From October 2005 to August 2006, sympathetic nerve reconstruction with using the intercostal nerve was per-
formed in 4 patients with severe compensatory hyperhidrosis following thoracoscopic sympathetic surgery for facial
hyperhidrosis. The interval between the initial sympathetic clipping and the sympathetic nerve reconstruction was a
median of 23.1 months. The compensatory sweating after sympathetic nerve reconstruction was improved for 2 pa-
tients, but it was not improved for 2 patients. Thoracoscopic sympathetic nerve reconstruction may be one of the
useful treatment methods for the patients with severe compensatory hyperhidrosis after they under go sympathetic
nerve surgery for hyperhidrosis.
(