Sympaectomy: For people with hyperhidrosis, abnormal sweating of hands and feet is not only uncomfortable, but can also affect daily life; you may have to change clothes frequently, or when you want to shake hands, you might be anxious of your sweaty hands. With too many other awkward situations, such people usually consider surgery to get rid of these troubles. In fact, sweat lines are controlled by sympathetics. Too much sweat is usually caused by hypersympathesia. Therefore, common antiperspiration surgery removes sympathetics, called Endoscopic Thoracic Sympathectomy, referred to as ETS. Although antiperspirant surgery works well, there are still some risks. Here are some precautions for Sympaectomy.
Using Deodorant Before Surgery
Hyperhidrosis may be a manifestation of hyperhidrosis in the armpits, palms, and face. Antiperspirations may be considered, but they must be evaluated carefully before any surgery.It is recommended to use antiperspirants, oral and external drugs, or other non-invasive methods.
In fact, most patients with generalized idiopathic hyperhidrosis only require oral medication. Secondary generalized hyperhidrosis is caused by overheating of the body due to the disease, so a dermatologist will require you to undergo an assessment.
Removing Sympathetic Sweat Gland Transfer
Simply put, the purpose of Sympaectomy is to cut and interfere with the transmission of nerve signals between the spine and sweat glands.The doctor will use a thoracoscopy to make small keyhole incisions under the armpits, about half a centimeter in diameter, to cut off the empathetics or joints of the chest, but this does not harm the empathetics as there is an overlap in the nervous function of the chest.
Due to it’s a small incision, it is a low-invasive treatment with less pain and rapid recovery. Surgery will take about an hour, then the day after the surgery, there may be sore in the incision and chest, and the suture will gradually disappear. The patient can usually take a bath and start to recover the very next day and can go back to their regular life.
Suitable for most people but surgical risk still present
Who can undergo Sympaectomy? In general, as long as you are at age of 10 to 65 years old, you can undergo the surgery for Sympathesia. However, if you have respiratory diseases, Pleural disease, or in a process of treatment for thyroid disease and excessive scars on the chest, then you are not suitable for this operation.
As for the risk of surgery, as it requires general anesthesia, it can be dangerous to drugs, bleeding and infection, as with other procedures.In rare cases, Hemothorax is a state where blood flows between the chest and the lungs (called the rib cavity) for some reason, and if blood clots are not able to circulate, then you may need to have a thoracoscopic surgery.
Side Effects of Sympaectomy
Sympaectomy is a non-recoverable procedure. If you are considering this procedure, you should study it in detail and find an experienced physician who is well aware of the procedure, and you can alsoPatients who have undergone the procedure ask for advice. The following are the side effects that may occur after Sympaectomy:
- Compensatory Perspiration
This is the most common side effect, 70 percent of patients have this condition, including the back, abdomen, thighs, feet. It is worth noting that the palms and armpits will still emit sweat. However, in most cases, it is much more tolerable and manageable than before surgery.
- Dry Face
Some patients may feel dry face, neck and scalp after surgery, but simply apply a moisturizer to relieve the problem, while dry skin may also help to improve acne.
Horner’s Syndrome is a rare symptom that occurs in hyperhidrosis on the face, such as drooping eyes, reduction of the the pupil, and inability for the face to sweat.
Neuritis and Neuralgia
A few patients experience pain in the shoulder blades, but usually do not become severe and disappear after a period of time, or can also be treated with steroid-free anti-inflammatory drugs. In addition, if the spinal nerve is injured, the upper limbs will feel paralysis and weakness, but this is very rare.
Decrease in Heart Rate
Many patients experience a decrease in heart rate after surgery. Although it does not affect exercise tolerance, but it may also bring some benefits to patients with arrhythmia, as this does not apply when highcardiopulmonary abilities of athletes.