Dr. Reisfeld has been stating for several years that ETS should be conducted only for sweaty hands and feet. All other indications, including facial blushing, facial sweating and axillary sweating have not been alleviated properly with Endoscopic Thoracic Sympathectomy. Dr. Reisfeld's claims were recently reinforced by a paper published at the Mayo Clinic Proceedings in May of 2005. Dr. Reisfeld believes that the results of the paper reflect his own vast experience with sympathectomies. As previously stated on this website and others, any patient with severe hand sweating or palmar Hyperhidrosis should first try conservative treatment. Please see the Alternative Treatment of the site for further details.
Understanding ETS Controversies
It is Dr. Reisfeld's belief that facial hyperhidrosis and or facial blushing should be treated with medications or other methods but no surgery. Axillary hyperhidrosis or armpit sweating should be treated with local measures such as suction curettage in order to prevent the generalized side effects such as compensatory sweating.
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