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(Preoperative finding).. A preoperative photograph demonstrating signs of secondary Raynaud's prior to bilateral uniportal video-assisted thoracoscopic surgery sympathectomy.
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A 28-year-old female presented to the rheumatology clinic of our institute with severe secondary Raynaud's and digital ulcers of the right third and fourth fingers (Fig. 1).
(Trocar site insertion).. A figure demonstrating the trocar site insertion at the 5th intercostal space near to the midaxillary line (the red line).
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A 2-cm incision is made through the 5th intercostal space, near the midaxillary line, and through subcutaneous and intercostal muscle to open the pleura (Fig. 2).
(Postoperative result).. A postoperative photograph shows dramatic improvement in the signs of secondary Raynaud's.
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Symptoms disappeared during follow-up and continued to improve satisfactorily for a few months (Fig. 3).