Moreover, even with the latest surgical techniques, a small minority of patients still end up getting unbearable side effects. Because so many people are getting ETS and tolerating the usually minimal side effects (at least in comparison to the original symptoms), it seems like there is no incentive for scientists and surgeons to find a cure that does not involve altering your nervous system. ETS surgery destroys part of your sympathetic nervous system (SNS) permanently and causes side effects in all patients. However, there are nowadays a number of safer alternative non-surgical remedies that can often cure or ameliorate hyperhidrosis. In fact, I am reasonably satisfied with the results of my own ETS surgery in 1998 to treat my excessively sweaty hands. Sympathectomy does seem to be a highly effective remedy for many people suffering from sweaty palms. ALL RIGHTS RESERVED.Īlthough the domain name of this website suggests a complete rejection of Endoscopic Thoracic Sympathectomy (ETS) surgery to treat hyperhidrosis, that is not true. World ETS totals by surgeon - as of Dec 2006ĮTS surgery reversal is a highly expensive dreamĮTS surgery for facial blushing - uncommon Water properties and iontophoresis project Short- and long-term side effects from ETS surgery My first Botox treatment for feet sweating Gustatory sweating, which is sweating induced by smells and tastes occur in up to 30% of individuals but very few regard this as a major problem.Īlthough some patients may feel general fatigue, physical performance has been shown not to be reduced on stress testing despite the heart rate being reduced by 10%.Hyperhidrosis (Excessive Sweating) Hyperhidrosis (Sweaty Palms, Sweaty Feet) The degree of compensatory sweating varies upon the individual. This is the body’s way of keeping the internal temperature neutral at 37☌. As the sweating is reduced from the head and neck approximately 80% of individuals complain of compensatory sweating elsewhere in the body such as the abomen, legs and feet. This may require use of moisturising creams. One side effect is excessive dryness of the hands. Wound or chest infection occurs in less than 5%. This is dropping of the eyelid and a smaller pupil, but no visual impairment. Horner’s syndrome can occur between 1-3%. Very rarely there may be an air leak from the lungs which may require a suction drain.Ī few patients have prolonged pain or numbness in the arm. NO OPERATION can ever be guaranteed to be 100% safe anywhere. However, as the “key hole” surgery is performed in the chest there is always a possibility that the chest may be opened in the event of bleeding. In my own experience no life threatening complications have occurred. Return to sporting activities can take up to two weeks. Return to work can be as little as 2 days post surgery, but the time can vary depending on the individual. Often there can be some sharp pain around the wounds and sometimes the upper back, although this soon wears off. the only reason to reverse the surgery is if the side effects are too severe (see results). It has the advantage in that it can be successfully reversed in 20-30% of cases should it be clinically indicated. Clipping of the sympathetic nerve has been shown to be as effective as conventional ETS surgery in stopping blushing and sweating.
#ETS 4 SURGERY FULL#
A post operative chest X-ray confirms full lung expansion. The procedure lasts approximately 40 minutes. The wound is closed with dissolvable sutures. Two small cuts are made in each armpit 0.5cm in diameter. This procedure is performed under a general anaesthetic. This procedure is not indicated in elderly patients or patients with cardio-respiratory disease or who have had previous chest surgery. ETS surgery is contra-indicated in patients who are obese or who have suffered from significant chest disease. This may have some potential benefits if the side effects are too severe as ETS can then be reversed successfully in 20-30% of cases. However there are new techniques which involve clipping of the sympathetic nerve. Traditionally ETS surgery is irreversible as the cut nerve does not re-grow. This can only be decided on an individual basis. The decision to operate for these distressful conditions must be weighed up against the risk of the potential complications and side effects associated with surgery. For facial blushing 85-90% are fully satisfied, 10-15% were to some degree dissatisfied and 2-4% of patients regretted the operation. Evidence reveals Endoscopic Thoracic Sympathectomy (ETS) in fully informed individuals improves the quality of life.
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