The most effective treatment for hyperhidrosis involves disrupting the nerve signals that cause excessive sweating and is known as a thoracoscopic sympathectomy. The body’s sweat glands are regulated by the sympathetic nerve chain, a bundle of nerve fibers that run down the back of the chest cavity. Thoracoscopic sympathectomy is a highly effective, minimally invasive procedure in which the sympathetic nerves are cut to prevent excessive sweating.
The Hyperhidrosis Center of Excellence boasts a team of thoracic surgeons uniquely qualified to perform hyperhidrosis surgery. As leaders in their field, our doctors at the Hyperhidrosis Center of Excellence provide excellent patient care. To learn more about hyperhidrosis treatments or to schedule a consultation with one of our doctors, contact us today at (888) 349-1398.
You can also learn more about hyperhidrosis treatments performed by Dr. Mahtabifard and Dr. Fuller on their private thoracic practice website.
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Who is a Candidate for Thoracoscopic Sympathectomy?
Hyperhidrosis patients who undergo a thoracoscopic sympathectomy generally have excessive and unpredictable sweating that negatively impacts their work or social life. Many patients have previously attempted more conservative treatments (such as topical medications or Botox) and found that their hyperhidrosis symptoms have not improved over time. Patients who have no other serious medical conditions except excessive sweating are good candidates for thoracoscopic sympathectomy. Patients who suffer from severe cardio-respiratory illness, pleural disease, or untreated thyroid diseases may not be eligible for this procedure.
Details of the Thoracoscopic Sympathectomy
Under general anesthesia, two tiny incisions about 5 millimeters in length each are made in the chest and CO2 gas is then inserted into the chest cavity in order to provide better access to the sympathetic nerve chain. Next, a high-definition camera is inserted into the chest cavity, sending live video feed to monitors located in the operating room. While viewing the inside of the chest cavity with the camera, another small instrument is inserted. The segment of sympathetic nerves between the third and fourth rib is then cut. This segment of the nerve chain is known to be responsible for excessive sweating. After the sympathetic nerve has been cut, the lung is expanded and the CO2 is removed from the chest cavity. The two small incisions are subsequently closed with absorbable suture.
Possible Side Effects and Complications
At the Hyperhidrosis Center of Excellence, we take every precaution to minimize side effects from surgery. However, as with any surgical procedure, there is a small risk of complications. These complications can include bleeding, infection, or residual air in the chest – all of which are treatable.
The most common side effect is compensatory sweating. After undergoing a thoracoscopic sympathectomy, some patients experience slightly increased sweating in other areas of the body not previously affected by hyperhidrosis, such as the back, abdomen, or legs. However, the sweating in these newly affected areas is not in contact with other people and is more easily concealed. Many patients find that this compensatory sweating is much more tolerable and acceptable than their original symptoms of hyperhidrosis.
Watch An Actual Patient Discuss His Experience
Recovery from Thoracoscopic Sympathectomy
As a relatively quick outpatient procedure, most patients are able to return home within several hours of surgery. Scarring and pain at the incision is greatly reduced as a result of our surgeons’ minimally invasive approach. Regular physical activity and return to work are possible in one week or less. Most patients experience an immediate and significant reduction in hyperhidrosis symptoms.
Contact a Thoracic Surgeon in Los Angeles
The decision of whether or not to have surgery can be a difficult one. At the Hyperhidrosis Center of Excellence, our top priority is to provide a comfortable environment and exceptional care for every patient. Our team is led by Dr. Mahtabifard and Dr. Fuller, renowned thoracic surgeons who are highly experienced in the surgical treatment of hyperhidrosis. Dr. Mahtabifard and Dr. Fuller possess extensive training in minimally invasive thoracic surgery from some of the most prestigious medical institutions. Their knowledge and technical expertise ensures the best results and least chance of complications for patients undergoing hyperhidrosis surgery.
For more information on thoracoscopic sympathectomy, or to schedule a consultation with an expert thoracic surgeon, please call (888) 349-1398.
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