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Figure 11. Patient undergoing left selective dorsal sympathectomy. Pt is in a decubitus position. A line is drawn from the tip of the
scapula to the costal arch. This denotes the midaxillary line and highest point in the chest. Trocars are depicted by red circles. AP:
accessory port
Figure 12. Left robotic selective sympathectomy. Intraoperative photograph depicts the robot in position. Three robotic arms are used
CONCLUSION
Significant controversies surround the minimally surgical treatment of hyperhidrosis. Historically, the
interruption of the sympathetic chain has been associated with relief of hyperhidrosis but with high rates
