Endoscopic thoracic sympathectomy Surgery to Treat Excessive Sweating ; Procedure, Indications скачать в хорошем качестве

Endoscopic thoracic sympathectomy Surgery to Treat Excessive Sweating ; Procedure, Indications

Endoscopic Thoracic Sympathectomy (ETS) is a surgical procedure used to treat conditions like excessive sweating (hyperhidrosis), facial blushing, and Raynaud's phenomenon. Here's a detailed overview: Overview ETS involves cutting or destroying part of the sympathetic nerve chain in the thoracic region (chest area) to reduce or eliminate excessive sweating or blushing. The procedure is minimally invasive and is performed using an endoscope, which is a thin tube with a camera and surgical tools1. Procedure Preparation: The patient is placed under general anesthesia. Incision: Small incisions are made under the armpit or on the side of the chest. Insertion of Endoscope: A miniature camera (endoscope) is inserted through the incision to visualize the sympathetic nerve chain. Nerve Disruption: The surgeon cuts or destroys the targeted portion of the sympathetic nerve chain. Completion: The incisions are closed, and the patient is monitored during recovery. Indications Palmar Hyperhidrosis: Excessive sweating of the hands. Axillary Hyperhidrosis: Excessive sweating of the armpits. Facial Blushing: Severe facial blushing that affects quality of life. Raynaud's Phenomenon: A condition where blood flow to the fingers and toes is restricted. Risks and Side Effects Compensatory Sweating: Excessive sweating in other parts of the body, such as the back, chest, or abdomen. Surgical Complications: Risks include infection, bleeding, blood clots, and pneumothorax (collapsed lung). Horner Syndrome: A rare condition that can cause drooping eyelids and decreased facial sweating. Other Side Effects: Hypotension (low blood pressure), arrhythmia (irregular heartbeat), and heat intolerance. Effectiveness ETS has shown high success rates in reducing symptoms of hyperhidrosis and facial blushing. However, the procedure is considered a last resort due to potential side effects and complications2. Recovery Hospital Stay: Patients may need to stay in the hospital for a short period for monitoring. Follow-Up: Regular follow-up visits are necessary to monitor recovery and manage any side effects #endoscopicthoracicsympathectomy