ETS Surgery – Can It Stop Armpit Sweating?

Endoscopic Thoracic Sympathectomy or ETS surgery to stop armpit sweating has gained a lot of popularity in the past 3 years, even though it was first performed back in 1987. Although alternative treatments such as oral medication are available, ETS  is an effective, long-lasting treatment.  ETS surgically stops the signal transmissions of the sympathetic nerve impulse to sweat glands.

Basically, this can be achieved for the palms, face, armpits and feet.  The best person to perform an Endoscopic Thoracic Sympathectomy, sometimes simply called a ’sympathectomy’ is a highly trained, experienced, thorasic surgeon.

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Under general anesthesia, a small incision, approximately one centimeter in length is made under both armpits. Air is inserted though the incision into the chest cavity. Endoscopic equipment (a fiberoptic camera and a working instrument) is then inserted. The sympathetic chain is located along the ribs head. The endoscopic instrument is then used to clip or cut the T2 segment of the sympathetic nerve node responsible for the sweating. Once completed, the air inflating the chest cavity is removed, along with the instruments and the lung returns to it’s normal position. The incision is then sutured internally with absorbent sutures which eliminate the necessity for sutures removal. The process is then repeated on the other side of the chest. Clipping as a method is performed as well, although it requires one additional port. The theory behind the Clipping is theoretical possibility of reversal if the side effects are too severe for patients to tolerate and if it is done in the appropriate time interval.

Patients with axillary Hyperhidrosis who are unresponsive to medical therapy can be effectively treated by excision of the axillary sweat glands. If sweating extends beyond the hairy portion of the axilla, several skin incisions may be needed, sometimes resulting in formation of hypertrophic and/or constrictive scars.

The primary drawback of having ETS surgery to cure excessive sweating is cost.  However, this surgery can often be covered by health insurance if it documented that other methods have been tried and failed.  There have also been accounts of side effects such as numbness but this is rare when using a surgical staff with extensive experience in ETS surgery.  Another side effect is ‘combensatory sweating’ or sweating elsewhere on the body in lieu of the original area treated.

But in many cases, opting for ETS surgery to cure excessive sweating is not necessary.  There are a number of safe, natural remedies available that are guaranteed to cure excessive sweating.

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