What is Endoscopic thoracic sympathectomy (ETS) or treatment of excessive sweating of the armpit and palms, and soles?
Excessive sweating, followed by bad smells, is one of the most annoying problems to anyone, which prevents the person from being in the community and causes them to lose their self-confidence. However, fortunately, there is a way to eliminate excessive sweating of armpits and palms, which will be explained in detail. For people who experience excessive hand sweating or facial erythema, endoscopic thoracic sympathectomy (ETS) is a life-changing and miraculous procedure that helps them treat excessive sweating of the armpit and palms and restore their self-confidence.
How is the sweetening of the armpit and palms and soles treated?
The secretion of sweat glands is controlled by sympathetic nerves originating within the thoracic cavity. Excessive activity of sympathetic nerves results in excessive sweating. Manipulation of these nerves reduces the excessive secretion of the perspiration glands. The sympathetic chain can be easily recognized in the thoracic cavity using a mini-scope known as a thoracoscope. Therefore, endoscopic thoracic sympathectomy (ETS) refers to the procedure performed for hyperhidrosis and facial erythema.
Why choose Mortaz Hospital for ETS?
ETS is performed by Dr. Kargar. Approximately 20 years ago, Dr. Kargar performed this operation for the first time in Iran and presented the results of his operations at a conference in Finland. In addition, the operation theaters of Mortaz Hospital are equipped with all the up-to-date medical equipment as well as the experienced staff of the operating room of Mortaz Hospital allows the surgeon to achieve the best outcome of the surgery. In addition, the patient recovery process is followed up until full recovery.
ETS procedure
ETS procedure is performed in the hospital under general anesthesia. Two small incisions are made in the armpit, through which two 5 mm ports are inserted into the body. The sympathetic nerve is accurately identified. Ganglions or the body of the corresponding neurons are destroyed, resulting in the drying of hands, armpits, and face (to eliminate excessive sweating of the legs, an incision is made in the abdominal area, and the sympathetic nerve is manipulated). The level of blood oxygen is constantly controlled, and no risk exists in this regard. To facilitate this process, a special endotracheal or respiratory tube is inserted by an anesthesiologist to ensure blood oxygenation. Small incisions are closed with only one suture, and a waterproof dressing is placed. Patients are generally discharged the next morning and often recover within a week.
ETS Post-operative care
ETS, performed using a minimally invasive technique, recovery occurs rapidly. The patient may experience chest discomfort slightly, though it is usually controlled by over-the-counter painkillers. Most patients feel comfortable within six hours of surgery, although they had better spend a night in the hospital. However, patient discharge depends on the physician’s discretion.
Routine examinations are performed by the nursing staff of Mortaz Hospital after surgery. Painkillers can be used to relieve a patient’s pain. The patient can resume their normal diet after 4 hours. The presence of pain that is increased by coughing and sneezing is normal during the 2-3 days after surgery.
all steps are done without waiting and wasting time
(Admission)
After entering the hospital and final admission, you will be taken to the international patient department by the authorities of the international patient department to get familiar with your medical staff and physicians. There, your attending physician will examine you. Your medical records will be filed, and the relevant information, such as your medications or your past medical history, will be reviewed and recorded by the medical team. Then, you will be admitted to be monitored for preoperative preparation. In the meantime, you will be evaluated by the nurse, and your blood pressure will be checked, and blood samples will be taken to record both your blood type and the level of blood sugar and cholesterol, among others. You will also be examined by a cardiologist, and an electrocardiogram will be taken. Echocardiography may also be needed. You will then be examined by an anesthesiologist for preoperative percussions. The procedure will be explained to you, and you will be given preoperative training.
(Operation)
In the next step, you will go to the operating room according to the schedule. All the facilities you need are provided as well as the required information. With the help of the anesthesiology team, your anesthesia process will begin before you undergo surgery. After hyperhidrosis and surgery, you will be taken to the recovery unit, where your vital signs are persistently monitored, and you will be monitored regularly by an anesthesiologist and surgeon to regain consciousness. Next, you will return to the ward based on your physician’s diagnosis. Your bleeding will be completely under control, and your dressings will be changed regularly. After consciousness, you will be examined by your physician in the ward. If necessary, laboratory tests may be undertaken to ensure your health.
(Recovery)
Nursing care is continued, and you will be examined by your physician. Then, if your general condition is stable, you will be taught the necessary post-discharge instructions by the treatment team for home care and a proper diet. If needed and at your physician’s discretion, you may be monitored one more night. Otherwise, you can be discharged on the same day.
It is advised to stay in Iran for a week after discharge to avoid a long journey on the one hand and to have easy access to a physician if required on the other hand. However, if you can return home from the day after your discharge, we will not leave you alone, and you can contact us whenever you have any questions or even have video calls with your physician with the coordination of the head of the department. In addition, your department authorities will be in touch with you in the first week after discharge to ensure your health.
(Admission)
After entering the hospital and final admission, you will be taken to the international patient department by the authorities of the international patient department to get familiar with your medical staff and physicians. There, your attending physician will examine you. Your medical records will be filed, and the relevant information, such as your medications or your past medical history, will be reviewed and recorded by the medical team. Then, you will be admitted to be monitored for preoperative preparation. In the meantime, you will be evaluated by the nurse, and your blood pressure will be checked, and blood samples will be taken to record both your blood type and the level of blood sugar and cholesterol, among others. You will also be examined by a cardiologist, and an electrocardiogram will be taken. Echocardiography may also be needed. You will then be examined by an anesthesiologist for preoperative percussions. The procedure will be explained to you, and you will be given preoperative training.
(Operation)
In the next step, you will go to the operating room according to the schedule. All the facilities you need are provided as well as the required information. With the help of the anesthesiology team, your anesthesia process will begin before you undergo surgery. After hyperhidrosis and surgery, you will be taken to the recovery unit, where your vital signs are persistently monitored, and you will be monitored regularly by an anesthesiologist and surgeon to regain consciousness. Next, you will return to the ward based on your physician’s diagnosis. Your bleeding will be completely under control, and your dressings will be changed regularly. After consciousness, you will be examined by your physician in the ward. If necessary, laboratory tests may be undertaken to ensure your health.
(Recovery)
Nursing care is continued, and you will be examined by your physician. Then, if your general condition is stable, you will be taught the necessary post-discharge instructions by the treatment team for home care and a proper diet. If needed and at your physician’s discretion, you may be monitored one more night. Otherwise, you can be discharged on the same day.
It is advised to stay in Iran for a week after discharge to avoid a long journey on the one hand and to have easy access to a physician if required on the other hand. However, if you can return home from the day after your discharge, we will not leave you alone, and you can contact us whenever you have any questions or even have video calls with your physician with the coordination of the head of the department. In addition, your department authorities will be in touch with you in the first week after discharge to ensure your health.
Ancillary medical services:
Ancillary accommodation services:
Hyperhidrosis (increased sweating) in other sites of the body – sweating after eating spicy or hot food
Improved self-confidence by eliminating body sweat – improved comfort and convenience