Many of the patients attend after thorascopic sympathectomy which resolved their palmar, but not axillary, hyperhidrosis. Surgical excision of axillary tissue remains an important treatment modality for a large proportion of hyperhidrotic patients. It has the ability to provide a permanent and satisfactory solution to a frustrating problem. It is not as yet a redundant method of treatment.
J L Atkins, senior house officer, plastic surgery.
P E M Butler, consultant plastic surgeon.
Royal Free Hospital, London NW3 2QG
BMJ 2000;321:702 ( 16 September )
Letters
Treating hyperhidrosis
Excision of axillary tissue may be more effective