Reversal of Sympathetic Interruption by Removal of Clips

The percentage of patients requesting reversal of sympathectomy is significant and appears to most commonly result from compensatory sweating (CS); however, excessive palmar dryness also occurs in those without primary palmar hyperhidrosis. It appears that the best results with reversal are obtained when the clips are removed early after placement. We counsel our patients that ideally clips should be removed within 2 weeks for reversal.