Left sided endoscopic sympathetic block (ESB) using metallic clips at R3 level for palmar hyperhidrosis (author’s personal archive)

Impact of Thoracoscopic T2 Sympathectomy on Patients With Primary Palmar and Axillary Hyperhidrosis

“…Finally, few studies related the incidence of compensatory sweating to the surgical technique. Sympathetic blockage by clips decreased the incidence of compensatory sweating due to the ability to reverse the operation by early removal of the clips over the sympathetic trunk (ideally within 2 weeks) [18,19]. This could be explained by the development of fibrosis or necrosis in the sympathetic chain by the clips over time.…”