Thoracoscopic sympathectomy for hyperhidrosis palmaris: A periareolar approach

Severe hyperhidrosis palmaris represents a disabling problem for many patie nts. Thoracoscopic techniques that involve dissection and removal of the up per thoracic sympathetic chain are believed to result in the lowest inciden ce of recurrent symptoms. However, aside from an axillary incision, an addi tional upper anterior chest wall approach is usually required. Over the pas t 2 years, we have used a periareolar incision in eight patients to improve postoperative cosmesis for this benign condition. (Ann Thorac Surg 2000;70 :314-7) (C) 2000 by The Society of Thoracic Surgeons.