Can The Clamps Move After a Sympathectomy?
The sympathectomy procedure for excessive hand sweating, also known as palmar hyperhidrosis, has undergone many improvements over the last few years. The old method, in which the surgeon had to make large incisions in the neck, chest, or the back in order to reach the sympathetic chain, was replaced with the endoscopic method. This enables the surgeon to reach that location with minimal trauma and minimal downtime.
The next change came with the application of small titanium clamps to the sympathetic chain in order to stop the flow of nerve impulses to the sweat glands. The advantage of this method is that it offers a possibility for reversal. If a patient develops side effects which are worse than the original problem, the procedure can be undone. To date, Dr. Reisfeld has performed 30 reversals with a success rate of 68%.
Patients often ask if the clamps can move. For example, if a patient is engaged in a heavy physical activity. After performing thousands of surgeries using the clamping method, Dr. Reisfeld is not aware of any cases which showed a migration of the clips.
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