Selecting the Right Patient for Surgical Treatment of Hyperhidrosis

Thorac Surg Clin. 2016 Nov;26(4):403-406. doi: 10.1016/j.thorsurg.2016.06.004. Epub 2016 Aug 31.


This article presents a personal view of the indications for surgical treatment of patients with hyperhidrosis based on long clinical experience. Endoscopic thoracic sympathectomy is the preferred opinion for palmar sweating. It is also useful when there is additional axillary sweating but is not the first choice for isolated armpit symptoms. Surgical treatment of craniofacial sweating is much more likely to be followed by undesirable side-effects.

Keywords: Hyperhidrosis; Patient selection; Sympathectomy.

Publication types

  • Review

MeSH terms

  • Contraindications
  • Humans
  • Hyperhidrosis / surgery*
  • Patient Selection*
  • Sympathectomy* / methods
  • Thoracoscopy
  • Treatment Outcome