Thoracic Sympathectomy

Thoracic sympathectomy is a minimally invasive surgical procedure aimed at treating various conditions related to the sympathetic nervous system, such as hyperhidrosis (excessive sweating), Raynaud’s disease, and certain types of chronic pain. At Emirates Hospitals, thoracic sympathectomy is performed by a skilled team of thoracic surgeons using cutting-edge technology to offer safe and effective solutions for patients suffering from these debilitating conditions. This procedure involves targeting the sympathetic nerves located in the chest (thoracic region) to interrupt or alter their function, leading to improved symptoms and quality of life.

What is Thoracic Sympathectomy?

Thoracic sympathectomy involves the selective interruption of the sympathetic nerve pathways, which control involuntary functions like sweating, blood flow, and heart rate. The procedure is typically performed on the sympathetic nerve chain in the thoracic region, which runs alongside the spinal cord. By severing or cutting part of this nerve chain, the procedure helps reduce excessive sweating, improve blood flow, and alleviate certain types of chronic pain.

It is commonly recommended for patients who suffer from:

• Hyperhidrosis: Excessive sweating in areas such as the hands, feet, or underarms, which can cause social embarrassment and physical discomfort.
• Raynaud’s Disease: A condition where the blood vessels constrict excessively in response to cold or stress, leading to poor circulation and symptoms such as cold fingers or toes.
• Chronic Pain: Certain types of pain, particularly those related to the sympathetic nerves, can be relieved by disrupting nerve signals.

Benefits of Thoracic Sympathectomy

• Minimally Invasive: The procedure is typically performed using video-assisted thoracoscopic surgery (VATS), which involves smaller incisions and results in reduced scarring, faster recovery, and minimal discomfort.
• Effective Treatment for Hyperhidrosis: The procedure offers a permanent solution for patients who experience severe sweating, particularly in the hands, feet, or underarms.
• Improved Blood Circulation: In patients with Raynaud’s disease, the procedure helps relax blood vessels, improving blood flow and alleviating symptoms.
• Long-Term Relief: Many patients experience lasting improvements after the procedure, with a high success rate for those suffering from chronic pain or excessive sweating.

The Procedure

During thoracic sympathectomy, the surgeon makes small incisions in the chest, usually between the ribs. A thoracoscope (a small camera) is inserted through these incisions to allow the surgeon to view the sympathetic nerve chain. Depending on the condition being treated, the surgeon will either cut, remove, or clamp the specific part of the sympathetic nerve chain responsible for the abnormal symptoms.

The surgery is usually done under general anesthesia, and the patient is closely monitored throughout the procedure. Most patients can go home within a day or two, with a quick return to normal activities.

Post-Procedure Care and Recovery

After thoracic sympathectomy, patients may experience mild discomfort in the chest area, but this typically resolves within a few days. The recovery time is relatively short compared to traditional open surgeries, with many patients returning to normal activities within a week. Follow-up appointments are scheduled to monitor the patient’s progress and ensure that symptoms do not return.