Electrocautery / Microcutting Technique
This is the technique that is done by many surgeons. In this technique, the sympathetic nerves are cut either by electrocautery or by sharp scissors. This technique is easier to perform, than the clipping technique. However, many authorities feel that, by using electrocautery and manipulating the nerves, there is more chance of injury to the surrounding tissues and nervous structures, and more chance of compensatory sweating and other side effects. The other disadvantage of this method is the difficulty reversing the operation as compared to the clipping method.