The amount of compensatory sweating depends on the patient, the damage that the white rami communicans incurs, and the amount of cell body reorganization in the spinal cord after surgery.
Other potential complications include inadequate resection of the ganglia, gustatory sweating, pneumothorax, cardiac dysfunction, post-operative pain, and finally Horner’s syndrome secondary to resection of the stellate ganglion.
www.ubcmj.com/pdf/ubcmj_2_1_2010_24-29.pdf

After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion undergo transneuronic degeneration
After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within a year.
http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract

Sunday, March 15, 2009

Telaranta reveals what is wrong with the surgery:

The first aim in correctional surgery is to restore normal neuronal pathways in the sympathetic chain. This can be accomplished by:

1. Excision of the scar and a neurolysis around the healthy nerve ends. This often gives immediate relief in the compensatory hyperhidrosis by stopping the neuropathic feedback hypersensitivity. If pain has been included in the side effects, it is usually right away diminished after the neurolysis.

2. Adding fresh nerve stimuli to the midbrain structures. To accomplish this we transpose the living intercostal nerve to the stellate (T1) ganglion.
This procedure adds to the possibility of thermoregulatory feedback between the lower sympathetic chain and the midbrain ganglia. Also the energy level may be restored, if damaged in the first surgery. This result is often immediate.

http://www.privatix.fi/index.shtml?&a=0&s=navig_03&l=en&d=02_reversal

Mia: Telaranta in his summary describing what he can improve on with his 'reversal of ETS'. First he has to admit what goes wrong with Sympathectomy in the first place. None of these effects (side-effects) is included on any of the patient information brochures, and patients are lead to believe that the surgery will only affect their skin sweating - in a good way. In his text we find admission that it also affects midbrain and it's function. As far as I tell from the extensive research I have undertaken, none of the surgeons offering this simple, 'almost miraculous' surgery ever mentioned ETS (Sympathectomy) affecting brain function.

There should be no surprise why are there so many websites and forums dedicated to the patients outrage, grief and support, as the medical community refuses to acknowledge these side-effects - unless there is some incentive, as there is in this case. The high number of patients seeking reversal surgeries is should provide and indication of the problem.