Understanding the Anatomy of the Sympathetic Nervous System
Understanding the anatomy of the sympathetic nervous system explains why separate procedures for palmar and plantar hyperhidrosis are necessary. The sympathetic chain runs along the spine and controls sweating in different body regions through distinct nerve pathways. Each area requires targeted intervention at appropriate levels to achieve optimal results.
The ETS (Endoscopic Thoracic Sympathectomy) procedure targets the upper thoracic sympathetic chain, making it effective for palmar and axillary hyperhidrosis. This minimally invasive approach interrupts nerve signals at the upper thoracic levels, providing reliable control for hand and underarm sweating.
The ELS (Endoscopic Lumbar Sympathectomy) procedure targets different nerve pathways located in the lower spine region. This separate procedure for hyperhidrosis specifically addresses plantar hyperhidrosis by targeting lower lumbar levels.
Treatment selection depends on hyperhidrosis location, severity, and patient preferences. Combining procedures may be necessary for individuals with multiple affected areas, though timing and sequencing require careful planning to optimize outcomes while minimizing risks.