Yes - if there is no underlying endocrine problem and is true hyperhidrosis and not stress nor excessive fluid ingestion, then Robinul (glycopyrolate) tablets are very effective.

We removed clips in four patients. Two patients pleased and two patients neither bad nor Good. We made intercostal nerve indentation to one patient and he was very pleased

Sympathectomy - clipped or cutted?

Reversion is a possibility

Thanks every body for answers we do sympathectomy by cutting and not clipping so revision is not seems easy

Hi, we use oxybutynin with good results. You could check our paper about it (https://www.researchgate.net/publication/260149546_Randomized_trial_-_oxybutynin_for_treatment_of_persistent_plantar_hyperhidrosis_in_women_after_sympathectomy?ev=prf_pub)

Here in Brazil is not available glycopyrolate but it seems to be a good option too.

Article Randomized trial - Oxybutynin for treatment of persistent pl...

I have seen a paper on sural nerve transplant for this condition but I apologise as I cannot find it!

Sural nerve transplant is a hit and miss.