Axillary Hyperhidrosis: Is Hospitalization Required for Endoscopic Surgery? - Neurosurgery

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Axillary hyperhidrosis, or excessive sweating in the underarm area, can significantly impact a person's quality of life. For those who have not found relief through conservative treatments such as antiperspirants, medications, or lifestyle changes, endoscopic surgery, specifically endoscopic thoracic sympathectomy (ETS), may be considered. This procedure involves cutting or clamping the sympathetic nerves that control sweating in the underarm area.

Regarding your question about hospitalization for endoscopic surgery, it typically depends on the specific surgical approach and the patient's overall health. In many cases, endoscopic procedures are minimally invasive and can be performed on an outpatient basis, meaning that patients can go home the same day after the surgery. However, some patients may require a short hospital stay for observation, especially if they have underlying health conditions or if the procedure is more complex than usual.

The recovery time after endoscopic surgery for axillary hyperhidrosis is generally quite quick. Most patients can expect to return to their normal activities within a few days to a week. However, it is essential to follow the surgeon's post-operative care instructions, which may include avoiding strenuous activities and keeping the surgical site clean and dry. Some patients may experience temporary discomfort, swelling, or bruising in the area, but these symptoms usually resolve within a short period.

It is also important to note that while endoscopic surgery can provide significant relief from excessive sweating, it is not without risks. Potential complications can include infection, nerve damage, or compensatory sweating in other areas of the body. Therefore, it is crucial to have a thorough discussion with your surgeon about the benefits and risks of the procedure, as well as any concerns you may have regarding hospitalization and recovery.

In summary, whether hospitalization is required for endoscopic surgery for axillary hyperhidrosis can vary based on individual circumstances. Many patients can undergo the procedure as outpatients, while others may need to stay in the hospital for a short period. Recovery is typically quick, but it is essential to adhere to post-operative care guidelines to ensure the best outcomes. Always consult with your healthcare provider to determine the most appropriate treatment plan for your specific situation.