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Surgery for the treatment of Hyperhidrosis (Sympathectomy) has been practiced since 1926.

Recently with the onset and evolution in video surgery and anesthesia techniques, and new surgical instruments is possible to perform an efficient procedure, minimally invasive, with higher anatomical precision, cosmetically acceptable and associated with low complications index. Surgical treatment for Hyprhidrosis involves the removal, elimination or clipping of a minimal and very specific portion of the sympathetic chain to be treated.

The surgical procedure is performed under general anesthesia, with the single and/or selective intubation of the lungs. Two endoscopy instruments, with a diameter similar to a pencil (0.5cm), are introduced in the thoracic cavity. One of them has a mounted camera showing with a high degree of clarity, illumination and precision the structures to be intervened. Also introduced are surgical instruments needed to perform the procedure. The lung is gently moved and the sympathetic chain, which is located behind the ribs, next to the spine, is identified. A portion of the chain is catheterized, or clips can be applied to crush the chain. Both sides are operated on at the same time. The procedure takes approximately 20 minutes per side.

Scaring left after the procedure

 
Small axillary and thoracic scars from Sympathectomy surgery on men.   Small axillary and thoracic scars from Sympathectomy surgery on women.
The decision on the surgical treatment depends entirely on the degree of the patient‘s distress. Thus we have the following treatments:
Palmar Hyperhidrosis
Axillary Hyperhidrosis
Craniofacial Hyperhidrosis
Plantar Hyperhidrosis
 
Hyperhidrosis
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