El 6-2-2004  el periodio medico "The British Journal of Surgery publica que desconfia de la operacion para reducir el sudor E.T.S. La relevancia e importancia de este periodico es tal que otros medios de comunicacion tambien se hacen eco de esta noticia .Podeis ver la noticia en cualquiera de esto 2 enlaces 

http://www.intelihealth.com/IH/ihtPrint/EMIHC254/333/341/375715.html?hide=t&k=basePrint
http://www.ssmonline.org/News/ViewRelease.asp?ReleaseID=4295 

Este es el texto en ingles que aparece en esos enlaces:
'Lifestyle' Surgical Procedure Carries Unrecognized Risk Of Complications 
February 6, 2004 
British Journal Of Surgery)
Link To The Article
A recent investigation of morbidity and mortality associated with the increasingly common endoscopic thoracic sympathectomy (ETS) reveals that the procedure can be accompanied by dangerous complications and a level of patient dissatisfaction with the results. The findings are published online in the British Journal of Surgery. 
ETS, which is used to correct palmar hyperhidrosis (sweaty palms), facial sweating and blushing, is considered by some to be a 'lifestyle procedure,' akin to aesthetic plastic surgery, and to be medically unnecessary. Although no death following ETS has ever been reported in the literature, authors of this study learned of nine anecdotal fatalities, including five from massive internal bleeding and three from anaesthetic mishap. 
The most common complication experienced by recipients of ETS is compensatory sweating in a range of bodily locations. Two separate reports indicated 97% and 100% of ETS patients experienced this problem, and it has led to some patients regretting the surgery. Less commonly reported complications include Horner's syndrome, rhinitis, phantom sweating and cardiorespiratory effects. 
The absence of a single death reported in any published series indicates that, when performed in experienced centers, ETS is a safe procedure. However, the authors wish to convey the need for a note of caution when approaching the possibility of ETS. Lead author and consultant surgeon Alan Cameron says "Sweating and flushing are very distressing conditions and are often helped by ETS but patients need to consider for themselves the risks and benefits and be particularly cautious in assessing unregulated information on the web." 
Based on these results, it is clear that further improvements are needed in both surgical technique and in patient screening to make ETS a universally safe and successful procedure.

La enciclopedia online mas importante de internet no publica cosas bonitas acerca de la Simpatectomia: http://en.wikipedia.org/wiki/Endoscopic_thoracic_sympathectomy

ETS surgery works by permanently destroying healthy nerve tissue, thus interrupting the nerve signals which ordinarily would stimulate the body's fight-or-flight response.

ETS can alter many bodily functions, including sweating, heart rate, heart stroke volume, blood pressure, thyroid, baroreflex, lung volume, pupil dilation, skin temperature, goose bumps and other aspects of the autonomic nervous system. It can diminish the body's physical reaction to exercise and/or strong emotion. In rare cases sexual function or digestion may be modified as well.
Results
A more or less typical result of ETS surgery would be: Total anhidrosis (inability to sweat) from the nipple-line up, excessive sweating from the nipple-line down (known as "compensatory hyperhidrosis" or "reflex hyperhidrosis"), heat intolerance, very dry hands requiring hand lotion, and a 10% reduction in resting heart rate. Exact results of ETS are impossible to predict, because of considerable anatomic variations in sympathetic nerve function from one patient to the next, and also because of variations in surgical technique. Studies of ETS patients have shown a satisfaction rate around 85-95% with at least 2% regretting the surgery [1] (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14673674) [2] (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11788259) [3] (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=9640370). Most patients report various complications as a result of the surgery.
Risks and controversy
There is tremendous controversy surrounding ETS. While prestigious medical boards such as the Society of Thoracic Surgeons fully support it, the National Institutes of Health considers ETS to be a "nerurocardiologic disorder", and NIH studies ETS patients as part of their protocol for autonomic failure. There is much disagreement among ETS surgeons about the best surgical method, opitimal location for nerve destruction, and as to the nature and extent of the consequent side effects. The internet now features many websites run by surgeons extolling the benefits of ETS backed by happy patient testimonials. However, there are also many websites run by disabled ETS victims who complain of severe complications and lack of adequate informed consent. Several online discussion forums are dedicated to the subject of ETS surgery, where both positive and negative patient testimonials abound.
External ETS links
ESFB Channel (http://www.esfbchannel.com) - Information about excessive sweating, facial blushing, rosacea and social phobia.
Truth About ETS (http://www.truthaboutets.com) - ETS education, information and loud protest created by an angry disabled ETS victim.
ETS & Reversals (http://p069.ezboard.com/betsandreversals) - Discussion about ETS, the side effects, the surgeons, and the ongoing search for a working reversal.
Radisson Group (http://www.noetsuk.com) - Demanding radical and far reaching changes to the ETS industry
FfSo (http://home.swipnet.se/sympatiska/index3.htm) - People disabled by sympathectomies
P.A.S.S. (http://www.ets-sideeffects.netfirms.com/) - Patients Against Sympathetic Surgery
http://www.geocities.jp/etscontroversialop/index.html - ETS Side Effects (in Japanese)
http://home.pchome.com.tw/family/vivi12175/ - Taiwan ETS site and discussion forum (in Mandarin Chinese)
Hyperhidrosis USA (http://www.hyperhidrosis-usa.com/hyperhidrosis.html) - Promoting the ETS practice of Dr. David Nielson, MD, FACS
HandsDry.com (http://www.handsdry.com/) - Promoting the ETS practice of Dr. Jim Garza
Hyperhidrosis.LA (http://www.hyperhidrosis.la/) - Promoting the ETS practice of Dr. Richard J. Fischel MD. Ph.D
The Center For Hyperhidrosis (http://www.sweaty-palms.com/) - Promoting the ETS practice of Dr. Rafael Reisfeld M.D., F.A.C.S.,A.B.M.S.

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Posibles Efectos Secundarios de la operación ETS

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