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Question
Posted by: Maryna | 2007/12/03

Post Transto. Sympathectomy

What is the post op treatment, or side effects from a transtorokale sympathectomy. Pain and uncomfort you have to deal with after such a operation, and for how long.

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Our expert says:
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Dear Maryna
If they do it per endoscope, they need to insert a drain to help inflate the lung after the procedure, so you will be in hospital for a day or so. It will be sore and uncomfortable for a week or so at least.
Risks include bleeding, infection and pneumothorax or lung collapse. Those risks specific to sympathectomy include Compensatory Sweating (occurring in sites other than the original site of hyperhidrosis) - about 50% of people experience this- and Horner’s Syndrome (decreased facial sweating, eyelid drooping, and enlarged pupil on the opposite side) which only happens in a small % of patients.

See this article on the procedure: http://www.umm.edu/thoracic/thoracic5a.htm
Dr Bets

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