Video-assisted endoscopic thoracic sympathectomy in the management of intractable palmar hyperhydrosis.

Minimally invasive endoscopic surgical techniques have revolutionised patient management. We present our findings in our first 10 cases of bilateral video-assisted endoscopic thoracic sympathectomy in the management of intractable palmar hyperhydrosis including the first such procedure in Singapore. We have found the procedure to have minimal morbidity, good patient acceptance and all patients have remained with dry palms.