Endoscopic Thoracic Sympathectomy

vats sympathectomyEndoscopic thoracic sympathectomy (ETS) is a minimally invasive procedure where surgeons divide the sympathetic nerve chain located in the thoracic (chest) cavity in order to reduce the amount of nerve stimulation that causes the excessive sweating of the hands.

What can I expect during ETS?

Performed at a hospital or surgicenter, this procedure generally allows for patients to go home the same day. The results are immediate, resulting in warm, dry hands upon completion of the procedure. ETS has an extremely high success rate of 98 percent for effectively curing sweaty palms.

During the procedure, a thin, flexible tube with a camera at its tip known as a thoracoscope is inserted into a small incision of less than one centimeter under both arms. The thoracoscope provides the surgeons with superior visualization of the sympathetic nerve chain located in the chest. An additional tiny incision is then made, allowing the surgical instruments access to divide the sympathetic chain at the appropriate level.

Recovery after ETS is swift, with most patients returning to normal activity within a week.*

*Individual results may vary.

Our ETS Screening Process

At The Hyperhidrosis Center we have seen very positive outcomes with ETS because of two main factors.

1. Our physicians are highly specialized, board certified thoracic surgeons
2. We are extremely selective with who we will recommend surgery to

While we see many patients with hyperhidrosis affecting different body parts, ETS at the Hyperhydrosis Center is only considered for people with severe palmar hyperhidrosis. We are not willing to recommend ETS for hyperhydrosis in other areas of the body due to potential complications.

During the consultation process we review all treatment options and the possible complications and side effects that may be presented. In our experience, ETS has brought many positive results and a high level of patient satisfaction.

For more information on ETS and whether it is an option for you, or to schedule an appointment with one of our specialists, contact us today.