Endoscopic Thoracic Sympathectomy

Endoscopic Thoracic Sympathectomy (ETS) is a surgical procedure used to treat excessive sweating, also known as hyperhidrosis. The procedure involves the surgical interruption of the sympathetic nerves that control sweating. This can be done either by cutting or clipping the nerves, or by removing a portion of the sympathetic chain. The procedure is typically performed endoscopically, which means that small incisions are made and specialized instruments and a camera are used to visualize the internal anatomy and perform the procedure. ETS is a highly effective treatment for hyperhidrosis, with success rates ranging from 80-90%. However, the procedure does have potential side effects, including compensatory sweating, which is an increase in sweating in other areas of the body. In some cases, ETS may also result in changes in blood pressure regulation or sexual dysfunction. Overall, ETS is a safe and effective treatment option for individuals with excessive sweating who have not responded to other treatments, but it should be carefully considered and discussed with a doctor.