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Once I took ETS surgery in Japan in Nov. 2000. But I had severe compensatory sweating.
So I took ETS Reversal surgery in Finland in January 2002, in which my sural nerve of right foot was cutted as a porting source.
I have gained a great deal of recovery.
Report
- My Report - 9 years after I took ETS Reversal Surgery
I wrote it to report my situation to Dr. Telaranta.
Written in Apr. 2011. - Long-term follow-up query after the Endoscopic Thoracic Sympathectomy (ETS) reversal operation
It is the answer of follow-up query after ETS reversal operation from Dr. Rantanen (and Dr.Telaranta).
Written in Apr. 2014.
Interesting. I wonder how much of the recovery was actually the result of a natural process that would have occurred even without the 'reversal' procedure. If you look up the long term follow-up studies, you will see that recurrence of the original symptoms does occur in a large number of patients. Telaranta also claims that the 'cutting' technique is especially harmful and that this is the procedure that causes the disastrous side-effects. Yet, he does cut the sympathetic chain during his 'reversal', as he says, to provide input/nerve stimuli to the midbrain...
返信削除Generally, I think that ETS?ESB procedure is not fully understood, that there is a lot of guesswork (and wishful thinking) when it comes to the mechanism and physiology of it's action, and this also includes all kinds of 'reversals' that is advertised out there. Telaranta charges people for something that does occur by nature (nerve sprouting, nerve growth) anyway and claims credit and $$$ for it.
Here is what the literature has to say about it:
“So numerous are the possible variations that the outcome of a sympathectomy is unpredictable. Where denervation is incomplete, collateral sprouting and regeneration of nerves could even lead to hyperstimulation via the sympathetic pathways.” 13
and:
“The effect of thoracoscopic sympathectomy at hand sweating and facial flushing varies from patient to patient, and it is recorded many side effects”14
and:
“Severe CH complicating ETS is both unpredictable and essentially untreatable. A small but significant proportion of patients undergoing this procedure is deeply unhappy with the long-term effects, with consequent psychological sequelae.”15
or
a statement made by Associate Professor Robert Boas, Faculty of Pain Medicine of the Australasian College of Anaesthetists and the Royal College of Anaesthetists well illustrates this:
"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding."21
and:
"sympathectomy has been used for many years but the mechanisms by which this works are not absolutely clear"22
The former President on the ISSS (International Society of Sumpathetic Surgery,) M. Hashmonai in his opening speech at the 6th International Symposium on Sympathetic Surgery (ISSS) 4th–6th May 2005 University Campus Vienna Austria offered: “This is a field in which the unknown is still substantial and the some of the known – controversial.” 23
Little has changed since (or if anyone thinks that it is different today, where are the studies, where is the evidence?!)
13 American Journal of Anatomy, Volume 124, Issue 2, pages 149–162, February 1969
14 The Journal of the Norwegian Medical Association, 4 - 20 February 2003 JNMA 2003; 123:442:
15 2006 Blackwell Publishing Ltd • Clinical and Experimental Dermatology, 31, 818–825
21 The Journal of Pain, Vol 1, No 4 (Winter), 2000: pp 258-260
22 ANZ J Surg. 2003 Jan-Feb;73(1-2):14-8.
23 Clin Auton Res (2005) 15 : 130–145
Thank you for your comments.
削除I am not a doctor but one of patients of ets reversal operation.
So I am not so interested in understanding existing uncertain studies and literature or duscussing about it, though I am greatly interested in my own feeling of flowing nerve or my recovery.
Since I took ets reversal surgery, I felt many changes. It is 12 years. And I am recovering little by little through it.
I know that the nerve which was once cutted does never reconnect without reversal surgery.
I think that myriad branched nerves of the upper body is somewhere weakened and elsewhere withered after ets, and though the flow may change year after year the volume of nerve of the upper body should remain weak while CS of the lower body comes out heavily. It is possible to strengthen the flow by making a bypass.
This is my opinion.
maruton
Hi Maruton. I sent you an email some months ago, I don't know if you received it. I hope you can answer me.
削除Thanks.