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Hyperhidrosis
Sweating, which is a natural defense mechanism of the body, occurs differently in each person. People may sweat for reasons such as effort, fear, excitement, happiness, and weather conditions. However, excessive sweating (hyperhidrosis), which may occur in some individuals, can cause various health problems. People with excessive sweating mostly in the hands, armpits, face, and feet may encounter serious problems in both their personal and social lives. Endoscopic Thoracic Sympathectomy (ETS), also known as hand sweating surgery, is used in the treatment of this disease. After excessive sweating surgery, which can be applied with three different methods, excessive sweating is eliminated in patients, their problems are eliminated and they are ready to express themselves in a self-confident way in the society.
Endoscopic Thoracic Sympathectomy (ETS), popularly known as hand sweating surgery, is a surgical method applied to treat the sweating problem of patients with excessive sweating predominantly in the hands and armpits. Patients whose excessive sweating problem is solved with ETS and their selfconfidence increases can be more involved in social life. Patients with excessive sweating in the hands and armpits are first interviewed and general information is given, and alternative treatment options for this disease are discussed. It is explained that ETS is one of the most successful treatment options and the complications that the patient may encounter after surgery are discussed. The surgery is performed under general anesthesia. After the patient is placed on the table in the operating room, the procedure is usually started on the right side first. A 1-1.5 cm wide hole is opened in the patient's armpit area and the chest cavity is entered. The sympathetic nerve that causes sweating is found by observing the interior with a camera system (VATS). According to the hand or armpit sweating, the blockage level is determined by seeing and then the surgery is
performed according to the techniques.
Generally, 3 different techniques are applied in ETS surgeries. These methods are as follows:
1- There is a sympathetic chain whose level is determined. The sympathetic chain is cut and left in place. Thus, the sympathetic communication between the nerves is interrupted.
2- In this technique the sympathetic chain is burned and left in place.
3. In this technique the nerve is compressed and blocked by applying a clip to the nerve to interrupt the communication between the nerves.
The above-mentioned methods are usually made from a single hole, but in some cases, they can be made from double holes. This surgery is usually done while the patient is under anesthesia. After the procedure, the patient can be woken up and checked either in the evening on the same day or the next day and discharged. However, the air in the chest should be removed after the surgery to prevent the conditions such as pneumothorax or collapse of the lung.
Endoscopic Thoracic Sympathectomy (ETS), popularly known as hand sweating surgery, is a surgical method applied to treat the sweating problem of patients with excessive sweating predominantly in the hands and armpits. Patients whose excessive sweating problem is solved with ETS and their selfconfidence increases can be more involved in social life. Patients with excessive sweating in the hands and armpits are first interviewed and general information is given, and alternative treatment options for this disease are discussed. It is explained that ETS is one of the most successful treatment options and the complications that the patient may encounter after surgery are discussed. The surgery is performed under general anesthesia. After the patient is placed on the table in the operating room, the procedure is usually started on the right side first. A 1-1.5 cm wide hole is opened in the patient's armpit area and the chest cavity is entered. The sympathetic nerve that causes sweating is found by observing the interior with a camera system (VATS). According to the hand or armpit sweating, the blockage level is determined by seeing and then the surgery is
performed according to the techniques.
Generally, 3 different techniques are applied in ETS surgeries. These methods are as follows:
1- There is a sympathetic chain whose level is determined. The sympathetic chain is cut and left in place. Thus, the sympathetic communication between the nerves is interrupted.
2- In this technique the sympathetic chain is burned and left in place.
3. In this technique the nerve is compressed and blocked by applying a clip to the nerve to interrupt the communication between the nerves.
The above-mentioned methods are usually made from a single hole, but in some cases, they can be made from double holes. This surgery is usually done while the patient is under anesthesia. After the procedure, the patient can be woken up and checked either in the evening on the same day or the next day and discharged. However, the air in the chest should be removed after the surgery to prevent the conditions such as pneumothorax or collapse of the lung.
