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Potential ETS Side Effects, Complications 

Possible Side Effects

Dr. Nielson’s Micro ETS technique is less invasive because the T2 ganglion is not disturbed in any way. He has found over the years that by sparing the ganglia, side effects may be less likely.

Compensatory sweating is the most common side effect reported by many patients.  Severe compensatory sweating that can soak through clothing may develop in some patients.

The tolerance of compensatory sweating is patient dependent. Some tolerate severe sweating while others do not tolerate even mild compensatory sweating. It is difficult to predict pre-operatively. Some medications may help lessen the severity of compensatory sweating post operatively. Overweight patients may experience more compensatory sweating.

Phantom sweating, where the patient feels the sensations of sweating but is not actually sweating, typically resolves in 1 to 3 weeks after surgery.

Significant reduction in sweating of the upper chest/back, hands, face/head.

Heat Intolerance
Facial hyperpyrexia or facial blushing
Numbness of the skin (intercostal nerve injury)
Possible failure to improve symptoms
Possible regeneration of the nerve
Infection
Dry face, dry mouth, dry eyes

Complication Possibilities

Serious Complications are unusual
Possible perforation of breast implants if present
Sensitive Pleurae (chest lining sensitivity) limiting exercise
Horners Syndrome occurrence rate 0.3%
Heat intolerance
Pneumothorax (collapsed lung)
Bleeding
Postop Neuralgia and parasthesias are uncommon
Possible hair loss
Bradycardia (slow heart rate) possibly requiring a pacemaker
Subcutaneous emphysema
Possible conversion to open thoracotomy
Possible recurrence of symptoms
Possible necessity for re-do operations
Treatment failure can occur if Kuntz nerves are present and are not cut.
Gustatory sweating (increased sweating while smelling or eating) occurs in some patients.
Death

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