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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