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Recurrence after sympathectomy performed for Palmar hyperhidrosis

As with any other surgical procedure the patient and the surgeon can expect a chance of symptoms recurrence. When endoscopic thoracic sympathectomy is performed the surgeons offer a mechnical solution to a physiological-genetic problem. This can lead to a small rate of recurrence. The exact reason for the recurrence is not yet defined. The recurrence rate after the operation is between 1-1.5%. If the recurrence happens after a long period of time (more than 1 year), it is thought to be due to redirecting of the nerve signals through different pathways. If this happens the patient should discuss the matter with his/her surgeon.

On the other hand if the recurrence happens with in a short time then a technical mistake should be considered as the cause. Again this should be discussed with the surgeon. Sometimes there is a mild return of hand sweating immediately after the operation but if it mild and is not as excessive as before the operation then no further action should be taken.