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The STITCH Procedure or micro ETS for Excessive Sweating
Monday, January 23, 2012

When the less invasive medical treatments have failed to provide adequate treatment, hyperhidrosis can be effectively treated through surgical intervention. This is an important point, as most insurers want documented failure of conservative therapy before endoscopic thoracic sympathectomy is approved.


Hyperhidrosis surgery has come a long way in the last decade. Traditionally, large incisions were made in the chest to surgically interrupt the sympathetic trunk.

Micro ETS


With the advent of minimally invasive techniques to work in the chest via endoscopes and surgical instruments, Dr. Karmanoukian and other leading cardiothoracic surgeons have evolved a procedure called Micro ETS which is very effective in treating patients with sweating of the hands, underarms, face, scalp as well as patients that have facial blushing.


Dr. Karamanoukian, Director of The Center for Excessive Sweating has pioneered a variant of Micro ETS (Endoscopic Thoracic Sympathectomy) coined STITCH, Sympathetic Trunk Interruption with Titanium Clips for Hyperhidrosis.


The STITCH procedure is a revolution in Micro ETS for excessive sweating. With the STITCH technique,  the incision is smaller and less invasive than traditional Micro ETS procedures.


This is the most durable treatment for hyperhidrosis when performed by experienced hands. Clipping the thoracic sympathetic trunk at the appropriate levels will immediately eliminate hyperhidrosis.


It is not uncommon for patients to wake up from anesthesia and almost immediately take note of a dry hand or underarm. With modification of the level of sympathectomy, compensatory hyperhidrosis is also minimized or eliminated.


Micro ETS or Sympathetic Trunk Interruption with Titanium Clips for Hyperhidrosis (STITCH) can be performed with minimal side effects and excellent outcomes. The procedure is performed in an outpatient setting and takes less than 45 minutes to complete, including anesthesia time. In most cases this procedure is covered by medical insurance.


To make an appointment for evaluation for hyperhidrosis, call 716-839-3638.


Dr. Karamanoukian has written 3 books about hyperhidrosis which are available on Kindle Books and for immediate download.

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