What is Endoscopic Thoracic Sympathectomy?

Endoscopic thoracic sympathectomy (ETS) is a procedure that inhibits the sympathetic nerves that cause profuse sweating (hyperhidrosis). These nerves are located in the upper chest and control involuntary body functions, including sweating. By cutting or clamping specific nerve pathways, ETS effectively stops the overactivity of sweat glands.

Who Can Benefit from ETS?

ETS is primarily used to treat:

• Palmar hyperhidrosis: Excessive sweating of the hands
• Axillary hyperhidrosis: Excessive underarm sweating
• Facial hyperhidrosis: Uncontrollable sweating of the face and scalp

People who experience these symptoms despite trying non-surgical treatments like antiperspirants, medications, or Botox may find ETS a highly effective solution.

How is Endoscopic Thoracic Sympathectomy Performed?

ETS is a minimally invasive surgery performed under general anesthesia. Here’s what happens during the procedure:

• Small incisions are made under the armpit.
• A tiny camera (endoscope) is inserted to locate the sympathetic nerve chain.
• The surgeon cuts, clamps, or removes the targeted nerve section to block the signals causing excessive sweating.
• Before being released, typically the same day or within 24 hours, the incisions are closed and the patient is closely monitored.

The procedure takes about thirty minutes to an hour, and most patients return to their regular activities in a few days.

The Benefits of ETS Surgery

Choosing ETS can significantly improve your quality of life. Some of the key benefits include:

 Permanent solution for hyperhidrosis.

• Minimally invasive approach with small incisions
• Quick recovery time – most patients return to daily activities within a week
• High success rates – patients report a dramatic reduction in sweating
• Improved confidence and comfort in social situations

For those who have struggled with these conditions for years, ETS provides long-awaited relief and allows them to lead a more comfortable, worry-free life.

Possible Risks and Side Effects

While effective, ETS carries risks such as compensatory sweating, where other parts of the body may start sweating excessively after the surgery. The incidence of this complication is 1 in 10000. Therefore, it is reserved for the most persistent cases.

Recovery and Aftercare

Most patients recover quickly from endoscopic thoracic sympathectomy. Here’s what to expect post-surgery:

• Mild soreness for a few days, which can be managed with pain relievers.
• Incisions heal within 1-2 weeks with minimal scarring.
• It takes 3 to 5 days for most people to resume their regular activities and jobs.
• Sweating reduction is noticeable immediately after surgery.

Patients are recommended to stay away from heavy lifting in order to facilitate a quick recovery. Personalized aftercare instructions will be given by the doctor.

Cost of Endoscopic Thoracic Sympathectomy in Turkey

The cost of ETS varies based on location, medical facilities, and surgeon expertise. Turkey has become a top destination for ETS surgery, providing quality healthcare at affordable costs. Compared to other western countries, ETS surgery in Turkey is often more affordable without compromising quality.

Factors affecting cost include:

• Hospital and surgeon fees
• Pre-operative tests and consultations
• Post-surgery care and follow-up

Turkey’s healthcare system provides world-class treatments with experienced surgeons, making it a great option for international patients seeking ETS surgery.

Is ETS Right for You?

If excessive sweating has negatively impacted your daily life, endoscopic thoracic sympathectomy may be the permanent solution you need. The procedure offers a high success rate, quick recovery, and lasting results. Consulting a specialist will help determine if ETS is the best treatment option for you. At Istanbul Med Assist, we provide personalized medical guidance and connect you with expert surgeons for ETS surgery in Turkey.