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Endoscopic Thoracic Sympathectomy

Endoscopic Thoracic Sympathectomy (ETS) is a minimally invasive surgical procedure aimed at treating severe hyperhidrosis and other related conditions by interrupting the sympathetic nerves responsible for excessive sweating and certain pain conditions.

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What is Endoscopic Thoracic Sympathectomy ?

Endoscopic thoracic sympathectomy (ETS) is a surgical procedure used to treat hyperhidrosis, a condition characterized by excessive sweating, usually in the hands, armpits, face, or feet. It is also used to treat facial blushing and certain types of chronic pain. The procedure involves cutting or clamping the sympathetic nerves that run along the spine in the chest, which control sweating.
Endoscopic Thoracic Sympathectomy
Endoscopic Thoracic Sympathectomy

Why is Endoscopic Thoracic Sympathectomy Performed?

ETS is primarily performed to alleviate symptoms of severe hyperhidrosis when other treatments, such as medications or antiperspirants, have failed. It is also indicated for:

  • Facial blushing
  • Raynaud’s phenomenon (a condition that affects blood flow to certain parts of the body)
  • Reflex sympathetic dystrophy (a chronic pain condition)

How to Prepare for Endoscopic Thoracic Sympathectomy?

Preparation for ETS includes:

  • A thorough medical evaluation and consultation with your doctor
  • Stopping certain medications as advised by your doctor
  • Fasting for several hours before the surgery

Your doctor will provide specific instructions on how to prepare for the procedure.

During the Procedure

  1. You will be given general anesthesia to ensure you are asleep and pain-free.
  2. Small incisions are made under the armpit to insert a thoracoscope, a thin tube with a camera, and surgical instruments.
  3. The surgeon identifies and cuts or clamps the sympathetic nerves responsible for excessive sweating.
  4. The incisions are closed with sutures or surgical tape.

The procedure typically takes about one to two hours.

After the Procedure

After the procedure, you may experience some discomfort or pain, which can be managed with medication. Most patients can go home the same day or the following day. You should avoid strenuous activities for a few weeks and follow your doctor’s post-operative care instructions.

Risks and Complications

While ETS is generally safe, it carries some risks, including:

  • Compensatory sweating (increased sweating in other parts of the body)
  • Pneumothorax (collapsed lung)
  • Infection
  • Nerve damage

Discuss any concerns with your doctor before the procedure.

Schedule Your Endoscopic Thoracic Sympathectomy

If you suffer from severe hyperhidrosis or other related conditions, and conservative treatments have not been effective, contact our office to schedule a consultation. Our experienced surgical team is here to help you find relief through endoscopic thoracic sympathectomy.

Contact us today to take the first step towards a healthier, happier you with Endoscopic Thoracic Sympathectomy.

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