Sympathectomy

Sympathectomy through video-assisted thoracic surgery (VATS) has revolutionized the treatment of hyperhidrosis and allowed to interrupt of sympathetic innervation in a selective and less invasive way, for sweating hands, armpits, and feet, with a success rate of 99% in cases of the hands and armpits, and good results for the treatment of excessive sweating in the feet.

Thoracic Sympathectomy is performed in the operating room under general anesthesia and takes approximately 15 to 20 minutes. This surgical procedure consists of two small incisions under the armpits, one for the placement of a camera and the other for the introduction of surgical instruments. A reversible technique is then performed (Endoscopic Thoracic Clamping Sympathectomy, ETS-C), with the application of T4 titanium clips, which immediately reduces sweating of the hands, armpits and feet. In cases of facial flushing, it is performed at the T3 level. Finally, to close the incisions, an intradermal suture is performed, which presents excellent aesthetic results.