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ETS
Two questions 1) We have been investigating ETS and have noticed that it is primarily cardiovascular surgeons who do the surgery. It seems that the procedure might be more in the neurosurgery area. Just curious why there seem to be relatively fewer neurosurgeons who do ETS. Do neurosurgeons view the procedure from a different perspective? 2) Other than the routinely reported side effects, any particular issues or concerns doing the surgery with someone in their teens, specifically a T2 clamping procedure. Thanks!
I HAVE MIGRAINES, DR. STARTED ME ON ZONEGRAN WHY IS THERE NO STUDIES THAT I CAN FIND?
Endoscopic Thoracic Sympathectomy is what I assume you're referring to based on the context clues of your post (have to be careful with abbreviations as ETS can stand for other things.) This is a procedure that is done by both thoracic and neurosurgeons. The approach through the chest wall between the ribs may be why you have noticed the trend of more thoracic surgeons doing this procedure (though this may not be true at all institutions) than neurosurgeons, whose primary targets of surgery are usually brain and spine. A thorough anatomy of the blood vessels, lungs, and other structures in the chest is essential to reduce/prevent the number of surgical complications.
A recent French study reported 3 major complications following this procedure in about 900 patients which included significant blood loss from involvement of a chest artery and leakage of lymph fluid in the lung space. 25 patients had punctured lungs requiring treatment. No deaths were reported and the surgery was effective in many of the patients, but the study concluded that patients should know this is not the minor procedure that it is often reported to be. As a teen with no prior health problems, the recovery course would theoretically be less complicated than an older patient, but the risks of the surgery should be understood. If surgery is seriously being considered, go to a major academic or clinical institution to talk to an expert about the procedure. Or at least someone in the area who is a well known expert. Good luck.
A recent French study reported 3 major complications following this procedure in about 900 patients which included significant blood loss from involvement of a chest artery and leakage of lymph fluid in the lung space. 25 patients had punctured lungs requiring treatment. No deaths were reported and the surgery was effective in many of the patients, but the study concluded that patients should know this is not the minor procedure that it is often reported to be. As a teen with no prior health problems, the recovery course would theoretically be less complicated than an older patient, but the risks of the surgery should be understood. If surgery is seriously being considered, go to a major academic or clinical institution to talk to an expert about the procedure. Or at least someone in the area who is a well known expert. Good luck.
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I hate breaking threads but I cannot get a question in unless I'm up at 3 am in the morning. I was prescribed Zonegran for the maintenance of Migraines, can you tell me anything about it and are there any side effects I can or should excpect? Or there other suggestions for preventives?
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