Very few contraindications can exist. Amongst them are obesity which makes the exposure of the sympathetic chain within the chest cavity somewhat difficult and hazardous. Other relative contraindications are previous thoracic surgery cases that can produce scar tissue and adhesions that would prevent easy access to the site where the sympathetic chain is located. An experienced surgeon will be able to determine what is feasible. As always, prospective patients are encouraged to discuss hyperhidrosis with an experienced surgeon.
Understanding ETS contraindications helps patients make informed decisions about hyperhidrosis treatment. Beyond the primary contraindications mentioned, certain medical conditions may influence surgical candidacy. Patients with severe cardiovascular disease require careful evaluation, as the procedure involves general anesthesia.
Age-related factors also play a role in determining surgical appropriateness. While ETS can be performed across various age groups, very young patients may benefit from conservative treatments first, as hyperhidrosis symptoms can sometimes improve with maturity.
Bleeding disorders or anticoagulation therapy create additional challenges for ETS procedures. Patients taking blood-thinning medications require careful coordination with their prescribing physicians to manage bleeding risks safely.
Thorough preoperative evaluation addresses these ETS contraindications systematically, ensuring optimal outcomes for appropriate candidates.