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Hyperhidrosis pp 127-129 | Cite as

Criteria for Surgical Patient Selection

  • Sérgio Kuzniec
  • Paulo Kauffman
Chapter

Abstract

The results of sympathectomy in the treatment of focal hyperhidrosis have been shown to be very good when considering the improvement of quality of life in the majority of patients. However, compensatory hyperhidrosis, the main adverse effect of this intervention, is the chief reason for patients’ dissatisfaction and even regret. In order to better select patients for the surgical procedure, we treat them conservatively at first, and in those who do not adapt to this treatment, we indicate the sympathectomy.

Keywords

Primary hyperhidrosis Anticholinergics Videothoracoscopic sympathectomy Oxybutynin Botulinum toxin Iontophoresis 

Suggested Reading

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  3. Hoorens I, Ongenae K. Primary focal hyperhidrosis: current treatment options and a step-by-step approach. J Eur Acad Dermatol Venereol. 2012;26(1):1–8.CrossRefPubMedGoogle Scholar
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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sérgio Kuzniec
    • 1
  • Paulo Kauffman
    • 2
  1. 1.Hospital Israelita Albert EinsteinSão PauloBrazil
  2. 2.Department of Vascular and Endovascular SurgeryUniversity of São Paulo School of MedicineSão PauloBrazil

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