Endoscopic Thoracic Sympathectomy (ETS) at King’s College Hospital London in Dubai
Excessive sweating of the hands can affect confidence, comfort, and everyday activities. Endoscopic Thoracic Sympathectomy, often called ETS, is a minimally invasive surgical option for people with severe palmar hyperhidrosis who have not found relief with other treatments. At King’s College Hospital Dubai, we assess and create an ETS plan with a strong focus on safety, clarity, and long-term outcomes.
What does Endoscopic Thoracic Sympathectomy do?
Endoscopic Thoracic Sympathectomy is a procedure that reduces excessive sweating by interrupting specific sympathetic nerves that overstimulate the sweat glands. These nerves run along the chest and play a role in how much we sweat, particularly in the hands. During ETS, the surgeon carefully interrupts the part of the nerve pathway that is sending constant “on” signals, which helps calm excessive sweating in the palms. In some cases, the procedure may also be considered for underarm or facial sweating, although the results can differ depending on the area being treated and the individual person.
When should you consider EsTS?
ETS is usually considered when excessive sweating is severe, long-standing, and affects daily life. These nerves run through the chest and help control sweating, particularly in the hands. When they become overactive, sweating can happen more than it should. During ETS, the surgeon carefully interrupts the specific nerve signals causing this response, which can lead to much drier palms. In some cases, the procedure may also be considered for sweating in the underarms or face, though results can differ depending on the area involved.
What causes sweaty palms?
Palmar hyperhidrosis is typically related to overactivity of the sympathetic nervous system and may have a genetic component. In some cases, excessive sweating can also be associated with other medical conditions or triggers. Contributing factors may include:
- Anxiety or stress
- Certain medications
- Hormonal conditions such as an overactive thyroid or menopause
- Infections or neurological conditions
- Cardiovascular or lsung disease
Symptoms often begin in childhood or adolescence and may improve later in life unless an underlying condition is present.
How is palmar hyperhidrosis diagnosed?
Diagnosis starts with a comprehensive medical history and discussion of symptoms, including how long the sweating has been present and whether it occurs without obvious triggers. To confirm the diagnosis and exclude other causes, your doctor may carry out simple, non-invasive tests. These can include placing special paper on the palms to measure sweat levels or using a starch-iodine test to highlight areas of excess sweating. In most cases, symptoms need to have been present for at least six months, without a clear underlying cause, to diagnose primary hyperhidrosis.
What can I expect from ETS treatment?
- Consultation & Assessment: First meeting with the surgeon to review your medical history and prep instructions for surgery.
- Procedure: ETS is done under general anesthesia using small incisions near the armpit, with a camera to guide the surgeon.
- Observation: Most patients stay one night so we can monitor breathing, comfort, and early recovery.
- Follow-up: You go home with simple aftercare guidance and a follow-up plan to check healing and results.
Who are the best doctors for Endoscopic Thoracic Sympathectomy in Dubai?
The best doctors for Endoscopic Thoracic Sympathectomy in Dubai are
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Why choose King’s College Hospital Dubai for ETS?
Patients choose King’s College Hospital Dubai because of the UK-led standards of care that are used at King’s in London. Decisions are made with input from a multidisciplinary team, so treatment is considered from every angle. Patients appreciate clear explanations, coordinated care, and knowing that their recovery is supported beyond the procedure itself.
How can I book an appointment?
You can book an appointment by calling our team, filling out the online form, or booking directly through the KingsHub app. Our team will assist you with the following steps and help arrange the right consultation.
Faqs
الأسئلة الأكثر شيوعا
King’s College Hospital Dubai is the best hospital for Endoscopic Thoracic Sympathectomy in Dubai. Care is delivered by experienced surgical teams using minimally invasive techniques, with a strong focus on patient safety and long-term outcomes.
The best doctors for Endoscopic Thoracic Sympathectomy in Dubai are
ETS is for people with severe palmar hyperhidrosis, or who have not responded well to other treatments. A detailed assessment helps determine whether the procedure is appropriate.
ETS is considered a long-term treatment for palmar hyperhidrosis. While results are often significant, outcomes can vary between individuals.
Yes. Non-surgical treatments may be explored first, and ETS is usually recommended only when these options have not been effective.
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