Hyperhidrosis pp 127-129 | Cite as

Criteria for Surgical Patient Selection

  • Sérgio Kuzniec
  • Paulo Kauffman


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.


Primary hyperhidrosis Anticholinergics Videothoracoscopic sympathectomy Oxybutynin Botulinum toxin Iontophoresis 

Suggested Reading

  1. Cameron AE. Selecting the right patient for surgical treatment of hyperhidrosis. Thorac Surg Clin. 2016;26(4):403–6.CrossRefGoogle Scholar
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  4. Wolosker N, Kauffman P. Upper extremity sympathectomy. In: Rutherford’s vascular surgery, vol. vol II, cap 124. 8th ed. Philadelphia: Elsevier; 2014. p. 1923–35.Google Scholar
  5. Wolosker N, Yazbek G, de Campos JR, et al. Quality of life before surgery is a predictive factor for satisfaction among patients undergoing sympathectomy to treat hyperhidrosis. J Vasc Surg. 2010;51(5):1190–4.CrossRefGoogle Scholar

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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