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Posts Tagged ‘Thoracic Surgery’
Hyperhidrosis ETS
The majority of people who submit themselves to Endoscopic Thoracic Sympathectomy or ETS are very desperate because of their hyperhidrosis condition. They have endured for years the socially disabling stigma of profuse hand perspiration or facial blushing. After undergoing the ETS procedure, most patients are commonly awed by the immediate relief from their condition. This positive relief has a tremendous and dramatic effect on the quality of their lives. Normal daily social interactions that were typically evaded are no longer stressful or anxiety provoking. The relief from profuse hand perspiration is instant and permanent.
Relief from plantar hyperhidrosis following the T3 sympathectomy procedure is very fast. The results are also very satisfying for the patient. The decline in palmar perspiration is the same as with the T2 method. However it has been observed that the general approval rating of patients with severe palmar hyperhidrosis that undertake Endoscopic Thoracic Sympathectomy or ETS is greater.
Surgical treatment for Hyperhidrosis disorders should always be considered only as a last resort. Although surgery outcomes are encouraging, there have been one too many unhappy endings out there to make for comfortable reading.
A favorable outcome depends on many factors. Factors such as the patient’s condition, the patient’s individual expectations after surgery, the skill of the surgeon, and the knowledge and communication efficiency between the patient and the physician are critical.
Up to now it is essential that anybody who is considering Endoscopic Thoracic Sympathectomy or ETS surgery gather as much understanding about the process as possible. The necessities and adverse effects of the surgery should be weighed properly and accordingly. Potential patients should gain sufficient and specific information about their condition before deciding to put themselves under the knife. They must also take as much impartial advice as possible. Opinions by specialists and people who have undergone the surgery can prove to be invaluable. Discussion forums are very useful and helpful in shaping a good understanding of the disorder and its many treatments. Finally, the most important choice regards the surgeon who will perform the surgical procedure. The selection must be based on the surgeon’s experience and the favorable feedback by his or her patients.
In the past decades, operations to perform a sympathectomy have historically been performed in many different ways. One of the old methods is performed through the back, with resectioning of a piece of rib on both sides of the spine. Another procedure is made by using a chest incision or thoracotomy where the chest is opened up. A third procedure involves making an incision in the patient’s neck.
Recent advancements in sympathectomy is done via video-assisted or thoracoscopy procedure. This process has also been known as ETS or VATS surgery. Basically it is the same surgery or procedure. However, the surgeon may utilize different procedures. The thoracoscopic method gives the surgeon an easier access to the sympathetic chain. This procedure also gives the patient less pain and discomfort, and it also offers a faster recovery time. Since this surgery is an outpatient procedure, younger patients can now undertake this particular surgical method. The youngest patient that we have performed this surgery on was only 9 years old. The surgery was a success and there were no untoward reactions.
What used to entail a hospital stay of a number of days can today be accomplished on an outpatient basis. Most individuals who undergo the procedure can go home in just a few hours after the surgery. However, if you are coming in from out of state it is wise to plan ahead and set aside at least four days. This method is a thoracic surgical procedure. As such, the surgeon would have to make sure that the patient is healing properly before allowing him or her to travel on an airplane. Abrupt changes in cabin pressure may have a negative effect on patients who undergo this surgery.
Surgical methods for hyperhidrosis have gotten much better in recent years. The permanent cutting of nerves can now be replaced with clamping techniques. Clamping techniques may be reversible should the CS prove to be too serious. Some surgeons have developed a system that still involves sectioning or removing the relative nerves and ganglia causing hyperhidrosis. Surgeons who carry out this particular method claim a one hundred percent success rate surgically. They also claim to have much smaller rates of side effects as compared to surgeons who to use other methods. It is however very necessary that patients always make their own careful inquiries before agreeing to undergo any medical procedure.
Overactive Sweat Glands
Overactive sweat glands usually are an indication of hyperhidrosis. Overactive sweat glands may occur anywhere in our body. There is no definite explanation as to what causes overactive sweat glands. Profuse sweating can occasionally affect the entire body, but it commonly attacks the palms of the hands, the feet, the underarms, and the groin region. Excessive sweating is a natural bodily reaction to fever and anxiety, using water to keep the body’s rising temperature in check. It’s only when excessive sweating continues past the fever or stressful situation that it should be a cause to worry – after all, it’s not normal to sweat so much when you’re resting in comfortable temperatures. In such cases, it may be an indication of an underlying medical condition, such as thyroid problems or a nervous system disorder.
Areas affected by profuse perspiration commonly appear white, cracked, chapped, scaly, and soft, and may sport some bad odor. The unwelcome scent is caused by the buildup and action of bacteria, which is also an indication of hyperhidrosis.
Overactive sweat glands do more than just produce wetness and body odor, however – many individuals also suffer emotional and psychological stress over the condition. Kids, for instance, may suffer teasing and ridicule from their playmates, and may ultimately result to withdrawing themselves from as much social contact as possible. Adults may suffer the same stress in the workplace. And with teenagers, who are going through perhaps the toughest times of their lives, have to deal with the social backlash that sweaty palms, feet, and underarms force them to go through.
Treatment of hyperhidrosis comes in several forms, such as surgery (thoracic surgery procedure, surgery to remove overactive sweat glands, etc.) and excessive perspiration treatment. Most hyperhidrosis treatments available today are safe and effective, and many dermatologists specialize in the medical condition.
Over activity of the sweat glands in the underarms may also be remedied by tumescent liposuction, subcutaneous curettage or a combination of these medical procedures.
Some procedures, particularly the drysol method, have been observed to cause side effects on patients who are very sensitive to drugs. However, most other popular treatments, such as Botox, have no known side effects.
Iontophoresis is another popular treatment that can curb hyperhidrosis for months after a single session. It involves passing certain drugs through the skin by passing a mild current over the affected area. Patients who have undergone iontophoresis have reported relief from excessive sweating for up to six months after the treatment.
When visiting your dermatologist regarding hyperhidrosis, the doctor will take into account the status of your health, your age, the severity of the condition, and any allergies to certain medications, procedures, and therapies. The doctor will also ask you for any family history of excessive sweating.
Other treatments for overactive sweat glands include the application of aluminum chloride solution to the affected areas. And for those who have undergone severe emotional and psychological stress due to the condition’s embarrassing symptoms, some dermatologists may recommend therapy and psychological counseling.


