Introduction
postoperative pain, Primary palmar hyperhidrosis, anxiety, Postoperative pain, chest pain, pain, infection, paraspinal muscular pain, hematoma
DISORDER, INFECTION, HEMATOMA, ABSENCE OF SWEATING
Primary palmar hyperhidrosis is a disorder characterized by chronic excessive sweating despite the absence of sweating triggers. With the evolution of surgical approaches, upper thoracic dorsal sympathectomy performed via video-assisted thoracoscopic surgery (VATS) is the main management option for that clinical entity [Although VATS is performed through small incisions, postoperative pain remains challenging, as some patients report sharp chest pain with deep inspiration, while others report constant pain in the dorsal region. This might necessitate prescribing opioid analgesia for proper pain relief [Postoperative pain not only increases patients' anxiety but also decreases postoperative satisfaction and hinders early rehabilitation, so effectively preventive post-operative pain is important [Disadvantages of the previously mentioned techniques are infection, hematoma parasympathetic manifestations, paraspinal muscular pain, spinal anesthesia, and short duration of analgesia [Recently, rhomboid intercostal block (RIB) and serratus anterior plane block (SAPB) have been described to provide effective analgesia after thoracic procedures [