Axillary hyperhidrosis, Neurosurgery FAQ

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Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches

Axillary hyperhidrosis Hello, Doctor: In the department introductions of some hospitals, I see that both neurosurgery and plastic surgery list the treatment of "hyperhidrosis" (axillary sweating). Are the approaches of neurosurgery and plastic surgery the same? Is surgi...


Dr. Zhang Yuanyi Reply:
Dear Ah Xiang, Hello. The approaches of neurosurgery and plastic surgery are different. Neurosurgery involves endoscopic sympathectomy through the thoracic cavity, primarily targeting palmar hyperhidrosis. The success rate for controlling axillary sweating is lower than that for...

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Understanding Axillary Hyperhidrosis: Is Hospitalization Required for Endoscopic Surgery?

Axillary hyperhidrosis? Hello, doctor: I would like to ask if treatment for axillary hyperhidrosis with endoscopic surgery requires hospitalization. How long is the recovery time?


Dr. Ding Xianwei Reply:
Hello: If endoscopic surgery is performed, at least one night of hospitalization is required due to the need for general anesthesia. Recovery time varies from person to person, but generally, one should avoid lifting heavy objects and engaging in strenuous activities for about a ...

[Read More] Understanding Axillary Hyperhidrosis: Is Hospitalization Required for Endoscopic Surgery?


Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options

Hyperhidrosis Hello, Doctor. Eight years ago, I underwent endoscopic sympathetic nerve surgery to treat palmar hyperhidrosis. At that time, I did not inform the physician that I also experienced sweating in my armpits. To this day, my axillary hyperhidrosis remains severe, and it...


Dr. Ding Xianwei Reply:
Hello: I would suggest that you undergo axillary gland excision (surgery for axillary osmidrosis), but you are not suitable for endoscopic surgery anymore, as patients who have undergone previous surgeries may experience adhesions in the lungs, which increases the difficulty of t...

[Read More] Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options


Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study

The Strange Phenomenon of Hand Sweat Surgery Hello, doctor! I underwent surgery for axillary hyperhidrosis six years ago. For the first two years post-surgery, I did not sweat at all above my neck and down to my palms, and my condition was good. Starting from the third year, I no...


Dr. Xiao Furen Reply:
This phenomenon is called gustatory sweating. It has been suggested that it occurs because the parasympathetic (vagal) nerves have grown into the severed sympathetic nerves. According to a recent report from Hong Kong, about one-third of patients with palmar hyperhidrosis experie...

[Read More] Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study


Expert Advice on Treating Axillary Odor: Best Hospitals and Recovery Tips

Bromhidrosis Hello, I have a problem with body odor and would like to know which hospital in Taipei and which doctor has experience in this area. After the surgery, how long do I need to pack the area with gauze, and what is the fastest recovery time? Thank you.


Dr. Hong Xuyi Reply:
Hello Ms. Hsu: The surgery for axillary hyperhidrosis can be performed by neurosurgery using endoscopic techniques to disrupt the sympathetic ganglia at the fourth thoracic vertebra, which reduces sweating in the armpits, or by plastic surgery to directly excise the axillary swea...

[Read More] Expert Advice on Treating Axillary Odor: Best Hospitals and Recovery Tips


Understanding the Differences Between Traditional and Endoscopic Surgery for Axillary Odor

Bromhidrosis Hello Dr. Ding, I would like to ask about the differences between traditional surgery and endoscopic surgery for axillary hyperhidrosis, as well as their costs and wound healing times. I only notice an odor when I sweat, and I am the only one who can smell it. Would ...


Dr. Ding Xianwei Reply:
Actually, hyperhidrosis is more effectively treated with endoscopic surgery in more severe cases; otherwise, traditional subcutaneous follicle excision surgery is more effective.

[Read More] Understanding the Differences Between Traditional and Endoscopic Surgery for Axillary Odor


Can Sympathetic Nerve Block Be Reversed After Surgery?

Can the sympathetic nerve be reconnected after being blocked? Hello! A few years ago, I underwent thoracoscopic sympathetic nerve block surgery due to axillary hyperhidrosis (excessive sweating in the armpits, but not much sweating in the hands) based on my doctor's recommen...


Dr. Shao Guoning Reply:
Sympathetic nerve block cannot reconnect the nerves; it only allows for waiting for nerve regeneration. Generally, partial regeneration can occur within two years, and the palm may become slightly moist.

[Read More] Can Sympathetic Nerve Block Be Reversed After Surgery?


Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?

Can hand sweating surgery be performed during the developmental stage? I have inherited my mother's symptoms of palmar hyperhidrosis since childhood, which has caused various inconveniences in social situations and daily activities for many years. Eight years ago, I underwen...


Dr. Ding Xianwei Reply:
If you have already undergone surgery, you should understand the effects of surgery for hyperhidrosis and the potential side effects of compensatory sweating. However, a 12-year-old child is still too young, and it is not recommended to proceed with surgery at this age. It is adv...

[Read More] Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?