DON'T SWEAT ANYMORE

WE MAKE IT HAPPEN

WHY DO WE SWEAT?

Sweating is a physiological process that regulates body temperature and is influenced by climatic, emotional, and physical activity factors.

The presence of sweating that exceeds physiological needs, influenced or not by these factors, is called hyperhidrosis or excessive sweating.

It is believed that there is a dysfunction of the sympathetic nervous system, which acts as the body’s thermostat, related to hyperactivity of sympathetic nerve fibers that causes overstimulation of the body’s sweat glands.

This alteration usually begins in childhood or puberty and if not properly addressed, persists throughout life.

Excessive sweating or hyperhidrosis of the hands, feet, armpits, or face can have a significant impact on quality of life, to the point of causing anxiety, embarrassment, social isolation, and even limitations in daily activities. Therefore, hyperhidrosis is a condition that requires medical attention to improve the quality of life for those who suffer from it.

There are various treatment options for hyperhidrosis, including topical treatments, oral medications, botulinum toxin injections, and surgery. The choice of treatment will depend on the severity and location of excessive sweating, as well as the patient’s preferences and needs. In general, treatment is effective and can provide significant relief from hyperhidrosis symptoms.

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How to cure it?

Usually, patients with excessive sweating tend to use botulinum toxin and other procedures or medications that have a temporary effect. The problem is that these treatments are painful, have a high cost, and undesired side effects, and they prolong over time without providing a definitive solution. In fact, most patients who come to the consultation have already tried them without success and resort to surgery to obtain a definitive cure.

The best treatment is surgery

THORACIC ENDOSCOPIC SYMPATHECTOMY

The Gold Standard of surgical treatment today is the Bilateral Thoracic Endoscopic Sympathectomy, which consists of the section of the sympathetic nerve chain and is indicated for excessive sweating of the hands, armpits, face, scalp, and pathological facial blushing.

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Eliminates excessive sweating from:

Palms of Hands and Soles of Feet

Armpits

Face and Scalp

Pathological Facial Blushing

Sweat Surgery Interventions

Years of Experience

How is the surgery?

This procedure is performed under general anesthesia and in most cases does not require hospitalization, with the patient being able to go home the same day of the surgery.

It consists of the sectioning of the sympathetic chain within the chest, bilaterally, in specific areas that contain the nerve fibers that carry the stimulus to the sites where hyperhidrosis occurs, so that this stimulus cannot be transmitted to the sweat-producing glands. The procedure is carried out through two small incisions of less than one centimeter on each side of the chest, through which the special endoscope optical system and instrumentation are introduced.

Once the indicated portion of the sympathetic chain is sectioned, the effect of the disappearance of hyperhidrosis is immediate, with the patient’s satisfaction level being extremely high and long-term results approaching 99% success.

After the surgery, compensatory sweating on the back may occur in some cases, which may cause minimal discomfort, but is compensated by the relief of sweating in the affected areas, which is what patients desire.

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About Dr. Gustavo Rivas Goicuria

Dr. Rivas is a professional with 35 years of experience and a degree in Medicine and Surgery from the Central University of Venezuela. He is also a Specialist in General Surgery and Thoracic Surgery, with titles granted by the same university. Additionally, his homologation as a Licensed Physician and Surgeon in Spain by the Ministry of Science, Innovation and Universities allows him to practice his profession in such a country.

He also has an extensive academic career, serving as an associate professor in the education department of the Centro Médico Docente La Trinidad in Caracas, Venezuela, and as an associate professor in the postgraduate program in Surgery. He has also been the Head of the Thoracic Surgery Service and the Head of the Hyperhidrosis Surgery Unit at the Centro Médico Docente La Trinidad, demonstrating his leadership experience and ability to manage teams in a medical setting.

Complementary

Education

He has undergone supplementary training in laparoscopic and thoracoscopic surgery through various courses and training at renowned institutions across the world. These include:

International Laparoscopy Training Course at the National Institute of Gastroenterology in Havana, Cuba. Directed by Dr. Raimundo Llanio
Laparoscopic Surgery Training at Baptist Hospital and South Miami Hospital in Miami, Florida. Directed by Dr. Moisés Jacobs
Advanced Thoracoscopic Surgery Training at the Virgen de la Macarena Hospital in Seville, Spain. Directed by Dr. Jesús Loscertales
Advanced Thoracoscopic Surgery Training at the Jesús Usón Minimally Invasive Surgery Center in Cáceres, Spain