Thoracoscopic sympathicotomy in children for the treatment of palmar and axillary primary focal hyperhidrosis: Caution advocated

Commentary on thoracoscopic sympathotomy outcomes in pediatric patients with primary palmar hyperhidrosis. Authors discuss the safety and efficacy of bilateral two-port sympathotomy in 11-19 year-olds, noting zero recurrence over median 12-month follow-up, while advocating careful consideration of timing for surgical intervention in children.