ETS surgery Side Effects You Need to Know
People suffering from hyperhidrosis may have heard of a surgery called Endoscopic Thoracic Sympathectomy (ETS). In EST, the main sympathetic chain that runs alongside the spine, often with the addition of nearby nerve ganglia, are either cut out, burned, or clamped.
ETS may be helpful in treating axillary hyperhidrosis, facial blushing and sweating; however, patients with facial blushing and/or excessive facial sweating experience have higher failure rates. Patients may also be more likely to experience unwanted side effects although this has not been established in a controlled trial or independent study. Generally, ETS is considered a “safe, reproducible, and effective procedure”.
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However safe it is said to be, the very nature of surgery may cause various side effects that have been described by patients as ranging from trivial to devastating. The most common secondary effect of ETS is compensatory sweating. Major drawbacks related to compensatory sweating are seen in 20-80% of patients. Most people find the compensatory sweating to be tolerable while 1-51% claim that their quality of life decreased as a result of compensatory sweating. Total body perspiration in response to heat has been reported to increase after sympathectomy. Compensatory sweating is often a temporary, self-limiting condition.
According to doctors, some degree of compensatory sweating will be seen in all patients who undergo ETS. However, of these the majority will probably accept the compensatory sweating rather than go back to the state of hyperhidrosis. In about 10% of cases, however, the compensatory sweating is so severe that it may necessitate additional medical intervention.
Another fairly well known side effect is gustatory sweating, where the patient’s face breaks out in sweat upon eating spicy or sour foods. This happens to about 10% of all patients who undergo ETS with the degree of sweating varying from person to person. In cases of severe gustatory sweating, once again, medical attention is required.
Among the other hyperhidrosis surgery side effects are: a reduction in heart rate following strenuous physical activity a tingling sensation in the upper arms initial night sweating and weight gain, but in many cases, these are temporary in nature and may disappear on their own. There are also a few recorded cases of loss of stamina and hair fall although these side effects are relatively rare. Additionally, the original sweating problem may recur due to nerve regeneration, sometimes within 6 months of the procedure.
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Hyperhidrosis Surgery
Excessive sweating can be very embarrassing for some people. It causes discomfort and may affect a person’s self confidence. It also stains the shirt. Some people use antiperspirants to stop the excessive sweat, although most of the time it does not put an end to the problem.
The condition of excessive sweating in medical term is called hyperhidrosis. There are many things that are believed to cause hyperhidrosis, such as obesity, drugs, infections, and even genetics. Some treatments are made to eliminate these causes while some are made to remove the excessive sweat itself.
There are some ways to control excessive sweating; one way is through surgery. A special surgical procedure used to eliminate excessive sweating is called hyperhidrosis surgery. However, this option should be taken only if the condition gets out of control or any other hyperhidrosis treatments fail to provide relief and cure the problem. Hyperhidrosis surgery has been done for many years, but it is not really famous as people normally take hyperhidrosis lightly or get too embarrassed to admit they have a problem and get help.
There are different types of surgery that one can undergo, depending on the cases. For the case of palms sweating, it is suggested that patients undergo Endoscopic Thoracic Sympathectomy (EST). This surgery can treat severe cases in the hands and feet. The procedure is quick and patients are usually allowed to go home a few hours after the surgery.
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In cases where EST fails to eliminate hyperhidrosis or improve the patient’s condition, it is advised to undergo Lumbar Sympathectomy, which is a new type of surgical procedure that only just appeared in the last few years. This surgery is proven to be effective yet safe for the patients of foot sweating (excessive plantar hyperhidrosis). Brazil has been said to be one of the countries that can provide a successful surgery. However, it should be known that there might be some post-surgical discomforts.
Excessive armpit sweating can also be eliminated through Axillaries Suction Curettage. The purpose of this type of surgical procedure is to remove the sweat glands in order to reduce the excessive sweat. The procedure involves inserting very small canellas underneath the skin. Like EST, this procedure is quick and patients can continue their activities shortly afterward. There will be some surgical marks on the armpits in the form of wrinkles post-surgery but it will disappear in time.
see the video about Hyperhidrosis Surgery.She found relief from a simply surgery at UAB in Birmingham.
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