Surgical treatments for excessive sweating
Many patients suffer from excessive sweating (hyperhidrosis) from the hands and armpits. Although conservative (non-surgical) treatments can be effective, they often need to be repeated and without them the problem reoccurs.
There are two surgical options which include the 'Breach procedure' (removal of sweat glands under armpits)' and 'Thoracic Sympathectomy'
For armpit sweating
One surgical option is to remove the sweat glands from beneath the skin in the armpit, called the 'Breach Procedure' after the British surgeon who described it. This is performed as day case surgery with a general anaesthetic. The sweat glands are removed using either a single short cut in the skin of the armpit, or using minimal access techniques with an endoscopic 'shaver' in order to minimise the visible scars. This procedure is carried out by Mr Patrick Gillespie, Consultant Hand and Wrist Surgeon and Plastic surgeon.
For palm sweating and facial blushing
An option is to have Endoscopic Thoracic Sympathectomy (ETS) procedure. Keyhole surgery has allowed the development of an operation which can help stop excessive sweating using a specially adapted telescope and requires just a tiny (about 1cm) incision under the arm. The operation is known as Endoscopic Thoracic Sympathectomy (ETS). Although a general anaesthetic is required, most patients are well enough to go home the same day and the operation is usually immediately effective. This procedure is carried out by Mr Marco Scarci, Consultant Thoracic Surgeon