Hyperhidrosis is a challenging health issue that does not have a permanent solution. It takes several trials of medication and therapy before the best treatment suitable to a particular body type can be found. The first lines of hyperhidrosis treatments include antiperspirants, talcum powders and medications to reduce the level of sweating. Sometimes making simple lifestyle changes in food and exercise habits also reduce hyperhidrosis to a certain extent. But when the problem cannot be solved even by treatments like Botox injection; which has been found effective in hyperhidrosis treatments of the worst type; then doctors will suggest invasive methods like surgery.
Surgeries for treatment of the most severe type of hyperhidrosis
Endoscopic thoracic sympathectomy
Also referred to as ETS this surgery is used for treatment of severe hyperhidrosis in palms and armpit region. In this surgery the doctor makes small incisions in the side of a patient’s chest and either cuts or clips the nerves controlling sweat in the area. Carried out after administration of general anesthetic in both sides of the body it is recommended for treatment of sweating in armpits and palms. But the procedure has serious complications as it can cause chest bleeding or severe breathing problems. Some patients also develop nervous system damage that can lead to drooping of upper eyelid of any one side of the face called Horner’s syndrome.
Endoscopic lumbar sympathectomy
People that suffer from excessive sweating in the feet which is referred to as plantar hyperhidrosis; undergo Endoscopic Lumbar Sympathectomy to reduce this problem. Carried out under the influence of general anesthesia this surgery should be done by a skilled surgeon with acute knowledge of the procedure. During this surgery small incisions are made on either of the ribs and air is inserted slowly into chest cavity to push away the lungs from nerves side. Endoscopic equipment comprising of a fiber optic camera and instrument to work on the sympathetic nerve are inserted through these incisions and slowly moved towards the head of ribs.
The endoscopic instrument clamps down T3 and T4 section of sympathetic nerves that are the main cause of excessive sweating. Titanium clips are clamped down on each section of this nerve chain and if the person has excessive sweating in armpit region then clips are applied to the T5 nerve as well. This procedure takes just about a couple of hours and if patient does not have any complications then he/she can return home the same day and resume regular physical activities after a week.