Frequently Asked Questions
Here is a list of Frequently asked Questions answered by several surgeons. Please note that WorldWide Surgeries does not endorse or favor any specific answer by a surgeon. This is only for information purpose. We suggest that you also gather information concerning ETS from other सौर्सस
What is hyperhidrosis?
Sweating in excess of that required to cool the body.
What is ETS and ETS-C?
ETS is destruction of part of the sympathetic chain (by cautery or resection) whereas ETS-C is a technique of interrupting the nervous impulses by applying titanium clips across the nerve trunk.
How is ETS and ETS-C performed?
Both are performed under general anaesthesia and involve passing a telescope across the chest cavity from incision(s) near the armpit. The lung is depressed by passing carbon dioxide into the chest cavity to permit a good view of the sympathetic chain which is then treated as above. The CO2 is then removed from the chest and the lung re-inflated.
What is the Kuntz nerve and how does it relate to the ETS / ETS-C procedure?
The Kuntz nerve most probably has no function in man and is unrelated to the success of either ETS or ETS-C (SEE BELOW).
Are there any negative side effects of the operation?
As with all surgery, there is a slight risk in the procedure, but the long-term side-effects include compensatory hyperhidrosis, possible excess dryness of the hands/upper body, and a slight possibility of Horner's syndrome of drooping of the eyelid (NOT the whole face as some people think).
Are there any other positive side effects of the operation?
The dry hands may be a bonus actually; also the palpitations and general anxiety in social situations may be reduced.
What complications may occur?
The risks of the procedure include damage to the structures inside the chest; the commonest is to the lung which might require temporary use of a chest drain (4%); bleeding from inside the chest is fortunately rare (0.3%) but is much more serious. There is usually a mild degree of postoperative pain for a couple of days.
What if my only condition is axillary (armpit) sweating?
ETS is not advisable as the CS is just as bad as the axillary sweat, merely moved around the body. Botox or sweat gland excision is better.
What if my facial redness is caused by rosacea or another skin condition?
ETS might affect any attacks of flushing, but not the background redness, so it is not recommended.
What is the long-term success rate?
99% for palmar hyperhidrosis (maintained for many years). Facial blushing 94% and facial sweating 90% initially but the longterm results for these conditions are not as good due to the problem of compensatory sweating.
What is the recovery time?
Usually overnight in hospital and a couple of days off work. Sport after a week.
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