3 Neurocirujanos apoyan a grupos ANTI-ETS en el "Canadian Medical Journal"

El 10-1-2005 sale publicado en una prestigiosa revista medica (el Canadian Medical Journal) un articulo de 3 neurocirujanos de Taipei informan sobre los posibles efectos secundarios de los operados de ets, dicen que hay personas que se tienen que cambiar hasta 10 veces al dia. Dicen que la ets es muy discutida en Taiwan y reflejan la noticia de que recientemente se ha prohibido para menores de 20 años por los riesgos que acarrea. Tambien muestran como se estan formado grupos de operados arrepentidos en todos los paises, entre los numerosos grupos incluye nuestra web de la A.E.S.E.H.. Aki esta el enlace: http://www.cmaj.ca/cgi/eletters/172/1/69#1908
Aqui esta el texto original:

Endoscopic thoracic sympathectomy is prohibited for patients under 20 years old in Taiwan 10 January 2005
Min-Huei Hsu
Department of Neurourgery, Taipei City Hospital, Zhongxiao Branch
Send letter to journal:
Re: Endoscopic thoracic sympathectomy is prohibited for patients under 20 years old in Taiwan

Endoscopic thoracic sympathectomy (ETS) has come into widespread use for palmar hyperhidrosis. Side sffects after ETS was widely discussed in Taiwan society in the past few months. Lots of people in Taiwan suffer from hyperhidrosis palmaris. ETS is covered by the National Health Insurance, and patient billing for this operation does not exceed US$ 60. This is why this operation is so popular here 1 .

Patients with severe compensatory sweating after ETS must change clothes several times a day (some patients complained that they change as often as 10 times a day), resulting in serious impact on work and social interaction. Patients suffering from such serious side effects in Taiwan have formed a support group based on an Internet discussion forum to request the government to take this problem seriously. Starting in October 2004, The Department of Health, Executive Yuan, Taiwan, has prohibited surgeons from performing this operation on patients under 20 years old. To our knowledge, this type of support group also exists in United States, England, Sweden, Spain and Japan (Table 1).

ETS is a relatively safe and simple procedure. However the side effects are possibly devastating 2 . All physicians providing this service and all peoples preparing to undergo this treatment should know this well.

Table 1: Websites built by suffers of side effects after ETS

Website
URL
Country (Language)

ETS And Reversals Discussion Forum
http://pub157.ezboard.com/betsandreversals
United States (English)

World Against Sympathectomy
http://www.truthaboutets.com/
United States (English)

The Sympathetic Association
http://home.swipnet.se/sympatiska/index3.htm
Sweden (English)

Patients Against Sympathetic Surgery
http://www.ets-sideeffects.netfirms.com/
Australia (English)

Radisson Group
http://www.noetsuk.com/
Britain and Ireland (English)

Family of Compensatory Sweating Sufferers
http://home.pchome.com.tw/family/vivi12175/
Taiwan (Chinese)

ETS Side Effects
http://www.geocities.jp/etscontroversialop/index.html
Japan (Japanese)

Hyperhidrosis Forum
http://www.terra.es/personal8/hiperhidrosis/principal.htm
Spain (Spanish)

Min-Huei Hsu, M.D.
Department of Neurourgery , Taipei City Hospital, Zhongxiao Branch
Taipei, Taiwan

Ju-Chuan Yen M.D.
Department of Ophthalmology , Taipei City Hospital, Zhongxiao Branch
Taipei, Taiwan

Yu-Chuan Li, M.D., Ph.D.
Graduate Institute of Medical Informatics , Taipei Medical University
Taipei, Taiwan

References

1.Lin TS, Wang NP, Huang LC. Pitfalls and complication avoidance associated with transthoracic endoscopic sympathectomy for primary hyperhidrosis (analysis of 2200 cases). Int J Surg Investig 2001;2:377¡V85

2.Ojimba TA, Cameron AE. Drawbacks of endoscopic thoracic sympathectomy. Br J Surg. 2004 Mar;91(3):264-9.


Posibles Efectos Secundarios de la operación ETS


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