Hyperhidrosis pp 203-213 | Cite as

Endoscopic Lumbar Sympathectomy in the Treatment of Hyperhidrosis: Technical Aspects

  • Marcelo de Paula Loureiro
  • Paulo Kauffman
  • Rafael Reisfeld
  • Roman Rieger


In this chapter the authors present three different versions of the same technique for performing endoscopic lumbar sympathectomy (ELS) for the treatment of plantar hyperhidrosis.

Important technical details as well as illustrated surgical steps are presented and discussed.

ELS is a feasible but a potentially dangerous operation; surgeons must be well-trained before starting to perform it.


Sympathectomy Laparoscopy Retroperitoneal space Hyperhidrosis 

Suggested Reading

  1. Reisfeld R, Berliner KI. Evidence-based review of the non surgical management of hyperhidrosis. Thorac Surg Clin. 2008;18:157–66.CrossRefGoogle Scholar
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  7. Reisfeld R, Pasternack G, Daniels P, Basseri E, Nishi G, Berliner K. Severe plantar hyperhidrosis: an effective surgical solution. Am Surg. 2013;79(8):845–53.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Marcelo de Paula Loureiro
    • 1
  • Paulo Kauffman
    • 2
  • Rafael Reisfeld
    • 3
  • Roman Rieger
    • 4
  1. 1.General Surgery and BiotechnologyPositivo University and INC HospitalCuritibaBrazil
  2. 2.Department of Vascular and Endovascular SurgeryUniversity of São Paulo School of MedicineSão PauloBrasil
  3. 3.The Center for HyperhidrosisBeverly HillsUSA
  4. 4.Surgical DepartmentSalzkammergut-Klinikum GmundenGmundenAustria

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