Hand Sweating: Surgical Options and Recovery Tips

Q: Hand Sweating: Surgical Options and Recovery Tips

Hello： Hyperhidrosis is not a disease but a symptom. <br>The most commonly used method currently is endoscopic sympathetic nerve resection. <br>If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three t

Palmar hyperhidrosis

Hello, doctor.
My son just graduated from elementary school, and we would like to take him for surgery to treat his hyperhidrosis during the summer vacation.
We live in Puli and would like your recommendation for a nearby hospital and doctor.
Also, how long after the surgery can he go swimming, and what should we pay attention to post-surgery? Thank you.

Bai Mei Ling, 30~39 year old female. Ask Date: 2001/06/15

Dr. Ding Xianwei reply Neurosurgery

Hello: Hyperhidrosis is not a disease but a symptom.
The most commonly used method currently is endoscopic sympathetic nerve resection.
If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four hours.
The procedure requires general anesthesia and the use of a double-lumen endotracheal tube.
Postoperatively, in addition to the risks associated with general anesthesia and typical surgical complications, there is a chance of developing pneumothorax or hemothorax, with reported fatalities both domestically and internationally, although the likelihood is relatively low.
After the surgery, some individuals may experience compensatory sweating, where sweating increases in the chest and abdomen due to the lack of sweating in the hands.
Some patients may find this unacceptable, so surgery should only be considered if hyperhidrosis significantly impacts daily life.
The surgery is covered by health insurance, and it is safer to stay in the hospital for three days, with a 10% co-payment.
The surgical costs should not exceed NT$10,000.
Both neurosurgery and thoracic surgery departments can provide consultations.
For recommended hospitals and physicians, it is suggested to consult Dr.
Hsieh Po-Chun at China Medical University Hospital, Department of Neurosurgery.

Reply Date: 2001/06/15

More Info

Hand sweating, or hyperhidrosis, can be a challenging condition that significantly impacts daily life. Surgical options, particularly endoscopic thoracic sympathectomy (ETS), are often considered for severe cases that do not respond to conservative treatments. This procedure involves cutting or clamping the sympathetic nerves that control sweating in the hands, leading to a reduction in sweat production.

When considering surgery for hyperhidrosis, it is essential to consult with a qualified surgeon who specializes in this area. Since you are located in Puli, I recommend looking for hospitals or clinics in nearby cities such as Taichung or Nantou, where you can find experienced surgeons. You might want to check with local hospitals or ask for referrals from your primary care physician. It's crucial to choose a facility with a good reputation and experience in treating hyperhidrosis.

Regarding recovery after surgery, patients typically experience some discomfort, swelling, and bruising in the surgical area. The recovery time can vary from person to person, but most individuals can return to light activities within a week. However, it is advisable to avoid strenuous activities, including swimming, for at least 2 to 4 weeks post-surgery. Swimming too soon can increase the risk of infection and may disrupt the healing process.

After the surgery, here are some important care tips to keep in mind:
1. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your recovery and address any concerns.

2. Wound Care: Keep the surgical site clean and dry. Follow your surgeon's instructions regarding wound care to prevent infection.

3. Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers may also be recommended.

4. Activity Restrictions: Avoid heavy lifting, vigorous exercise, and activities that may strain your upper body for at least a few weeks. Gradually reintroduce activities as advised by your surgeon.

5. Signs of Complications: Be vigilant for signs of complications, such as increased redness, swelling, or discharge from the surgical site, fever, or excessive pain. If you experience any of these symptoms, contact your healthcare provider immediately.

6. Hydration and Nutrition: Maintain a balanced diet and stay hydrated to support your recovery. Nutrient-rich foods can aid in healing.

7. Emotional Support: Surgery can be a significant event, and it's normal to have emotional responses. Seek support from family and friends, or consider speaking with a counselor if needed.

In summary, surgery for hand sweating can be an effective solution for those suffering from hyperhidrosis. Ensure you choose a qualified surgeon, follow post-operative care instructions diligently, and allow adequate time for recovery before returning to activities like swimming. With proper care, most patients can expect a significant improvement in their condition and quality of life.

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