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VARIACIONES ANATÓMICAS EN LOS NERVIOS SIMPÁTICOS TORÁCICOS, CARACTERÍSTICAS HISTOLÓGICAS E IMPLICACIONES CLÍNICAS ASOCIADAS: REVISIÓN AMPLIADA DE LA LITERATURA
ANATOMIC VARIATIONS IN THE THORACIC SYMPATHIC NERVES, HISTOLOGICAL CHARACTERISTICS AND ASSOCIATED CLINICAL IMPLICATIONS: EXPANDED LITERATURE REVIEW
Palabras clave:
Cadena simpática torácica; tronco simpático torácico; variaciones anatómicas; implicaciones clínicas; cirugía; morfología (es)Thoracic sympathetic chain, thoracic sympathetic trunk, anatomical variations, clinical implications, surgery, morphology (en)
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Se considera de suma importancia que se describan las variaciones del sistema nervioso simpático torácico reportadas hasta el momento y que los profesionales de ciencias de la salud tengan pleno conocimiento de la caracterización histológica y las implicaciones clínicas asociadas. En este documento, se recopilaron las publicaciones sobre el tema de la última década a nivel internacional, y se realizó un análisis de las repercusiones en algunas técnicas quirúrgicas, como lo son la simpaticotectomía, simpaticotomía y ramicotomía. Así mismo, desde un punto de vista clínico, la caracterización de estas variaciones anatómicas permitió formular hipótesis que podrían explicar los fallos quirúrgicos, como lo es la hiperhidrosis persistente, o las respuestas inadecuadas al mismo, como ocurren en la hiperhidrosis compensatoria.
De otra parte, se permitió hacer un acercamiento a una serie de situaciones clínicas, en las que el común denominador fue el dolor intenso, de tal forma que caracterizar la vía nerviosa por la cual se trasmite esta información nociceptiva al sistema nervioso central, con las posibles variaciones, permite una resección más segura de la misma y de esta manera proporcionar una mejor calidad de vida a pacientes con trastornos dolorosos del abdomen superior.
It´s important that variations of the thoracic sympathetic nervous system are described and the health science professionals have full knowledge of the histological characterization and associated clinical implications. In this document, international publications on the subject of the last decade were compiled, and an analysis of the repercussions was carried out on some surgical techniques, such as sympathotectomy, sympathicotomy and ramicotomy.
As well, in the same way, the characterization of these anatomical variations made it possible to formulate hypotheses that could explain surgical failures, like a persistent hyperhidrosis or inadequate responses to it, such as compensatory hyperhidrosis.
On the other hand, it was possible to make an approach to a series of clinical situations, in which of the common denominator was the intense pain, so knowing the way which is transmitted to central nervous system most frequently and the possible variations, allows to act upon, and thus provide better life quality for patients with upper abdominal pain disorders.
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Derechos de autor 2022 Mayra Alejandra Borda Cárdenas
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
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