Category Archives: hyperhidrosis surgery

hyperhidrosis surgery

Dr. David H. Nielson Receives Prestigious Award for … – SBWire

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San Antonio, TX — (SBWIRE) — 07/11/2013 — Dr. David Nielson is a Texas based cardio-thoracic surgeon who specializes in micro-endoscopic chest surgery. Dr. Nielson is widely known as a hyperhydrosis expert and sweating specialist with his innovative, least invasive treatment for patients who suffer from (excessive sweating of the hands, face, and/or armpits, Raynaud’s Syndrome, and Facial Blushing. These conditions are all connected to an over-active sympathetic nerve chain.  Micro-endoscopic thoracic sympathectomy (Micro ETS), created by Dr. Nielson, is the least invasive, most advanced surgery for people suffering from these ailments.  One of the most experienced endoscopic thoracic surgeon performing ETS surgery, Dr. Nielson emphasizes that extensive ETS surgical experience is essential to eliminating excessive sweating of the hands, face, and/or armpits.

Dr. Nielson’s Micro ETS procedure has the quickest recovery time and has a high success rate for those suffering from hyperhidrosis of the hands. During the procedure, Dr. Nielson makes a single incision, one-twelfth of an inch per side , under each arm and inserts a 2mm scope. Nielson compares the size of his instruments to angel hair pasta. Once Dr. Nielson identifies the sympathetic nerve, he precisely divides it to instantly lessen hyperhidrosis symptoms and bring warmth to cold hands. The procedure takes 30 minutes. The patient is able to leave two to four hours after the procedure.

Board Certified Cardiac & Thoracic Surgery Endoscopic Cardiothoracic Surgery

Board Certified General Surgery    

Micro ETS Surgery – Created Micro 1/12th Inch Single Incision Endoscopic Thoracic Sympathectomy for Hyperhidrosis, Blushing, and Raynaud’s

SDLA® – Created Sub Dermal Laser Ablation for excessive sweating of the underarms, and other body regions.

The Offices of David H Nielson, MD
1202 E Sonterra Blvd, Suite 101
San Antonio, Texas 78258

(877) 837-9379 (Toll Free)
(210) 490-7464 (Phone)
(210) 490-2506 (FAX)

Dr. David H. Nielson Receives Prestigious Award for Professionalism in Zapata County Texas from G3 Development Yuku for his Treatment Results with Hyperhidrosis Sweaty Palms, Sub-Dermal Laser Ablation and ‘ETSandReversals’ in Cameron County Texas

http://www.hyperhidrosis-usa.com
http://excessivesweatingbreakthroughs.org/dr-david-nielson-reviews/
http://www.dhnmd.com/
http://drdavidnielsonsanantoniotexas.wordpress.com/

Hyperhidrosis – Overview of hyperhidrosis symptoms and treatment options.   Sweating is necessary to control body temperature during times of exercise and warm/hot surroundings. Sweating is regulated by the sympathetic nervous system. In 0.6 to 1.0% of the population, this system is revved-up and works at a very high level causing sweating to occur at inappropriate times in specific areas of the body. This condition is known as hyperhidrosis.  Classification – Causes of hyperhidrosis can be primary or secondary.  Regions of the body affected – Scalp, facial (face), palmar (hands), axillary (armpits), truncal (trunk), plantar (feet

Primary or idiopathic hyperhidrosis – Hyperhidrosis without a known cause. A more frequent condition than secondary hyperhidrosis. Localized commonly in the hands, armpits, scalp, face, and/or feet. Starts during childhood or early adolescence, worsens during puberty, and then persists for the rest of one’s life. Nervousness and psychiatric disorders are rarely the cause. The excessive sweating is very embarrassing and social, professional, and intimate relationships are often seriously affected.

Secondary hyperhidrosis – Caused by an underlying condition. Usually causes excess sweating of the entire body, however. Some of these conditions are;   endocrine disorders such as hyperthyroidism, endocrine treatment for malignant disease, menopause, obesity, psychiatric disorders, systemic malignant disease.

Hyperhidrosis Surgery Side effects = Patients should be aware that compensatory sweating can and does occur. Compensatory sweating is experienced as excessive sweating on the back, thighs, stomach, axillae, groin and/or lower legs and may range from mild to severe. Reported incidence of developing compensatory sweating in world literature range between 50% to 90% of all patients undergoing the ETS procedure. Of this group, it has been reported that about 5% – 10% of these patients experience severe compensatory sweating. Severe compensatory sweating, or severe compensatory hyperhidrosis, can be very troublesome, especially when it soaks through clothing. This can be more problematic in hot humid climates and can become more of a problem than the original problem treated.

The tolerance of compensatory sweating is patient dependent. Some patients tolerate severe sweating while others do not tolerate even mild compensatory sweating. There are medications that may help lessen the severity of compensatory sweating post operatively. Overweight patients may experience more compensatory sweating and those who live in hot, humid climates may find it less tolerable. Compensatory sweating is the most common side effect reported by patients regardless of which surgeon is performing Micro ETS. Gustatory Sweating, which occurs while eating or smelling certain foods, can develop post operatively in about 10 to 20% of the patients. Phantom sweating occurs in some patients after ETS surgery (feeling the sensations of sweating but not actually sweating) and typically resolves in 1 to 3 weeks after surgery.

About Dr. David Nielson
Dr. David Nielson is a Texas based cardio-thoracic surgeon who specializes in micro-endoscopic chest surgery. Dr. Nielson is widely known as a hyperhydrosis expert and sweating specialist with his innovative, least invasive treatment for patients who suffer from (excessive sweating of the hands, face, and/or armpits, Raynaud’s Syndrome, and Facial Blushing. These conditions are all connected to an over-active sympathetic nerve chain.  Micro-endoscopic thoracic sympathectomy (Micro ETS), created by Dr. Nielson, is the least invasive, most advanced surgery for people suffering from these ailments.  One of the most experienced endoscopic thoracic surgeon performing ETS surgery, Dr. Nielson emphasizes that extensive ETS surgical experience is essential to eliminating excessive sweating of the hands, face, and/or armpits.


Health Tips & Helps: Treating Hyperhidrosis

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Excessive sweating or hyperhidrosis is caused by a dysfunction within the sympathetic nerve chain. A patient full of hyperhidrosis can realize himself sweating beyond the physiological need of the body to keep up a regulated temperature. The Body components most commonly affected are the hands (Palmer Hyperhidrosis), feet (Planter Hyperhidrosis), face (erthrophobia), and armpits (axillary sweating). Specialists have found that there is of course a genetic part in this condition. In concerning 40% of the cases there’s a family history of hyperhidrosis though not everybody is aware of of a friend who suffers from this ailment. In cases here there is no family history, the patient could be the primary to hold these genes. Regrettably, hyperhidrosis may be a life long condition and will not go away while not treatment.

Surgical Choices

There are important advancements in the treatments on the market to beat hyperhidrosis. Earlier, surgery to treat this condition was difficult and thought of risky. Nowadays, a procedure known as Endoscopic Thoracic Sympathectomy (ETS) is obtainable to patients, which claims to supply a life-long solution. This is a minimally invasive procedure done, because the name suggests, endoscopically, on the spinal sympathetic nerves. It is performed on an outpatient basis, which means that the patient returns home the same day. It is extremely precise and therefore the complication rate is terribly low. There are two ways -cutting and clamping. In the former the nerve is cut, either by electrical cautery, or a harmonic scalpel (ultrasound device). In the latter the segment of the nerve that’s causing the matter is clamped with titanium clips. The clamping method is reversible while the cutting methodology is not.

Although it significantly reduces sweating within the armpits and palms, the result may not be permanent. The rationale for recurrence is not known. It may be due to re-growth of the nerve that has been clamped. Additionally, the patient may develop compensatory hyperhidrosis in other parts of the body. Post procedure, the patient might additionally develop dryness and an unfavorable skin warmness. It is not counseled for patients littered with Planter Hyperhidrosis because it might impede sexual functions of the body.

Non -Surgical Options

There are non-surgical treatments for hyperhidrosis. These include BOTOX? lotions, pills, electronic devices, acupuncture, anti-anxiety medications, beta blockers, biofeedback, and herbal medicines.

Oral Medication: Just like those used to treat peptic ulcer, these anticholinergic medications like Robinul, Ditropan? and Professional-banthine?, have restricted success. Side-effects include blurry vision and dryness in the mouth.

Beta Blockers: are useful, however not appropriate for folks with asthma or vascular diseases.

Electronic devices: Drionic is an electric machine that uses iontophoresis to scale back the assembly of sweat. A weak electrical current is passed across the hands which are soaked in water. This treatment desires to be done on a regular basis, though success rate is limited.

Surgical Treatment For Hyperhidrosis In The Philippines | The Sweat …

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Peyronie’s disease (PD) is a condition that can make intercourse difficult. In other words, it is an acquired disorder of the tunica albuginea characterized by the formation of the plaque of fibrous tissue that may be associated with erectile dysfunction and pain on erection. Because of the curvature of penis, penetration may become difficult and the condition may be accompanied by some impairment of erectile capacity.The exact occurrence of Peyronie’s disease is unknown; it is projected as between 4 8 %, but the actual prevalence of this disease may be higher because of patients reluctance to report this embarrassing condition to their physicians for cultural and psychological reasons. The disease is not life-threatening, but can cause negative impact on patient s quality of life. Various risk factors, like hypertension, diabetes, hyperlipidemia, and smoking, have been suggested. The estimated prevalence of PD at younger ages is around 8% and presents a more acute onset and a lower incidence of associated erectile dysfunction.According to study, patients with PD are represented by a wide age range, between 20 and 84 year, with the youngest affected male reported at 19 year. Besides that, it is usually noted that PD generally affects male individuals between 40 and 70 year. If we talk about the surgical treatment option of PD, there have been several surgical procedures successfully used to straighten the deformity associated with PD. But, there no single-best surgical approach, so, individual patients should understand treatment options before going under the knife. In addition, among patients with Peyronie’s disease, only a few need corrective surgery. And, the individual who considering for surgery should have stable and mature disease and a deformity that forbids love-making or is associated with erectile dysfunction that precludes intercourse. Plus, surgery for PD should be regarded as palliation for mechanical effects of PD or associated erectile dysfunction. Surgical treatment option is generally considered in stern, persistent cases of Peyronie’s that have not responded to nonsurgical treatment. Surgical procedures involve the removal (excision) of hardened tissue and skin graft, the removal or pinching (plication) of tissue opposite the plaque to reduce curvature (called the Nesbit procedure), a penile implant, or a combination of these. The removal of plaque requires a skin graft from another area of the patient’s body and may result in a partial loss of erectile function (e.g., less rigidity). The Nesbit procedure reduces the length of the erect penis.In Penile implant surgery, a device is implanted in the corpora cavernosa that enhances the firmness. To effectively decrease the curvature of penis, the procedure may be joined together with incisions and skin grafts, or plication. After the surgery and during the rehabilitation, patients are prescribed medication that prevents them from having an erection and are advised to avoid sexual activity. Also, antibiotics are also prescribed to lessen the risk for infection. So, if you are considering penile implant to treat your PD, discuss your case comprehensively with your urologist before going under the knife.

Frequently Asked Questions

  1. QUESTION:
    what are the best treatment in hyperhidrosis?
    is there any surgical procedure done in the Philippines?

    • ANSWER:
      The best nonsurgical treatment for hyperhidrosis is the use of Botox injections into the sweaty areas, twice a year. However, there are good surgical techniques now available, which have much less morbidity than in the past. I don’t know about the Philippines, but there are three centers that do that in the U.S. Perhaps you could have your surgeon there contact one of the doctors here who perform the procedure.

surgical treatment for hyperhidrosis in the philippines

Medical mistakes: A silent epidemic in Australian hospitals

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Informed consent is one of the foundations of bioethical discourse. Bureaucrats have forced doctors and researchers to fill out endless forms in the belief that informed consent will enhance patients’ autonomy.

However, questions are being asked about whether this business of informed consent is really working. In an early online article in the Journal of Medical Ethics, Neil Levy, the Australian editor of another journal, Neuroethics, argues that bioethicists need to rethink informed consent.

Why? Because the lesson of all of modern psychology and of post-modern philosophy is that our rationality is terribly flawed. We are blind to the future consequences of our actions; we are not objective in assessing claims that touch us personally; we overestimate the effects of setbacks on our well-being; we are unreliable in estimating how bad or how good events made us feel. In short, human reasoning is subject to many fallibilities.

Somewhat surprisingly, Arthur Caplan, of the University of Pennsylvania, probably the best-known bioethicist in the US, agrees with Levy. In a companion article, he says:

“autonomy is fundamentally inadequate in healthcare settings and requires supplementation by experience-based paternalism on the part of doctors and healthcare providers…

“A large number of studies have shown that huge percentages of people who give their informed consent to treatment or to their involvement in research do not really understand what they have chosen. Autonomy lives with hope and hope, in the form of the therapeutic misconception, often trumps autonomy.”

Questioning informed consent shakes a pillar of modern bioethics and the call for more benevolent paternalism is sure to face stiff opposition.

http://www.bioedge.org/index.php/bioethics/bioethics_article/9979#comments

Hyperhidrosis | David H. McDaniel, MD Laser & Cosmetic Center

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Hyperhidrosis refers to excessive sweat production.  This medical condition is estimated to affect as many as 1 in 5 people, although less than 40% of sufferers seek treatment.  There is something you can do about it! In some cases, it is caused by a particular disease or disorder, but in many cases, it’s just the way people are: a biological oops.  In a 2008 survey conducted by the International Hyperhidrosis Society, more men (39% of men compared to 28% of women) felt they have too much underarm sweat, but more women said they would be embarrassed by underarm sweat than men (68% vs. 51%).   This may help explain why more diagnosed hyperhidrosis patients are female (63%).

According to a study reported in the January 2007 issue of the journal Dermatologic Surgery, the average age at which symptoms began to appear was around 14. The armpit is the most common site affected, but it can also affect the palms of the hands, soles of the feet, or other areas of the body.  This study also asked sufferers what treatments they tried, and at what age they sought medical help (the average age was around 30).  The most common choice for treatment was over-the-counter remedies such as commonly available antiperspirants, closely followed by clinical strength or prescription antiperspirants containing aluminum chloride.  About 15% of sufferers chose more aggressive treatment options, such as Botox®, Iontophoresis, or surgery.

The good news is that technology has changed since 2007 and we have more nonsurgical treatment options than ever that move beyond topical treatments to offer more permanent solutions.  These include Botox®, which is FDA-approved for the treatment of hyperhidrosis.  Botox is thought to work by paralyzing the sweat glands.  However, treatments are not permanent and typically require injections twice a year.  Another nonsurgical treatment option that is FDA-approved for hyperhidrosis is MiraDry®, which uses microwave energy to target and destroy the sweat glands in the treatment area.  Yet another treatment uses lasers.  Currently, we offer Ultherapy® for hyperhidrosis, which uses ultrasound energy to target and destroy the sweat glands.  Although this treatment is still being studied for FDA marketing approval for hyperhidrosis (its current marketing approval is for tightening or lifting skin around the eyebrow, neck, or under the chin in suitable candidates). It can be used to successfully treat hyperhidrosis.  Studies show improvement lasting more than a year.

Currently, many dermatologists are exploring other treatment options using ultrasound, light, and other energy forms to achieve permanent sweat reduction.  That’s the topic of the video below by Dr. Michael S. Kaminer.

References:

Dermatol Surg 2007;33:S69–S75

Excessive Night Sweating Hyperhidrosis | The Sweat Miracle

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Right this moment one can discover plethora of such automobile racing video games, bike video games and different sorts of excessive finish video games accessible over the internet. As soon as there was a time when folks used to play the video games within the laptop as a result of the net video games couldn’t grant the indispensable components which can be required to make one really feel the journey and exhilaration of the games. However if you happen to hit a web based web site to play the video games, you’ll find 1000’s throughout the globe taking part in some standard bike or automobile games. The net bike video games and automobile racing video games have developed a lot. As an illustration there are video games like stunt video games, heavy bike stunt video games, BNX video games, Trooper Truck, KAMAZ Supply, ATV Stunt, City Stunts, Hitstick 5, KGB Hunter, Winter Rider, Mafia Driver three, grime bike racing video games and others. All these video games have been modified by gamer builders to fulfill the competitors of the off line video games which can be performed within the PC. The explanation why folks go on gaming web sites is as a result of there they are going to discover the widest collection of journey and thrilling games. There are a number of on-line gaming web sites that you could find however tehre are additionally some good exceptions the place you get the video games categorized into two divisions in the principle web page – video games being performed now and the brand new or newest entry video games to the site. The positioning retains on updating with the most recent and featured video games which can be in demand these days. If you’re searching for a dependable web site the place you may play all of the number of automobile video games and bike video games together with different standard racing video games like automobile racing video games and others then look no additional than arcadelots.com. The positioning comprises some standard and excessive graphic video games that you just will not discover in every other site. They do not present easy children online games” with no storyline or graphics that make the sport appear like cartoons. You may have the excessive finish high quality graphics and visible enhancement for the games.

Frequently Asked Questions

  1. QUESTION:
    Is there a sweat pad or something for a bed?
    I sweat so hard at night that my wife and I have to leave the bed earlier than we would like every day, is there anything short of having seperate beds that i can do?

    • ANSWER:
      Hyperhidrosis can be caused by food allergies, or a mineral/vitamin deficiency. I had it for a long time before learning this.

      Check out this article about hyperhidrosis, grains, and sugars. Scroll about halfway down the page.

      http://www.mercola.com/2004/aug/14/excessive_sweating.htm

      I had hyperhidrosis and other symptoms for many years. I tried all the usual treatments including ETS surgery, prescriptions, antiperspirants, botox, etc. The surgery was most helpful but several years later hyperhidrosis began to return.

      This year I was diagnosed with food allergies due to celiac disease. I eliminated wheat, dairy, and sugar from my diet. I stopped all prescriptions and began taking supplements with B Vitamins, Folic Acid, magnesium and other minerals.

      You can see the rest of the story here:

      http://www.esfbchannel.com/phpBB2/viewtopic.php?p=22324

  2. QUESTION:
    Why do I keep sweating so much?
    I keep sweating through my shirt. The only part of my body that sweats are my armpits. I get big circles underneath and I don’t know
    what to do. I wash my armpits twice a night with eve feminine wash and I wear certain dri p.m. Deodorant. Any suggestions what is wrong? And what do I do?! Oh and I don’t get hot.

    • ANSWER:
      Excessive sweating is called hyperhidrosis. For some people it is just a genetic trait which comes on during adolescence. However, it can also be a symptom of anxiety, thyroid problems, diabetes, hormone problems or a side-effect of certain medications.

      Your doctor should be able to help. They might also want to do a physical and run some routine tests to check your thyroid.

excessive night sweating hyperhidrosis

Best Treatment For Plantar Hyperhidrosis | The Sweat Miracle

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Smooth skin is often an indication of youth, but today’s medical capabilities can allow anyone to look several years younger within days of treatment. In fact, many of the solutions currently on the market do not require surgery, and are thus considered quite safe and noninvasive. Dermal fillers fit within that category, and Juvederm filler is one of the most popular products. This injectable gel can boost the skin’s volume, eliminating or softening fine lines and wrinkles from the face. If you are interested in Juvederm treatment, Glendale based Physician Skin Solutions at Arrowhead can help you get started.Juvederm treatment can solve a wide range of problems, particularly those that have been exacerbated by age. The most common types are old acne scars, nasolabial folds, thin lips, frown lines near the eyebrows, wrinkles, and skin creases. Juvederm filler is made of hyaluronic acid, which is a type of sugar found in the body naturally. Its job is to retain water, which allows it to hydrate the skin and add volume. After a period of about nine months, it is typically reabsorbed into the body. Therefore, like many other treatments for wrinkles, you will need periodic injections in order to keep the results. Fortunately, if you opt for Juvederm treatment, Arrowhead area clinics are nearby so that you can conveniently receive injections when you need them.The Juvederm treatment process is known for being short, as it usually takes about 15 minutes to inject the gel under the skin. Since it is noninvasive, there is virtually no recovery period. Most patients do not even take time off work, as they can get the injection during their lunch break. Occasionally, patients may experience some redness, swelling, or bumps in the treated area, but these symptoms should disappear within days. In most cases, you can go about your normal daily routine, seeing results almost immediately. If you have any questions about how to prepare for your Juvederm treatment, Arrowhead based doctors can usually answer them before you go to your appointment.Preparation for Juvederm treatment is typically minimal. This is mainly because you will not need an allergy test since the filler is made of natural materials. Thus, the testing process required of many synthetic fillers is eliminated, making the treatment easier than ever. You should also know that anesthesia is not usually required, though some doctors use topical anesthesia just to numb the treated area. In general, the procedure is quite simple, allowing you to get smooth, flawless skin with little fuss. If you have any questions about Juvederm treatment, Glendale area clinic Physician Skin Solutions at Arrowhead can give you the answers you need.

best treatment for plantar hyperhidrosis