Hyperhidrosis pp 179-188 | Cite as

Surgical Difficulties and Complications of Video-Assisted Thoracoscopic for Thoracic Sympathectomy

  • Laert de Oliveira Andrade FilhoEmail author
  • Fabiano Cataldi Engel


This chapter discusses the most common technical difficulties during the surgical procedure of sympathectomy, as well as the most frequent surgical complications, based on the literature and experience of the group with more than 2000 operated cases. The most frequent and most compromising technical difficulty is the presence of pleural adhesions. The most frequent immediate complication is the air fistula, and the most frequent late complication is compensatory sweating.


Sympathectomy Technical difficulties Complications Compensatory sweating Compensatory hyperhidrosis 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Laert de Oliveira Andrade Filho
    • 1
    Email author
  • Fabiano Cataldi Engel
    • 1
  1. 1.Hospital Israelita Albert EinsteinSão PauloBrazil

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