Hyperhydrosis Facts About Micro ETS
What you should know about Micro ETS  vs. other techniques:





Dr. Nielson's unique Micro ETS technique is one of the least invasive in the World!  Post-op pain is nearly eliminated due to his technique and use of tiny (micro) instrumentation. (Not all techniques or instruments used to perform ETS are the same!) Micro ETS vs Clamping


Dr. Nielson has performed over 6000 procedures for hyperhydrosis with his 1/12th inch micro single incision ETS technique.  Few surgeons have performed as many truely minimally invasive surgeries.

Most ETS surgeons require 2-3 incisions in the armpit, just under the breast on both sides of the body. Dr. Nielson's micro single incision technique leaves a single, tiny incision in each underarm.

NONE of Dr. Nielson's patients have developed Horner's Syndrome (drooping of the eyelid and slight dialation of the pupil). Micro ETS vs Clamping

Dr. Nielson's micro 1mm opening of the overlying pleura on either side of the nerve (only technique in the World to do this) minimizes the distrubance of surrounding tissues and scarring of the lung to the chest wall.

Other doctors do a partial pleurectomy, cutting out a window of pleura so they can see the sympathetic nerve. This is quite traumatic and causes scar tissue that sticks like glue to the chest wall. Probably part of the reason re-do patients tell us their post op pain and recovery is much less with re-do than their original surgery.

Dr Nielson pays attention to the total patient, thereby creating the opportunity of patients undergoing a sympathetcomy to be able to be dischared the same day in most cases. His attention to fine details of the total patient has made possible "Ambulatory Thoracic Surgery".

Dr. Nielson is a leader in endoscopic thoracic surgery for hyperhydrosis. His minimally invasive thoracic techniques (several combined minimally invasive techniques he developed which allows patients to be discharged safely several hours after undergoing LUNG surgery, Pleural surgey, Sympathetic nerve Surgery --> which are commonly performed in much more invasive ways). Micro ETS vs Clamping

Dr. Nielson coined the term "Facial Hyperpyrexia" (burning sensation) which is the component of Blushing that impairs patients the most leading to severe dysfunction.

He uses highly advanced technology in all of his endoscopic thoracic surgery (constantly refining every aspect to keep his technique the best) which affords his patients many advantages.

Missed Kuntz nerves are an important factor in recurrent symptoms prompting many of the redo ETS surgeries Dr. Nielson has performed.

Hyperhydrosis treatment by micro invasive endoscopic thoracic sympathectomy is highly precise, selective out-patient surgery tailored to each patient's symptoms. NO PARTIAL PLEURECTOMY (Common in other techniques to expose the nerve ie., clamping, blockade, excision, division, etc.) Micro ETS vs Clamping

Improvement in migraines has been seen in some patients suffering from Hyperactive Sympathetic Dysfuntion after Micro Sympathectomy.

NO sutures are required, ONE tiny 1/12th Inch Incision is made on each side of the chest, the lungs are NOT collapsed. Precise division of the sympathetic nerve and all of the kuntz nerve branches is critical for successful results in most patients.

Compensatory sweating (CS) is minimized with the Micro ETS technique because of the precision of the tiny instruments. This greater accuracy reduces the damage to surrounding tissues and nerves.

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