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Endoscopic thoracic sympathectomy (ETS) is an option for patients with primary palmar hyperhidrosis who do not respond to non-surgical treatments. Unfortunately, this procedure can be beset by the onset of compensatory sweating (CS), thermoregulatory alterations, and gustatory hyperhidrosis in some individuals. Of them, Compensatory Sweating is the most commonly reported adverse effect—affecting up to 80% of patients undergoing ETS. The restoration of nerve continuity through the reconstruction of the previously interrupted sympathetic trunk appears to an ideal solution to reverse symptoms in patients who develop intolerable post-ETS compensatory sweating and long term improvement in quality of life. Reports suggest no recurrence of hyperhidrosis at the primary site or any increase of compensatory sweating at other sites. Robotic bilateral sympathetic nerve reconstruction is done using patient’s own intercostal nerves. Robotic platform offers 3D HD magnified vision to identify these tiny nerves along with the endowrist with 7 degrees of freedom really aids to perform this complex surgery with precision. Patient's usually start to notice improvement in 4 to 6 months and report upto 50-60% improvement in one year time. #RoboticSurgery #PalmarHyperhidrosis #MaxSuccessStory To book an appointment call (+91) 98918 78090 Write to us about your problem to [email protected] #PalmarHyperhidrosis #RoboticSurgery #DaVinciSurgery #SympatheticChain #ExcessiveSweating #MaxSuperSpecialityHospital #ThoracicSurgery #SweatControl #HyperhidrosisTreatment #ShaiwalKhandelwal #MaxHealthcare #InnovativeSurgery #MinimallyInvasive #PatientSuccess #HealthRecovery #AdvancedMedicalCare #compensatorysweating #ETSreversal