • The study aimed to assess if monitoring skin blood flow could effectively evaluate blood perfusion during endoscopic lumbar sympathectomy in patients suffering from plantar hyperhidrosis.
  • A retrospective analysis was conducted on 30 patients who underwent surgery at Yonsei University Gangnam Severance Hospital, focusing on the effect of sympathetic denervation on blood flow.
  • Results showed a significant increase in peripheral blood flow post-surgery, highlighting the importance of using laser doppler flowmetry to improve surgical accuracy in these procedures.

Article Abstract

The purpose of this study is to evaluate whether monitoring the changes of skin blood flow may be effective in assessing blood perfusion during endoscopic lumbar sympathectomy (ELS) in patients with plantar hyperhidrosis. In this study, a total of 30 patients who underwent surgical treatment for plantar hyperhidrosis at the Department of Thoracic and Cardiovascular Surgery in Yonsei University Gangnam Severance Hospital, Seoul, Korea, between July 2020 and December 2020, were retrospectively analyzed. Sympathetic denervation was performed on the third lumbar ganglion, and intraoperative laser doppler flowmetry (LDF) was used to detect the lumbar sympathetic chain accurately. We observed an abrupt increase of peripheral blood flow after sympathetic denervation, and the median percent changes of perfusion unit were 173.27 (inter-quartile range, IQR 195.48) and 392.98 (IQR 597.27) for the left and right sympathectomies, respectively. This study demonstrated the efficacy of monitoring skin blood flow via LDF during ELS. This result suggests that exact detection of blood flow using LDF is essential for improving the accuracy of ELS by checking the perfusion site on the sole in patients with plantar hyperhidrosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259612PMC
http://dx.doi.org/10.1038/s41598-022-14778-7DOI Listing

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