Q I heard endoscopic thoracic sympathectomy (ETS) is a sure thing for hyperhidrosis, but people also say the side effects are frightening. How should I decide?
A ETS has a permanent effect, but compensatory hyperhidrosis occurs in 10 to 30% of cases in areas other than the treated site, such as the back, abdomen, and thighs. It is recommended to decide only after thorough consultation before surgery and after sufficiently trying non-surgical treatments.
Detailed Answer
Endoscopic thoracic sympathectomy (ETS) has a high success rate for primary palmar hyperhidrosis, but compensatory hyperhidrosis appears in 10 to 30% of cases in other areas such as the back, abdomen, thighs, and groin. This side effect is difficult to reverse, and some people complain that it is even more uncomfortable than the original palmar hyperhidrosis. Surgical complications such as Horner's syndrome and pneumothorax can also occur, though rarely, so it is best to decide after sufficiently trying non-surgical treatments.
Korean Medicine Clinic Perspective
Dongjedang recommends Korean medicine treatment for those who want to avoid the risk of compensatory hyperhidrosis or prefer a non-surgical approach, or for those who have had a recurrence after surgery. We check together whether there is room for sufficient improvement with conservative treatment before surgery, and if necessary, we also guide you toward connecting with a surgical specialist at the appropriate time.
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