Radiotherapy has been used for axillar hyperhidrosis. High-dose radiation is necessary to treat hyperhidrosis. Such a dose origins severe dermatitis, fibrosis, skin retraction, ending with serious functional limitation of shoulder movements. Axillary sweat gland ablation usual ellipsical area of skin and glandular tissue is detached from the armpit and the space is closed by Z-plasty. The results depend on the size of the area excised. Local chronic eczematous dermatitis, keloid formation and various late contractures may happen interfering with the seizure of the shoulder. Axillar liposuction surgery of the axillar vault does not extract sweat glands. Its effect is questionable. Thoracic endoscpic sympathicotomy is the best method for the treatment of the hyperidrosis. Activation of the sweat glands is ended by the sympathetic nervous system. When the stimulus to the gland is overstated, the result is excessive sweating. Sympathicotomy for the treatment of palmar, axillary and facial hyperhidrosis consists of harsh at a certain points along the sympathetic chain. It is located on the inside of the thoracic cavity. This stops the motivation to the sweat glands and the sweating disappears.

The way to stop sweating:

The use of the endoscopes for thoracic sympathicotomy is the best remedy. This allows the operation to be done with 2 small punctures of the thoracic cavity. It is far less aggressive than the conventional technique of making large incisions in the thorax or neck. This technique, Thoracic Sympathicotomy through endoscope, has become the method of choice for the treatment of hyperhidrosis. The procedure became even safer and the results were improved. The technique now used by the team treats extreme sweating of the hands, armpits and the face. The surgical method is done under general anesthesia through two incisions of 3 mm on all side of the thorax. It lasts about 30 minutes.

The end result:

The results so far are 100% of patients healed of hyperhidrosis of the hands, 96% for the armpits and 99% for face. The results are instant and definitive. For patients with hyperhidrosis of the feet in combination with hands, face or armpits, 94% have had the condition enhanced or cured completely. The surgery is performed on an outpatient basis. The patient is discharged the same day.