O que é a Sympathectomy

Video-assisted Bilateral Upper Thoracic Sympathectomy is the definitive treatment for hyperhidrosis. This procedure has been known for some time, however, until a few years ago it was not possible to perform the surgery in a simple and minimally invasive way.

Descrição do procedimento

Sympathectomy through video-assisted thoracic surgery (VATS) has revolutionized the treatment of hyperhidrosis and allowed to interrupt of sympathetic innervation in a selective and less invasive way, for sweating hands, armpits, and feet, with a success rate of 99% in cases of the hands and armpits, and good results for the treatment of excessive sweating in the feet.

Thoracic Sympathectomy is performed in the operating room under general anesthesia and takes approximately 15 to 20 minutes. This surgical procedure consists of two small incisions under the armpits, one for the placement of a camera and the other for the introduction of surgical instruments. A reversible technique is then performed (Endoscopic Thoracic Clamping Sympathectomy, ETS-C), with the application of T4 titanium clips, which immediately reduces sweating of the hands, armpits and feet. In cases of facial flushing, it is performed at the T3 level. Finally, to close the incisions, an intradermal suture is performed, which presents excellent aesthetic results.

Compensatory hyperhidrosis (CH) may appear in some patients, which is considered to be an increase in sweating in the back and abdomen. It is normally very well tolerated, and is preferable to sweating of the hands and armpits. Through technological advances starting at T3-T5 the HC rate is less than 5%.
All types of surgery have risks inherent to the surgical procedure itself. However, the risk of postoperative complications is uncommon. Bleeding or pneumothorax is the most frequent complication and, for this reason, some patients leave the operating room with a chest tube to monitor the first hours after surgery, which is removed the next day.
Patients who undergo surgery in the morning can be discharged on the same day. If they are hospitalized, it will only be for one night, being discharged the following day, before lunchtime, if no complications are reported. Regarding work activity, after two days the patient will be able to return to work. These surgeries are usually performed during the weekend so that patients can resume their activity as soon as possible.
Compensatory hyperhidrosis (CH) may appear in some patients, which is considered to be an increase in sweating in the back and abdomen. It is normally very well tolerated, and is preferable to sweating of the hands and armpits. Through technological advances starting at T3-T5 the HC rate is less than 5%.
All types of surgery have risks inherent to the surgical procedure itself. However, the risk of postoperative complications is uncommon. Bleeding or pneumothorax is the most frequent complication and, for this reason, some patients leave the operating room with a chest tube to monitor the first hours after surgery, which is removed the next day.
Patients who undergo surgery in the morning can be discharged on the same day. If they are hospitalized, it will only be for one night, being discharged the following day, before lunchtime, if no complications are reported. Regarding work activity, after two days the patient will be able to return to work. These surgeries are usually performed during the weekend so that patients can resume their activity as soon as possible.
Duração
› 15-20min
Anestesia
› Sedation
Internamento
› Ambulatory
Baixa
› 2 days
Recuperação
› 2 days
Inibição de atividade física
1 week

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