What is sympathectomy procedure?

What is sympathectomy procedure?

Sympathectomy is a type of minimally-invasive procedure (small incisions of 2–3 inches long, done under general anesthesia) which involves cauterizing (cutting and sealing) a portion of the sympathetic nerve chain that runs down the back inside the chest, parallel to the spine.

How effective is endoscopic thoracic sympathectomy?

ETS is very effective at stopping sweating of the hands in over 95% of cases; it is slightly less effective at stopping sweating in the armpits (about 85%).

What is the procedure for endoscopic thoracic sympathectomy?


  1. The surgeon makes 2 or 3 tiny cuts (incisions) under one arm on the side where the excessive sweating occurs.
  2. Your lung on this side is deflated (collapsed) so that air does not move in and out of it during surgery.
  3. A tiny camera called an endoscope is inserted through one of the cuts into your chest.

Is endoscopic thoracic sympathectomy safe?

Conclusion: Endoscopic transthoracic sympathectomy is an efficient, safe, and minimally invasive surgical method for the treatment of palmar, axillary, and facial hyperhidrosis.

What can I expect after a sympathectomy?

After a sympathectomy, the brain can’t send signals to the involved areas to make them sweat, blush, or react to the cold as much. This permanent procedure is used as a last resort if other steps, such as antiperspirants or medicines, haven’t worked.

How long does it take to recover from sympathectomy?

This usually gets better after several days. But for up to 2 weeks, you may feel pain in your chest when you take a deep breath. Avoid strenuous activity and lifting anything heavy for about 3 to 4 weeks or until your doctor says it is okay.

Is ETS surgery risky?

ETS surgery is usually considered a last resort, as it comes with significant risks. Side effects and complications range from extreme hypotension, heat intolerance, arrhythmia and, in extreme cases, death.

Is ETS surgery painful?

Benefits of ETS Because ETS is performed through small keyhole incisions rather than a large chest incision, there’s no scarring, less pain and a faster recovery.

What type of doctor performs a sympathectomy?

Surgical Specialists Surgeons perform a wide variety of operations, ranging from removing an appendix to transplanting organs. Surgeons may also treat hyperhidrosis with local procedures or with a more invasive procedure called endoscopic thoracic sympathectomy (ETS).

Is ETS a major surgery?

ETS is most often used to treat severely sweaty palms, sometimes the combination of sweaty palms and sweaty underarms, and rarely facial flushing and sweating, but it is major surgery (even though it’s called ‘minimally invasive’) with significant risks and limited success.

Does video assisted thoracoscopic sympathectomy improve symptoms and quality of life?

We evaluated video assisted thoracoscopic sympathectomy (VATS) in such patients with the aim of improving symptoms and quality of life. Methods: Video assisted thoracoscopic sympathectomy, a minimally invasive procedure, was performed under general anaesthesia with alternating single lung ventilation.

What procedures can be treated with video-assisted thoracoscopic surgery?

Lung surgery, such as surgery to treat lung cancer and lung volume reduction surgery Procedures to remove excess fluid or air from the area around the lungs Certain procedures involving the heart, ribs, spine and diaphragm Possible complications of video-assisted thoracoscopic surgery include:

What is VATS (video-assisted thoracoscopic surgery)?

Video-assisted thoracoscopic surgery (VATS) is a type of surgery for diagnosing and treating a variety of conditions involving the chest area (thorax). It uses a special video camera called a thoracoscope. It is a type of minimally invasive surgery.