Video-assisted thoracoscopic sympathetic ramicotomy for hyperhidrosis - A way to reduce the complications

Endoscopic resectional surgery of sympathetic nerves is now the most accept able method to treat palmar hyperhidrosis, though the resection of the symp athetic trunk and ganglia can result in the irreversible compensatory hyper hidrosis. The ideal way to treat the palmar hyperhidrosis, without the unde sirable complication of the compensatory hyperhidrosis, is still pending. W e adapt endoscopic cutting of the second and third sympathetic rami without injury to the sympathetic ganglia and trunk, and find that it is a good wa y to reduce the complications. Most importantly, it has a cure rate compara ble with the conventional technique. The longer operation time and the high er operation risk are the drawbacks.