Endoscopic thoracic sympathectomy is considered to be the most effective treatment for excessive sweating. The procedure is minimally invasive and entails a relatively short recovery period when done in any of our LA locations.
However, before undergoing surgery, you will be required to go through a series of tests and examination procedures with Dr. Marmureanu to properly assess your condition and observe its particularities. This way, we will be able to opt for the most suitable and low-risk approach to ensure the success of your surgery.
You will be asked to take some of the following tests:
After a thorough evaluation of your symptoms, the date of your surgery will be chosen. Prior to the intervention, you will receive general anesthesia by our well-trained team at the California Heart & Lung Surgery Center. Subsequently, two or three small incisions will be made under your arm, through which the endoscope (a thin, flexible tube equipped with a fiber optic camera) and the appropriate medical instruments will be inserted in your chest cavity. Prior to attending to the sympathetic nerves, the lung on the same side of your chest will be deflated to create more space for the procedure to be performed. The nerves are then cut to eliminate the cause of excessive sweating. After the completion of the surgery, your incisions are closed with sutures (stitches) and sterile dressings will be applied over them to prevent infection. The entire duration of endoscopic thoracic sympathectomy varies between one and three hours.
Endoscopic thoracic sympathectomy is employed as a minimally invasive surgical treatment for people diagnosed with hyperhidrosis, a condition which causes excessive sweating of the palms or face. The procedure is typically resorted to when the patient experiences severe symptoms, which negatively impact their life to a great extent, as well as when non-invasive treatment options were ineffective for alleviating the sweating.
This surgery may also benefit patients who suffer from excessive sweating of other regions of the body. Nevertheless, it may not be very helpful for treating excessive armpit sweating. It is always recommended to undergo a series of diagnostic procedures, which can reveal the specifics of your condition so that you will receive the most suitable treatment.
You will spend the next several hours following surgery in the intensive care unit, where your vital signs will constantly be monitored. Due to the minimally invasive nature of endoscopic thoracic sympathectomy, patients generally spend one night hospitalized. During your hospital stay, you will receive pain relievers and antibiotics and will also be intubated. Thus, you will notice some of these tubes attached to your body:
Complete recovery is achieved in approximately two weeks. To promote a safe and thorough recovery, you will be advised to pay special attention to the following aspects: