The Top Reasons to Perform ETS

Dr. Reisfeld has been stating for several years that ETS should be conducted only for sweaty hands and feet. All other issues, including facial blushing, facial sweating, and axillary sweating have not been alleviated properly with an Endoscopic Thoracic Sympathectomy.

Dr. Reisfeld’s claims were recently reinforced by a paper published at the Mayo Clinic Proceedings. He 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 options. Please see the Alternative Treatment page of the site for further details.

Understanding ETS Controversies

It is interesting to see that a higher number of unhappy patients came from countries where ETS was done for reasons other than severe palmar hyperhidrosis. In those places, facial blushing, facial sweating, and axillary hyperhidrosis were quoted as the main reason for doing the ETS procedure.

Those patients did not see the results they were looking for. They were also are left with bad side effects. This is the reason why Dr. Reisfeld, through his vast experience and research on this topic, maintains his position that ETS should only be done for patients who suffer from severe palmar hyperhidrosis.

It is Dr. Reisfeld’s belief that facial hyperhidrosis and or facial blushing should be treated with medications or other methods, instead of surgery. Axillary hyperhidrosis or armpit sweating should be treated with local measures, such as suction curettage, in order to prevent generalized side effects such as compensatory sweating.

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