Surgical Options for Hyperhidrosis
For the most extreme cases of hyperhidrosis, surgery is a possible route, although it is also generally viewed as the riskiest treatment. Endoscopic Thoracic Sympathectomy (also called Endoscopic Transthoracic Sympathectomy or ETS) disables specific nerves responsible for sweating in certain parts of the upper body by cutting or clamping them. ETS is most successful and most commonly performed in cases of severe palmar hyperhidrosis. In the lower body, a similar procedure called lumbar sympathectomy can be performed for plantar hyperhidrosis.
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The different treatments for hyperhidrosis attack excessive sweating in various ways.
Other surgical approaches can include localized procedures, like cutting, scraping or suctioning the sweat glands out, or they may involve a combination of these techniques. Along with the previously described methods, most of these carry some risk of side effects, so a competent doctor should be consulted concerning each.
A particular dissatisfying side effect from surgery is compensatory sweating. Because the body already has an inclination to sweat excessively, it believes it must produce the same amount of sweat after surgery and finds new areas to release that sweat. A patient who undergoes ETS, for example, may be disappointed to find that although his hands no longer sweat excessively, now his back and stomach are overcompensating for that loss of sweat. Researchers are seeking ways to tweak these treatments in order to decrease occurrences of compensatory sweating and other side effects.
For more information about hyperhidrosis and how the body works, visit the links below.
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- Allergan. "Botox (Botulinum Toxin Type A) History and Development." (4/1/2008) http://www.allergan.com/index.htm
- Aubrey, Allison. "Study looks at Botox for teens with excessive sweating." National Public Radio 4/20/2006. (4/1/2008) http://www.npr.org/templates/story/story.php?storyId=5352790
- CHARGE Syndrome Foundation. "History of the name CHARGE." (4/4/2008) http://www.chargesyndrome.org/about-charge.asp
- Chudler, Eric. "The Automatic Nervous System. Neuroscience for Kids. (4/3/2008) http://faculty.washington.edu/chudler/auto.html
- Freudenrich, Craig. "How Sweat Works." HowStuffWorks.com (4/1/2008) https://health.howstuffworks.com/sweat.htm
- HowStuffWorks.com "What is in an antiperspirant that stops sweat?" (4/1/2008) https://health.howstuffworks.com/question627.htm
- Hyperhidrosis Support Group (4/1/2008) www.hyperhidrosisuk.org/
- International Hyperhidrosis Society. (4/1/2008) http://www.sweathelp.org
- Johnson, Patrick J. et al. "Thoracoscopic Sympathectomy: techniques and outcomes" Neurosurgical Focus 1998. (4/3/2008) http://www.aans.org/education/journal/neurosurgical/feb98/4-2-4.asp
- Krasna, Mark and Kwong, King. "Thoracoscopic Sympathectomy for Treatment of Hyperhidrosis." University of Maryland Medical Center 10/5/2004. (4/1/2008) http://www.or-live.com/distributors/NLM/rnh.cfm?id=120
- Lehrer, Michael. "Sweating- Absent." Medline Plus 4/16/2007 (4/3/2008) http://www.nlm.nih.gov/medlineplus/ency/article/003219.htm
- Mayo Clinic Staff. "Sweating and Body Odor." Mayo Clinic 12/8/2006. (4/1/2008) http://www.mayoclinic.com/health/sweating-and-body-odor/DS00305
- McGill University Health Centre. "Botox for newborns." Science Daily 3/19/2008. (4/1/2008) http://www.sciencedaily.com /releases/2008/03/080317164348.htm
- Medical News Today "Mouthwash Kit Helps Gene Study Recruit Patients Nationally." 1/23/2005. (4/1/2008) http://www.medicalnewstoday.com/articles/19163.php
- Rados, Carol. "Antiperspirant Awareness: It's Mostly No Sweat." FDA Consumer Magazine July/August 2005 Issue. (4/1/2008) http://www.fda.gov/fdac/features/2005/405_sweat.html
- Sisk, Jennifer. "Hyperhidrosis." Encyclopedia of Children's Health: Infancy through Adolescence. (4/3/2008) http://www.healthofchildren.com/G-H/Hyperhidrosis.html
- The Center for Hyperhidrosis. "Hyperhidrosis: Finally a surgical solution to excessive sweating." (4/1/2008) http://www.sweaty-palms.com
- Tortora, Gerard and Grabowski, Sandra Reynolds. "Principles of Anatomy and Physiology." 2000. (4/1/2008)
- Van Voorhees, Benjamin. "Hyperhidrosis." Medline Plus 5/18/2007. (4/1/2008) http://www.nlm.nih.gov/medlineplus/ency/article/007259.htm
- Worldwide Surgeries. "Hyperhidrosis Treatment." (4/1/2008) http://www.hyperhidrosis.com/