May 11, 2026
ETS
Sympathetic Nerve Surgery

Bilateral Thoracoscopic Sympatotomy

Bilateral transection of the sympathetic nerve by thoracoscopic method.

Problems It Solves

Bilateral hyperhidrosis and pronounced erythrophobia.

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Detailed description:

Thoracoscopic sympathectomy (ETS) is the most effective and modern minimally invasive surgical method of treatment.


Thoracoscopic sympathectomy is a surgical intervention for the treatment of excessive sweating of the face, head, palms, and armpits, facial blushing, Raynaud's syndrome, causalgia, and headaches during migraine.


According to recent statistical data, excessive sweating affects 4.8% of the population, which is approximately 336,000,000 people. In these patients, the activity of the sympathetic nervous system is sharply increased and in undesirable situations (in minor stressful conditions, at rest, and in cold environmental conditions, etc.), it causes increased sweating in the areas of the face, head, armpits, and palms, and rarely in the soles of the feet. Nowadays, for severe forms of excessive sweating, i.e., hyperhidrosis, thoracoscopic sympathectomy is considered the treatment method of choice. Fortunately, for patients who suffer from and are tormented by excessive sweating, facial blushing, Raynaud's syndrome, and causalgic pain, surgical treatment is available, as there are several successful surgeons worldwide who have experience with this minimally invasive surgical intervention, including in our country,  it is performed only by our team. Thoracoscopic sympathectomy is a treatment method through which you can achieve maximum results with minimal cost and a short post-operative rehabilitation period, instead of permanent, lifelong symptomatic treatment.

Thoracoscopic Sympathectomy | Dr. Koba Sakhechidze