Thoracic Surgery is the treatment of diseases of the organs inside the chest. Removing the thymus gland (Thymectomy) and treatment of localized sweating (Sympathectomy) can be performed through the laparoscopic chest surgery.
The thymus gland is part of endocrine system which is involved with immune system function. The thymus is located in the front part of the chest above the sternum. Thymectomy is done to treat myasthenia gravis, a disease that causes weakness in the muscles of the skeletal system. Removal of the thymus gland can also be done to treat thymus cancer. The surgeon makes an incision over the sternum (trans-sternal) or a small incision is made at the base of the neck (trans-cervical) to remove the thymus. Currently, this surgery can be done laparoscopically. The first thymectomy was performed in Imam Khomeini Hospital by Dr. Toolabi in 1382.
The over-activity of the sympathetic nerves present in the chest cavity results in the symptoms of hyperhidrosis. Interrupting these nerves surgically is called sympathectomy and is an effective modality for the treatment of hyperhidrosis. It is one of the earliest forms of treatment available for the condition and has been employed since 1920. Earlier, sympathectomy was done after opening the chest cavity. However, nowadays the procedure is done through a minimally invasive method of endoscopic thoracic sympathectomy (ETS). Sympathectomy is extremely effecting in treating hyperhidrosis of the face and palms.