Hyperhidrosis Surgical Treatment

About 0.6-1% of the population suffers from hyperhidrosis. This phenomenon is most noticeable with increased sweating of the palms, axillary regions, feet. Sometimes this phenomenon is so pronounced that sweat can simply flow away from the palms like drops. These phenomena can lead to significant difficulties and discomfort with a handshake, public speaking, communication problems and sexual problems.

Many of these patients have a poor experience of contacting various specialists – neurologists, dermatologists and psychiatrists. Unfortunately, the most frequently recommended methods of treating this problem for these patients (such as topical application of a 20% alcohol solution of aluminum hexachloride, talcum powder, starch powder, psychotherapy, auto-training, prescription of sedatives, propantheline, diphemanil, robinula forte) are ineffective and give temporary effect only in cases close to the physiological level of sweating. More effective is the use of such a method of treating excessive sweating, as the botox drug, which is used to prune the area of increased sweating. The effect lasts for several months.surgical treatment of excessive sweating


Due to increased sweating, great difficulties arise in terms of social adaptation at work and in personal life.

Surgical treatment

Currently, in connection with the development of new medical technologies, it has been possible to radically improve the results of the treatment of hyperhidrosis and achieve a full recovery.

In the treatment of excessive sweating of the palms and armpits, as well as severe facial redness, the main treatment method is the so-called endoscopic sympathectomy. The procedure includes 2 or 3 punctures performed in the axillary region 5 mm long, through which a miniature camera is introduced, which makes it possible to observe procedure on the monitor screen, and one or two special manipulators.

After this, a small area of the sympathetic nerve in the chest is removed. The whole procedure takes 30-60 minutes and is performed on both sides under general anesthesia. The patient can be discharged home after 2-3 days. Since it is the sympathetic nerve that causes increased sweating, its removal leads to the cessation of this unpleasant symptomatology. The procedure gives an excellent cosmetic effect – hidden in the axillary region 2 or 3 point punctures are practically invisible.

The procedure is contraindicated for persons with secondary hyperhidrosis when excessive sweating is only a symptom of another disease. In such cases, for example, with untreated hyperthyroidism (increased thyroid function), the underlying disease should be treated.

In addition, the procedure is contraindicated in the presence of severe cardiac or pulmonary insufficiency, as well as severe forms of tuberculosis, pleurisy and emphysema. Thus, for patients suffering from excessive sweating, in cases when other methods of treatment did not give an effect, endoscopic sympathectomy is a fairly simple and safe procedure that provides a quick, complete and final solution to the problem.