2-7-2003  Nos enteramos de que el Dr. Reifeld www.sweaty-palms.com, "el experto en ets en USA" ha cambiado su mentalidad acerca de la conveniencia de la ETS para el enrojecimiento facial. Esta es parte de un email suyo: "Over the last few years I have come to the conclusion that ETS is not the best solution for patients with FB". 

Su pagina web ha sido cambiada a estas palabras: "Accumulated experience shows that patients with facial sweating and/or facial blushing are more prone to develop severe compensatory sweating. Dr. Reisfeld at present advises all patients to try all other options before considering surgical intervention. " Dr Reisfeld http://www.sweaty-palms.com/sweaty_armpit_sweating.html 

Y nosotros nos preguntamos: Si ha llegado a esta conclusion debido a los comentarios de sus pacientes operados (en los ultimos años, dice) ... ¿Por que en su pagina web no pone este Dr. los comentarios negativos de estos operados suyos que le han hecho cambiar de opinión?? ¿Porque solo pone los positivos y maravillosos?? 

Another clinical observation which will need more time for verification is the thought that the higher failure rate of sympathectomy when ETS is done only for facial blushing has to do with the fact that when the sympathectomies were done in the past for vascular problems the success rate was very minimal. At this time we know that higher failure rate was due to a clinical situation which we call denervation hypersensitivity. In essense the blood vessels become very sensitive to certain circulating hormones within the blood system. Dr. Reisfeld believes that the same phenomenon happens in this facial blushing presentation. More time and more clinical experience is needed before there can be a more definite conclusion. 
http://www.sweaty-palms.com/blushing.html

-------- El Cirujano Toracico Garza tambien se une a esto -----------------------------------------

Dr Garza's admission about CS means the risk of developing "severe" CS was much higher that the 5% we were quoted. This is evidenced in his comments "usually will develop" and in his description of CS itself:
"Those who undergo a T2 or T2 + T3 sympathectomy usually will develop severe compensatory sweating after the operation" 
www.endoscopic-surgery.com 

------- El cirujano Toracico Timo Telaranta tambien se une a esto -------------------------------

""Armpit sweating, generalized sweating: These sweating types are the most common. Usually these should not be treated surgically, even though there today is already a means to reduce armpit sweating, too. These generalized forms are best treated either locally with Botox treatment or with medication."" http://www.privatix.fi/index.shtml?&a=0&s=navig_02&l=en&d=07_sweating  

--------- Cirujanos Franceses tambien se unen a esto ---------------------------------------------

http://www.siicsalud.com/dato/dat024/01611004.htm 
NO RECOMIENDAN EL TRATAMIENTO QUIRURGICO DE LA HIPERHIDROSIS AXILAR AISLADA
Simpatectomía torácica por vía endoscópica. París, Francia:
Debido al desarrollo impredecible de hipersudoración compensatoria, la simpatectomía torácica por vía endoscópica no constituye la terapia de elección para la hiperhidrosis axilar.
Fuente científica: [Annales de Dermatologie et de Venereologie 127:1065-1067 2000] – aSNC InSIIC editado en: Cirugía General Dermatología

---------- Cirujanos de la clinica inglesa "The Whiteley Clinic" tambien se unen a esto ----------------"

http://www.sweating.co.uk/frames3.htm
The Whiteley Clininc [UK] that states,
"Although ETS has been use for axillary hyperhidrosis, it is unwise to do so if axillary hyperhidrosis is the only problem. ETS will stop sweating the whole of the arm and hand as well as the axilla and so the risks of compensatory hyperhidrosis are too great for this to be a usual option."

--------- Cirujanos Toracicos CIERRAN sus páginas webs--------------------------------------------

La Web del cirujano torácico C.Drott (http://www.hypersweat.com) se ha cerrado. Los motivos estaran relacionados con la prohibicion en su pais de realizar la E.T.S.

Posibles Efectos Secundarios de la operación ETS