Information about surgery for sweaty hands: surgeon "knows the procedure is controversial because of the unpredictability of side-effects"
"Ferrar believes much of the controversy lies in surgeons, mainly in America, who perform the surgery on anyone who asks for it, rather than the severe end of the spectrum.
"In America there are so many that have been operated on when it hasn't been necessary, or the surgeon has given the patient false expectations, that there are support groups for people who've had complications or adverse effects. The people that come to me are almost self-selecting; they've tried everything else."
The youngest patient he has performed an endoscopic thoracic sympathectomy on was 8 years old, with most being in puberty (when the condition tends to arise). Or they are in their 20s when they are beginning relationships and jobs."
Publication info: Waikato Times [Hamilton, New Zealand] 07 Apr 2012: 22."
The amount of compensatory sweating depends on the patient, the damage that the white rami communicans incurs, and the amount of cell body reorganization in the spinal cord after surgery. www.ubcmj.com/pdf/ubcmj_2_1_2010_24-29.pdf After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within a year. http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract
"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding."
Associate Professor Robert Boas, Faculty of Pain Medicine of the Australasian College of Anaesthetists and the Royal College of Anaesthetists
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