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Main cause of dissatisfaction after videothoracoscopic (VATS) sympathectomy in the treatment of hyperhidrosis (HH) and facial blushing (FB) is compensatory sweating (CS). Sympathetic nerve (SN) clipping permits to revert the block effect by removing the clips in case of an intolerable CS. We present our experience with this technique. Sixty-one patients diagnosed for HH andyor FB were operated on VATS SN clipping. Clipping levels varied in function for the sort of disease: FB: T2, palmar HH:doi:10.1510/icvts.2009.212365 pmid:19666953 fatcat:5pdxeek7mnbujardabbqw2lxli