Dorsal Sympathicotomy for Hyperhidrosis

Christopher G. Compeau

Key Points

Primary hyperhidrosis involves excessive sweating from the hands, axillae or feet Craniofacial sweating or blushing is a rare subset of primary hyperhidrosis A variety of medical and surgical therapies exist depending on the location of the excessive sweating Endoscopic thoracic sympathectomy (ETS) is an excellent surgical technique to permanently abolish palmar and axillary hyperhidrosis Intraoperative identification of visual and tactile landmarks helps to identify the sympathetic chain The level at which the sympathetic nerve is clipped/divided is determined by the preoperative patient symptomatology

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