Endoscopic Thoracic Sympathectomy (ETS)
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Surgical Treatment: Endoscopic Thoracic Sympathectomy (ETS)
ETS targets the sympathetic nerve pathways responsible for palmar hyperhidrosis. Interrupting these pathways stops excessive sweating, resulting in immediate hand dryness.
How the procedure works
- Performed under general anaesthesia
- Two small keyhole incisions under each arm
- Targeted nerve interruption
- Surgery time approximately 30–45 minutes
- Usually requires overnight hospital stay
Expected outcomes
Most patients experience:
- Immediate improvement
- Long-term, often permanent relief
- High satisfaction rates
Who Is a Suitable Candidate?
ETS may be suitable if:
- Hand sweating is severe and persistent
- Conservative treatments have failed
- Sweating interferes with daily life
- You are seeking a definitive solution
Potential Side Effects
Possible side effects include:
- Compensatory sweating on other body areas
- Rare gustatory sweating
- Temporary temperature sensitivity
- Mild postoperative discomfort
All risks are discussed thoroughly before surgery.
Recovery
Most patients:
- Go home the next day
- Return to office-based work within 2–4 days
- Resume normal activities shortly thereafter