Dr. Nielson Removes Clamps to improve compensatory sweating
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Endoscopic Thoracic Clamp Removal from off of Sympathetic Nerves

Endoscopic Clamp Removal from off of Thoracic Sympathectic Nerve (via a 2 mm port).
Effective, less invasive technique to remove Titanium clamps from off of sympathetic nerves.

• Compensatory sweating (cs) after ETS clamping.

• Chronic pain after ETS clamping.

• Neuroma formation (swelling of nerve where clamps are).
• Horner’s Syndrome.

• Persistent blushing after clamping.

• Tired feeling (lethargy).

• Anxiety from having clamps in your chest.

After the clamps have been removed from off of the sympathetic nerve, healing of the squeezed nerve may then be allowed to occur.


Introduction

Technique
Scar tissue is unroofed from one end of the clamp. A 2 mm endograsper is then used to grasp the exposed end of the clamp, then the clamp is carefully slkd off of the sympathetic nerve. The clamp is then removed from the chest cavity via a 2 mm port.

These steps are repeated for each clamp.

A topical skin adhesive (DermaBond) s used to close the tiny incisions

Results
The sympathetic nerve then has a chance to heal and regenerate. Over time, reversal of the symptoms of compensatory sweating and others may occur, depending on the healing ability of the sympathetic nerves over time.