Reversible ETSC/ESB (Endoscopic Sympathetic Block by Clamping):

Sympathetic nervous trunk is cut or burned to treat sympathetic disorders in conventional sympathetic surgery. It is impossible when patient can not tolerate the postoperative condition and want to return his original condition.

    ETSC/ESB is invented by Dr. Lin in 1996, which possesses reversible character. Regret is possible by removal of clips when patient can not accept the postoperative outcomes. Titanium-made clips are used to clamp the sympathetic nervous trunk without cutting or burning it through two small incision wounds in armpit. It takes less than 10 minutes to finish whole ETSC/ESB procedures bilaterally. Patient is ususally recovered on the next day of operation. No scar is visible after wound healed.
　

              Procedures of ETSC/ESB. Good results, Small wounds;
              Invisible operation scar and quick recovery.

Chest X-Ray of the same patient.

(Upper): before ESB

(Left lower): clamped level can be easily identified in ESB (red arrows)

(Right lower): Clips were removed when ESB was changed for ETS.

                     There’s no difference between before and after ETS.

   Lin-Telaranta Classifications:

    different surgical procedures for different sympathetic disorders.

Group 1: Facial Blushing, Tre      Group 1: Facial Blushing, Tremoring  disorder, Rhinitis, Schizophrenia,
                       Parkinsonism, Migraine, Raynaud’s Syndrome, Angina.

   Group 2: Facial sweating with or without hand sweating; Facial sweating  
                       and blushing, Hypertension, Angina (Hypertensive cardiac
                       disease), …

Group 3: Hand sweating with or without axillar sweating.

Group 4: Axillar sweating (Bromidrosis), Myofascial syndrome.

Others: Psychic disorders: Schizophrenia, Social phobia, Upper  
                    abdominal cancer pain from Stomach, Liver, Pancreas, ….;
                    Plantar Hyperhidrosis.