Hyperhidrosis Surgery

in Los Angeles Area

Dr. Marmureanu performs numerous endoscopic thoracic sympathectomies annually.

Our Approach


How I Perform Hyperhidrosis Surgery

Endoscopic thoracic sympathectomy is considered to be the most effective treatment for excessive sweating. The procedure is minimally invasive and entails a relatively short recovery period. However, before undergoing surgery, you will be required to go through a series of tests and examination procedures to properly assess your condition and observe its particularities. This way, we will be able to opt for the most suitable and low-risk approach to ensure the success of your surgery. You will be asked to take some of the following tests:

  • blood and urine tests, which may reveal whether your excessive sweating is caused by an underlying condition such as hypoglycemia, heart disease, pulmonary disease or hyperthyroidism (an overactive thyroid gland)
  • sweat tests, such as thermoregulatory sweat test, iodine-starch test and skin conductance, which will evaluate the severity of your condition and identify the most problematic areas of your body

After a thorough evaluation of your symptoms, the date of your surgery will be chosen. Prior to the intervention, you will receive general anesthesia. Subsequently, two or three small incisions will be made under your arm, through which the endoscope (a thin, flexible tube equipped with a fiber optic camera) and the appropriate medical instruments will be inserted in your chest cavity. Prior to attending to the sympathetic nerves, the lung on the same side of your chest will be deflated to create more space for the procedure to be performed. The nerves are then cut to eliminate the cause of excessive sweating. After the completion of the surgery, your incisions are closed with sutures (stitches) and sterile dressings will be applied over them to prevent infection. The entire duration of endoscopic thoracic sympathectomy varies between one and three hours.

call to Request an appointment

(310) 208-4400

Our Locations


Marina Del Rey Hospital

4650 Lincoln Blvd, Marina Del Rey, CA 90292

310-823-8911
St. Vincent Medical Center

2131 W 3rd St, Los Angeles, CA 90057

213-484-7111
Ronald Reagan UCLA Medical Center

757 Westwood Plaza, Los Angeles, CA 90095

(310) 825-9111
Cedar-Sinai Medical Center

8700 Beverly Blvd. Los Angeles, CA 90048

310-423-3277
Hollywood Presbyterian Medical Center

1300 N Vermont Ave, Los Angeles, CA 90027

213-413-3000
Centinela Freeman Regional Medical Center

555 E Hardy St, Inglewood, CA 90301

310-673-4660
Olympia Medical Center

5900 W Olympic Blvd, Los Angeles, CA 90036

310-657-5900
Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA 90401

310-829-5511

Our Patients


Who Needs Hyperhidrosis Surgery?

Endoscopic thoracic sympathectomy is employed as a minimally invasive surgical treatment for people diagnosed with hyperhidrosis, a condition which causes excessive sweating of the palms or face. The procedure is typically resorted to when the patient experiences severe symptoms, which negatively impact their life to a great extent, as well as when non-invasive treatment options were ineffective for alleviating the sweating.

This surgery may also benefit patients who suffer from excessive sweating of other regions of the body. Nevertheless, it may not be very helpful for treating excessive armpit sweating. It is always recommended to undergo a series of diagnostic procedures, which can reveal the specifics of your condition so that you will receive the most suitable treatment.

Recovery


What to Expect After Hyperhidrosis Surgery

You will spend the next several hours following surgery in the intensive care unit, where your vital signs will constantly be monitored. Due to the minimally invasive nature of endoscopic thoracic sympathectomy, patients generally spend one night hospitalized. During your hospital stay, you will receive pain relievers and antibiotics and will also be intubated. Thus, you will notice some of these tubes attached to your body:

  • a drainage tube inserted in your chest cavity through one of your incisions to eliminate excess fluid
  • a urinary catheter (a thin, flexible tube) through which urine will be collected until you can use the bathroom on your own
  • an IV line in your arm, through which you will be administered fluids and medicine

Complete recovery is achieved in approximately two weeks. To promote a safe and thorough recovery, you will be advised to pay special attention to the following aspects:

  • take the medication your doctor prescribed for as long as you were recommended
  • change the dressings on your incisions as directed to avoid infection and keep the area dry until the wounds heal completely (do not go swimming and do not take long baths for two weeks after the intervention)
  • be physically active by exercising or engaging in sports (you should always discuss with your physician about the activities you can safely perform during and after recovery)
  • do not postpone or cancel your follow-up appointments
  • maintain a healthy diet to speed up the recovery process (include fresh fruits, whole grains and raw vegetables and limit your intake of foods rich in cholesterol and saturated fats)