ETSC/ESB (Endoscopic Thoracic Sympathetic Block by Clamping), which was invented by Dr. Lin in 1996, possesses three clinical significance: (1) Reversibility, (2) Changeability and (3) Visibility. ETSC/ESB can effectively treat many sympathetic disorders, such as Hyperhidrosis palmaris (Hand sweating), Hyperhidrosis craniofacialis (Facial sweating), Hyperhidrosis axillaris (Bromidrosis or armpit sweating), Erythrophobia (Facial blushing), …; but without the risk of side effect. Return to original condition is possible by removal of the clips when patient is regretted to the operative results. Different sympathetic surgical procedures (different levels of clamped ganglions) can be identified by X-ray only on ETSC/ESB.

         The importances of Lin-Telaranta classifications are:
 (1) different surgical procedures to treat different sympathetic disorders;
 (2) surgical results are predictable,
 (3) side effect is preventable.

                   Dr. Telaranta, Dr. Drott and Dr. Claes came to Taiwan

                   in November, 1997

International Society of Sympathetic Surgery(ISSS):

ISSS is an open society for any one who is interesting in sympathetic surgery. Four symposium meetings have been held since Dr. Göran Claes and Dr. Christer Drott assembled the first ISSS in 1992. Increasing indications were found in sympathetic surgery thereafter.

In addition to hand sweating, Swedish group has more experiences in sympathetic treatment to Angina and facial blushing; Finlish group has more experiences in psychic disorders; while Dr. Lin achieved more progression in basic knowledges and designing new technique of sympathetic surgery. Dr. Lin overthrew several previous old medical theories in sympathetic surgery, including patterns of sympathetic nervous tracts innervating to human body, mechanism of reflex sweating (compensatory sweating), and the way to avoid side effects.

Dr. Lin in sympathetic surgery:

Dr. Lin has performed sympathetic surgery on more than 6000 cases with different sympathetic disorders since he performed the first sympathetic procedure in 1988. He is one of the pioneers in sympathetic surgery in the world. He performs sympathetic surgery on 300 cases per year in average. Dr. Lin has understood both importance of surgical results and prevention of side effect for the sake of easy learning and practice of endscopic thoracic sympathetic surgery as early as in 1995. He endeavered himself to find method that could treat hyperhidrosis without inducing adverse results. Clinical experiences of ETSC/ESB (Endoscopic Thoracic Sympathetic Block by Clamping) were proposed in the second ISSS in 1997, which was then soon adopted on clinical use by many surgeons in the world. Dr. Lin proposed his theory of sympathetic nervous tracts to human body, the mechanism of reflex sweating and how to avoid it in the fourth ISSS held in Tampere, Finland in June 2001. His new theories are the base of designing new technique and the way to avoid adverse results in sympathetic surgery, which made great progression and revolution in sympathetic surgery.

Dr. Lin emphasized three focal points of his speech in 4^th ISSS: (1) different surgical procedures to treat different sympathetic disorders; (2) postoperative sweating is a reflex phenomen, not compensatory mechanism, which can be avoided; (3) explaining the mechanism of reflex sweating and how to avoid it.

Postoperative sweating phenomenon is a reflex response between sympathetic system and Hypothalamus, it is absolutely not a compensatory mechanism that other parts of human body take over the sweating function of hands after operation. This is the reason why Dr. Lin insisted to use the term of reflex sweating instead of compensatory sweating. Hypothalamus is the center of Autonomic Nervous System, which influences human mind, mentality and endocrine system. Dr. Lin emphasized, “Endoscopic Sympathetic Surgery helps us open a gate to Autonomic Nervous System”.

T2 sympathetic procdedure is commonly used to treat Hyperhidrosis, but higher risk of reflex sweating would be encountered. More than 95% of side effect can be avoided if sympathetic surgery is performed under the rule of Lin-Telaranta Classifications.

Contact me：　

　　E-mail address: scipio54@ms46.hinet.net

      Tel: 886-2-23393989 (Miss Vita Liu)

        886-6-2991158 (Dr. Lin)