ETS operation in Hand – Underarm sweating and facial flushing

The disease we call regional hyperhidrosis is the general name given to the problem of excessive sweating in the hands, armpits or feet that occurs in some people. These patients sweat more than normal people. This situation, which can cause psychological problems up to their isolation from social life, is resolved with the ETS sympathectomy operation.

In patients who are proven to have no organic disease, the ETS operation, which lasts about 45 minutes, is followed by a video camera with a 5 mm incision from the armpit region, and a 5 mm long clip is placed endoscopically on the sympathetic nerve that stimulates the sweating region, and the block procedure is performed. Immediately after the clip is placed, sweating stops in the hands or armpit area and a significant temperature difference occurs.

Rarely, excessive sweating may occur in different parts of the body, which we call reflex sweating in some patients. In this case, the surgically placed clip is removed and the return is provided. However, if the nerve was cut and the procedure was performed during sympathectomy, it may be necessary to perform nerve repair and interposition.

The ETS operation can also be applied to flushing, which we call flushing. In case of regional hyperhidrosis or flushing, satisfactory results are obtained thanks to the ETS operation. There is a significant improvement in the quality of life questionnaires we applied to the patients before and after the operation. In addition, it is seen that this problem disappears in patients with social phobia before the operation. After the surgical operation, the patients are discharged after 1 day of hospitalization and return to their normal life within 4-5 days.

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