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Williamsville, NY 14221
(716) 839-3638

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Awake Sympathectomy for Hyperhidrosis Without Anesthesia - Are You Nuts ?

By: Hratch Karamannoukian MD

July 26, 2008


A study done in Rome at the Division of Thoracic Surgery, Tor Vergata School of Medicine, Policlinico Tor Vergata University looked at the feasibility of doing thoracic sympathectomy on awake patients using local anesthesia !


The surgeons compared bilateral thoracic sympathectomy using general anesthesia, as is typically used, to local anesthesia in awake patients.


Dr. Elia and colleagues reported in the European Journal of Cardiothoracic Surgery (volume 28; pages 312-317) that “awake one stage bilateral thoracoscopic sympathectomy for palmar hyperhidrosis could be safely and effectively performed as an outpatient procedure in patients refusing general anesthesia. Postoperative quality of life was equal to that in patients undergone the same procedure under general anesthesia,  while patient satisfaction was better and cost were significantly reduced”.


Having done well over a thousand cases myself, I would rather have this procedure under general anesthesia myself.

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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.

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