Cervical Sympathectomy for Hyperhidrosis: A Report of Two Cases

Generalized hyperhidrosis, or excessive sweating is a chronic autonomic disorder, that not only causes social embarrassment but also leads to occupational, physical and psychological disability. The aetiology is usually unknown. Primary generalized hyperhidrosis starts in childhood. A 22 year old male was admitted with the history of profuse sweating of hands, feet, axillae and face. He complained of excessive sweating, since early childhood. His hands and feet were always wet and his clothes used to get drenched with sweat. The patient did not respond to any type of medication. Right sided transaxillary thoracoscopic, cervical sympathectomise was performed. Post-operatively, all the symptoms have completely resolved and the quality of life of the patient has remarkably improved. A 21 year old female, was presented with history of profuse sweating of hands, feet and axillae. Her hands were always dripping wet, since childhood. The patient had taken several medicines, but without any response. Right sided transaxillary thoracoscopic cervical sympathectomise was performed. Post-operation, there was complete improvement in the symptoms