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Thoracoscopic Sympathectomy: What to Expect at Home

Your Recovery

Thoracoscopic sympathectomy is surgery to cut or clamp the sympathetic nerves. These nerves run down both sides of the spine. The surgery may be done to help control heavy sweating of the hands. It also may be used to treat chronic pain or other problems with the sympathetic nerve system.

Your chest may be sore where the doctor made the cuts (incisions) and put the surgical tools. This usually gets better after several days. But for up to 2 weeks, you may feel pain in your chest when you take a deep breath. Avoid strenuous activity and lifting anything heavy for about 3 to 4 weeks or until your doctor says it is okay.

After this surgery, some people notice that they feel dizzy if they stand up too quickly. This usually gets better with time.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

Rest when you feel tired. Getting enough sleep will help you recover.
Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 3 to 4 weeks or until your doctor says it is okay.
For 3 to 4 weeks, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, or cat litter or dog food bags.
Do breathing exercises at home as instructed by your doctor.
Ask your doctor when you can drive again.
You may need to take 1 to 3 weeks off from work. It depends on the type of work you do and how you feel.

Diet

You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.

Medicines

Your doctor will tell you if and when you can restart your medicines. You will also be given instructions about taking any new medicines.
If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine.
Take pain medicines exactly as directed.
- If the doctor gave you a prescription medicine for pain, take it as prescribed.
- If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
If you think your pain medicine is making you sick to your stomach:
- Take your medicine after meals (unless your doctor has told you not to).
- Ask your doctor for a different pain medicine.
If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Incision care

If you have strips of tape on the incisions, leave the tape on for a week or until it falls off.
Wash the area daily with warm, soapy water and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.
You may shower 1 to 2 days after surgery, if your doctor says it is okay. Pat the incisions dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.
Do not use any creams, lotions, powders, ointments, or oils unless your doctor tells you it is okay.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

You passed out (lost consciousness).
You have severe trouble breathing.
You have severe chest pain.
You have sudden chest pain and shortness of breath, or you cough up blood.

Call your doctor or nurse advice line now or seek immediate medical care if:

You have pain that does not get better after you take pain medicine.
You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the incision.
- Pus draining from the incision.
- A fever.
You have loose stitches, or your incisions come open.
You are bleeding a lot from the incisions.
Your heartbeat feels very fast, skips beats, or flutters.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.

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