The authors performed 134 transthoracic axillary sympathectomies on 68 patients suffering from primary hyperhydrosis. In the benign condition, hy perhydrosis may cause considerable psychological, social, and occupational dis turbances. Their eleven years of experience with this approach is discussed. The postoperative course and results were devoid of severe complications. They rec ommend, therefore, the axillary approach for thoracic sympathectomy in cases of hyperhydrosis of the upper limbs.
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