Hyperhidrosis is a condition characterized by excessive sweating, which can affect patients' daily life and quality of life. Thoracoscopic sympathectomy is one of the most effective treatments for hyperhidrosis. In this article we will discuss what hyperhidrosis is, how thoracoscopic sympathectomy works and what the benefits and risks of the procedure are.

What Is Hyperhidrosis?

Hyperhidrosis is a disorder that causes excessive sweating, even when there is no need for body thermoregulation. Hyperhidrosis can be generalized or localized, affecting specific areas of the body such as the palms, armpits, feet and face. 

Types of Hyperhidrosis

1. Primary Hyperhidrosis: It is the most common form and is not associated with any underlying medical condition. It usually symmetrically affects the palms, armpits, legs and face.
2. Secondary Hyperhidrosis: This form of hyperhidrosis is due to underlying medical conditions or medications. It can affect larger areas of the body.

What Is Thoracoscopic Sympathectomy?

Thoracoscopic sympathectomy is a minimally invasive surgery that aims to cut or destroy the sympathetic nerves in the chest that control sweating. The procedure is performed using a thoracoscope, a thin tube with a camera, inserted through small incisions in the chest.

Thoracoscopic Sympathectomy Procedure

1. Preparation: The patient undergoes general anesthesia.
2. Sections: A small incision is made in the chest on both sides (both right and left that is) for the insertion of the thoracoscope and surgical instruments.
3. Severing or Destruction of Nerves: The surgeon locates and cuts or destroys the sympathetic nerves responsible for excessive sweating.
4. Closure of Sections: The incisions are closed with stitches or surgical tape.

 Benefits of Thoracoscopic Sympathectomy

– Minimally Invasive: The procedure requires small incisions, which reduces recovery time and post-operative pain.

– Immediate Relief: Many patients notice an immediate improvement in hyperhidrosis symptoms after surgery.

– Long-term Results: Thoracoscopic sympathectomy provides long-term relief from excessive sweating.

Risks and Complications

Like any surgery, thoracoscopic sympathectomy carries risks, including:

– Contamination: Risk of infection in incisions.

– Bleeding: Risk of bleeding during or after surgery.

– Pneumothorax: Rarely, pneumothorax (collapsed lung) may occur.

– Compensatory Hyperhidrosis: In some cases, increased sweating may occur in other areas of the body.

After the Intervention

– Hospital stay: The patient may need to stay in the hospital for 1 day for observation.

– Recovery: Full recovery takes a few weeks, during which the patient must follow the doctor's instructions.

Conclusion

Thoracoscopic sympathectomy is an effective and minimally invasive solution to treat hyperhidrosis. If you suffer from excessive sweating that affects your quality of life, this surgery can provide significant relief. For more information and personalized advice, make an appointment with our thoracic surgery office as a detailed history must be taken and an assessment can be made, other conservative measures such as medication or Botox can be used.