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

We read with great interest the article by Vasconcelos-Castro et al. reporting the outcome of 23 patients undergoing thoracoscopic sympathotomy for primary palmar hyperhidrosis (PFH) [1]. They stated that bilateral two-port thoracoscopic sympathotomy is a safe and effective treatment for PFH in patients aged 11–19 years old. Recurrent hyperhidrosis was not observed after a median follow-up of 12 (2–69) months. Therefore, the authors suggested that surgical treatment should be offered to children as early as they complain of daily life impairment owing to their excessive sweating.