Department of surgery

Department of surgery unnecessary sweating to obtain
– hyperhidrosis

Hyperhidrosis is characterised by abnormal, sweating that may occur in the possession of, armpits and ft.  For many, the abundant sweating is localized to 1 area, like the hands, while some can experience elevated sweating in a mix of areas.

Hyperhidrosis is rare, affecting about 1 % of people.  However, for individuals affected, the problem frequently disrupts their day to day activities and could be rather embarrassing in social situations.  Even though the exact reason for this sweating remains unknown, we all do know that it’s generally controlled through the supportive central nervous system, which normally responds strongly in situations of fear or stres.

Surgeons at UCSF Clinic have significant experience treating patients with hyperhidrosis.  One option open to our patients is really a non-invasive procedure known as endoscopic thoracic sympathectomy (ETS), in which the supportive chain is cut or clamped to get rid of the unnecessary supportive nerve activity that triggers the abundant sweating.

Signs and Signs and symptoms     

Hyperhidrosis is characterised by abnormal, profuse sweating that may affect one or a mix of the next:     

  • Hands, known as palmar hyperhidrosis    
  • Armpits, known as axillary hyperhidrosis
  • Ft, known as plantar hyperhidrosis      

The unnecessary sweating frequently disrupts day to day activities, for example employment, personal relationships, and outdoor recreation, and can be a supply of significant social embarrassment. 

For instance, patients with palmar hyperhidrosis have wet, moist hands that typically hinder trembling hands or grasping objects. Individuals with axillary hyperhidrosis sweat a lot using their underarms making them stain their clothes soon after they dress. Plantar hyperhidrosis, sweating from the ft, makes ones socks and footwear wet, which results in elevated feet odor.  

Signs and symptoms of hyperhidrosis frequently become noticeable during childhood and adolescence.  Oftentimes, the sweating can be very severe, affecting everyday existence and causing social embarrassment.  The person may go through uncomfortable, self-conscious and also have an altered self-image because of the relentless, sweating.  It’s believed that the unnecessary sweating might be introduced on by stress, feelings or exercise.  However, additionally, it can happen spontaneously.     

The supportive central nervous system controls sweating through the body. Frequently there’s no identifiable cause, but excessive activity from the supportive central nervous system is thought to be responsible in nearly all individuals affected.  The supportive central nervous system normally responds strongly in situations of fear or stress.  It’s not understood why people with hyperhidrosis have the symptoms of constant elevated activity of the system.  The involved nerves branch in the supportive chain inside the chest cavity.      

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Hyperhidrosis is diagnosed by acquiring an intensive background and physical examination.  Your physician asks multiple questions associated with the unnecessary sweating to obtain a feeling of the level of their severity and to obtain a feeling of the level of the condition. 

A few examples from the questions which may be requested are: How lengthy you’ve been experiencing sweating? What areas may take a hit (armpits, hands or ft)? How frequently would you feel the instances of sweating? What treatments have you ever attempted to alleviate the unnecessary sweating?  How effective were they?      


Many patients with hyperhidrosis try dental or topical medications, antiperspirants or herbal treatments to help ease their condition, however these efforts only have temporary or no benefit whatsoever.  The only real treatment with proven lengthy-term results involves surgical interruption from the supportive chain. These nerves mainly affect bloodstream flow towards the skin and also the purpose of the sweat glands.  Interrupting the supportive nerves within the chest leads to dilation from the veins and arterial blood vessels within the arm and hands along with the complete blockage of sweating.     

Endoscopic thoracic sympathectomy (ETS) is really a non-invasive procedure open to treat hyperhidrosis.  Using really small incisions, the supportive chain is cut or clamped to get rid of the unnecessary supportive nerve activity.  By using this approach, the process might be done with an outpatient basis with faster recovery and fewer scarring than open surgery.  The process is impressive to fight sweating from the hands in over 98 percent of patients.  Additionally, the chance of complications is extremely low.  ETS is also used in selected patients with axillary hyperhidrosis, or excessiving sweating from the armpits.   

Concerning the Surgery  

Surgeons at UCSF Clinic have are capable of doing ETS on sides from the body throughout a single operation, as needed.  The operation requires general anesthesia, and 2 5 millimeter incisions on every side.  Most sufferers leave a healthcare facility within 24 hrs as well as their recovery is usually complete within two days.   

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