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Minimally Invasive Sympathectomy

Hyperhidrosis is the condition characterized by abnormally increased sweating or perspiration in excess of that which is required for regulation of body temperature. It is associated with a significant quality of life burden from a psychological, emotional, and social perspective.

Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, armpits, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands. When excessive sweating is localized (e.g. palms, soles, face, underarms, scalp) it is referred to as primary or focal hyperhidrosis.


Generalized or secondary hyperhidrosis usually involves the body as a whole and is the result of an underlying condition.

Sympathectomy involves cauterizing (cutting and sealing) a portion of the sympathetic nerve chain that runs down the back inside the chest, parallel to the spine. This operation permanently interrupts the nerve signal that is causing the body to sweat excessively. The surgery is performed through two small incisions in the armpit.

Patients usually go home the same day.