Compensatory hyperhidrosis (CH) is the most common and most feared adverse effect of thoracic sympathectomy and the complaint is mainly of increased sweat of the chest, abdomen, legs, and buttocks. Studies show that practically all patients will have some degree of this complication, but more than 11.6% of patients develop a severe CH with a social impact as bad or worse than the preoperative status. The first-line treatment is the oral use of anticholinergic medications, mainly oxybutynin.
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