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Anyone who has hyperhidrosis understands the difficulties, limits, and
discomfort it brings to their daily lives. Palmar hyperhidrosis, or excessive
sweating of the hands, is the most prevalent kind of hyperhidrosis.
Fortunately, because of Endoscopic Thoracic Sympathectomy (ETS) surgery,
there have been substantial advances in the management of hyperhidrosis.
Excessive sweating (hyperhidrosis) is treated by endoscopic thoracic
sympathectomy, but it can also be used to treat severe face flushing. The
sympathetic nerves have control of sweat glands in the hands and armpits
travel through the rib cage towards the top of the chest. These sympathetic
nerves are taken out during an ETS, which turns off perspiration. With the
advancement of surgical telescopes and cameras, it is now possible to split
these nerves through extremely small incisions, which can help to alleviate
symptoms.


How the ETS is performed?
This procedure is done under a general anaesthesia. Under the area of armpit,
a tiny incision is created. To assist making place for the procedure, the lung on
the side being operated on is permitted to contract for some time. Your other
lung is still functional and capable of doing all of the tasks. A camera mounted
on a tiny telescope is inserted into the chest to locate the nerves to be split.
Another tiny hole may be drilled to accommodate the devices that split the
nerves, however this can also be done through the same hole. The lung is re-
expanded and the tools are withdrawn once the nerves have been severed. A
tiny drain (plastic tube) is sometimes left in the chest for a few hours to ensure
that all of the air has been evacuated.
In approximately 95% of cases, ETS effectively stops sweating in the hands
(almost immediately); however, it is somewhat less successful in reducing
sweating in the armpits by 85 %. Sweating will return to a few persons over
time.


Risk Factor
ETS is a risk-free procedure that seldom causes issues. If there is air or blood
coming out of the lung, a drainage tube may be inserted into the chest for a

day or two. To address any issues, it may be required to do a chest procedure
in a rare case.
Well, it is advisable to consider ETS if you have a severe problem with sweating
or flushing that is impacting your quality of life and you have exhausted all
other treatment options. The procedure is typically a huge success, and the
majority of individuals are ecstatic. However, compensatory sweating is
common, and it may be a serious problem at times. The operation has some
risk, and while the odds of a major issue are small. You should carefully
evaluate your alternatives and discuss with thoracic surgeon in Delhi (near
your location else) who is experienced in Endoscopic Thoracic Sympathectomy.