-1.jpg)
ETS علاج تعرق اليدين نهائياً | عملية العصب السمبثاوي الصدري
Sweaty Hands Treatment: ETS Sympathectomy for Palmar Hyperhidrosis
علاج تعرق اليدين نهائياً في الأردن | عملية العصب السمبثاوي الصدري (ETS) – خبرة جراحية متقدمة
“Excessive sweating of the hands, known as palmar hyperhidrosis, can significantly affect daily life. One of the most effective treatments is ETS sympathectomy, a minimally invasive thoracoscopic procedure.”
When there is no apparent cause for sweaty hands, the sweating of the hands in this type occurs due to overactivity of the sympathetic nervous system, caused mainly by emotional causes including anxiety, nervousness, anger and fear and is called
in this case (primary hyperhidrosis)
This type of sweating is different from the secondary type caused by diseases such as hyperthyroidism
This type of sweating is linked to mental illnesses such as social anxiety and tension, and it has very harmful psychological consequences
For the patient, such as introversion and avoidance of social events, even some may avoid marriage
There is difficulty when doing manual work such as writing and using a computer
Temporary treatment
There are two types of treatment, temporary treatment and permanent treatment
As for the temporary treatment, it is with the dermatologist using lotions and hand creams, Botox needles, whose effect lasts about two months, and iontophoresis treatment.
All these solutions are temporary, and sweating returns as it was after stopping treatment
العلاج الدائم - علاج تعرق اليدين نهائيا
As for the permanent and eternal treatment, it is by endoscopic thoracic surgery on the thoracic sympathetic nerve
This operation is performed under general anesthesia to cut the sympathetic nerve responsible for excessive sweating by means of two holes under the armpit with a length not exceeding half a centimeter.
The results of this operation are excellent, with a success rate of more than 99 percent
It is a very safe process.
Who Needs ETS Sympathectomy?
Endoscopic Thoracic Sympathectomy (ETS) is a surgical procedure used to treat severe primary hyperhidrosis, especially excessive sweating of the hands (palmar hyperhidrosis). The procedure is usually considered when sweating is severe enough to interfere with daily life and when non-surgical treatments have not been effective.
Patients who may benefit from ETS sympathectomy include:
1. Patients with Severe Palmar Hyperhidrosis
Individuals who experience constant or excessive sweating of the hands that interferes with normal activities such as writing, shaking hands, using electronic devices, or performing professional tasks.
2. Patients Who Do Not Respond to Non-Surgical Treatments
ETS is typically recommended when conservative treatments fail, such as:
-
Prescription antiperspirants
-
Iontophoresis therapy
-
Oral medications
-
Botulinum toxin (Botox) injections
If these treatments provide only temporary relief or are ineffective, surgery may be considered.
3. Patients Whose Quality of Life Is Significantly Affected
Excessive sweating can cause:
-
Social embarrassment
-
Anxiety in social or professional situations
-
Difficulty performing daily activities
When hyperhidrosis significantly affects confidence, social interactions, or work performance, surgical treatment may be appropriate.
4. Patients with Primary Hyperhidrosis
ETS works best for primary hyperhidrosis, which means excessive sweating without an underlying medical cause. Secondary hyperhidrosis caused by another disease usually requires treatment of the underlying condition.
5. Patients in Good Overall Health
Candidates for ETS sympathectomy should generally be healthy and able to undergo minimally invasive thoracic surgery.
When Is ETS Sympathectomy Not Recommended?
The procedure may not be suitable for patients who:
-
Have sweating caused by another medical condition
-
Have uncontrolled medical problems
-
Are not willing to accept the possibility of compensatory sweating, which can occur after surgery.
Important Note
A full evaluation by a thoracic surgeon experienced in treating hyperhidrosis is essential before deciding on ETS sympathectomy. The surgeon will review the patient’s medical history, previous treatments, and the severity of symptoms before recommending surgery.
If severe sweaty hands are affecting your daily activities or confidence, a consultation with Dr. Mohammad Tarshihi can help determine whether ETS sympathectomy is the most effective treatment option for you.
For many patients, ETS sympathectomy can be life-changing, providing immediate relief from excessive sweating and allowing them to enjoy daily activities with dry hands and greater confidence
Frequently Asked Questions
Is ETS sympathectomy permanent?
Yes. ETS sympathectomy is considered a permanent treatment for severe palmar hyperhidrosis because it interrupts the sympathetic nerve signals that trigger excessive sweating.
Is ETS surgery safe?
When performed by an experienced thoracic surgeon, ETS surgery is generally safe and minimally invasive.
How long does recovery take after ETS surgery?
Most patients return to normal activities within a few days after thoracoscopic sympathectomy.
What is compensatory sweating?
Compensatory sweating refers to increased sweating in other parts of the body after surgery, which may occur in some patients.
Cost of Hyperhidrosis Surgery
The cost of ETS sympathectomy for sweaty hands depends on the hospital stay and individual patient factors. Compared with many countries, surgical treatment for hyperhidrosis in Jordan is often more affordable while maintaining high medical standards.
