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How are excessively sweaty palms treated?

The majority of patients who have disabling hyperhidrosis, complain of excessive palmar (hand) sweating, either alone or in combination with plantar (feet) sweating. Endoscopic thoracic sympathectomy (ETS) is the best treatment choice for this condition when symptoms are severe, as the other treatment options cannot control symptoms in severe cases. We perform a T3 sympathectomy for palmar hyperhidrosis, which consists of placing a clamp above and below the T3 ganglia. This procedure completely eliminates excessive palmar hyperhidrosis yet does not result in the same amount of compensatory sweating that occurs after a T2/T3 sympathectomy.

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