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How is severe sweating of the palms and armpits treated?

Some patients experience severe axillary and palmar hyperhidrosis (excessive sweating). Endoscopic thoracic sympathectomy (ETS) of both T3 and T4, or T3/T4 sympathectomy, is an option. The procedure is performed in the same way as T3 sympathectomy for palmar hyperhidrosis, but the lower ganglion (T4) is also blocked with a clamp.

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