Endoscopic Sympathectomy for Hyperhidrosis Palmar hyperhidrosis can be disabling, interfering with a person's personal and social functions, work, and recreation. Writing, handshaking, handling papers, and a host of other daily activities can be adversely affected by hyperhidrosis.
Sweat spontaneously drips from an individual's hands when hyperhidrosis is severe.
Topical agents and systemic drugs provide only temporary or partial relief. In addition, systemic drugs may cause undesirable side effects. Thoracoscopic sympathectomy is performed in the operating room. While the patient is under general anesthesia, three incisions are made just below the under arm, between the ribs. The portion of the sympathetic nerve that stimulates sweating in the hands is then removed.