TY - BOOK AU - Hazem Mohamed Ismail AU - Ayman Elsamadony , AU - Hisham Mostafa , AU - Safwat Abdelkader Salem , TI - Bilateral simultaneous thoracoscopic sympathectomy in prone position for treatment of palmar and axillo - palmar hyperhydrosis , safety and feasibility / PY - 2012/// CY - Cairo : PB - Hazem Mohamed Ismail , KW - Bilateral simultaneous KW - Palmar and axillo - palmar hyperhydrosis Safety and feasibility KW - Thoracoscopic sympathectomy N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery; Issued also as CD N2 - Many lines of treatment are available such as topical medications , ion topheresis , systemic medications , botulinum toxin type A ( BTX - A ) and surgery . Patients should generally start with the least invasive form of therapy and progress to more complicated therapies when other therapies fail . Severe hyperhydrosis and cases where other treatments fail has been treated with thoracoscopic sympathectomy UR - http://172.23.153.220/th.pdf ER -