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Stop Excessive Underarm Sweating (Hyperhidrosis)With A Less Invasive Treatment!

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by: Scott Abeles, R.N., B.S.N.
About The Author
Scott Abeles, R. N., B.S.N. is an AnestaWeb journalist specializing in medical and health articles and topics.  To learn more about botox, visit http://www.botoxdirectory.net . Other websites by Mr. Abeles Include:  www.bariatricsurgerydirectory.com and www.LessInvasive.com

yperhidrosis or excessive sweating occurs in 1% of the total population.

This excessive sweating can occur in various parts of the body with or without strenuous activity. The exact nature of hyperhidrosis is not completely understood, but what is known is that it may be due to over activity of the sympathetic nervous system. The sympathetic nervous system is a component of the autonomic nervous system or the involuntary nervous system. This system controls bodily functions which are not under our direct or conscious control such as the rate at which we breathe, the beating of our heart, and the production of sweat for body temperature regulation.

The common locations include palmar (hands), axilla (underarms), facial, feet and thighs. The severe episodes of hyperhidrosis can hamper a patient’s daily activities. For example, individuals who suffer from palmar hyperhidrosis will often avoid the simplest gesture like shaking another person’s hand due to the profuse moisture of their own hand. Persons that have severe hyperhidrosis certainly have a social disadvantage which can affect them psychologically. Hyperhidrosis can sometimes occur due to stress, emotion, or exercise, but can also happen spontaneously.  Initially the treatment for hyperhidrosis usually involved salves or ointments that would dry up the sweat gland itself. More recently, Botox injections have been used to treat hyperhidrosis. The Botox is injected directly into the area that is producing the moisture ie: axilla (underarms) thus decreasing the transmission of the nerve impulses to the sweat resulting in decreased sweating. All of the aforementioned treatments have been used with varied success. More recently a less invasive surgical approach is now being employed for the treatment of hyperhidosis. This less invasive treatment is gaining such widespread acceptance that some hospitals are actually opening exclusive centers for the treatment of this disorder. This less invasive surgical treatment is called Endoscopic Thoracic Sympathectomy or ETS.

Endoscopic Thoracic Sympathectomy is a less invasive procedure that involves destroying or removing a particular portion (ganglion) of the main sympathetic nerve. The part of the nerve chain that is destroyed corresponds to the area associated with the excessive sweating. For example, a person with palmar hyperhidrosis, the ganglion (bundle of nerve cells) at the T 2 level is either removed or destroyed, thus minimizing underarm sweating. This less invasive surgical option (under general anesthesia), is performed via 2-3 small key- hole sized incisions under the armpit. Via one of these incisions, a specialized telescope (endoscope) is passed through. The surgeon is able to identify and view the sympathetic nerve chain through the endoscope, which is also seen on a video monitor. Specialized instruments are then passed through the other incisions which allow the surgeon to destroy the specific ganglions that correspond to the area where the patient has the profuse sweating. As with any surgery, conventional or minimally invasive, complications can occur. Discuss the risk /benefit ratio with your physician. Patient’s usually stay in the hospital for a period of 12-24 hours following surgery providing there are no complications.

Endoscopic Thoracic Sympathectomy has shown promise as an intervention for this embarrassing condition. The success rate for this procedure is as high as 98% for palmar hyperhidrosis and 75-80% for axillary hyperhidrosis. ETS should only be performed if other conventional/ over the counter or medical remedies have not been effective. If ETS should be performed, consult a board certified thoracic surgeon who is experienced at thoroscopic surgery.

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