Effect of quilting sutures on hematoma formation after liposuction with dermal curettage for treatment of axillary hyperhidrosis: a randomized clinical trial

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Nark-Kyoung RhoWon-Serk Kim

Abstract

Liposuction provides further reduction of axillary sweating and malodor when combined with dermal curettage with sharp rasping cannulas. This aggressive approach is associated with relatively higher rate of hematoma formation when compared to the conventional simple liposuction. The aim of this prospective, randomized, controlled trial was to evaluate the effect of quilting sutures on the incidence of hematoma formation after liposuction-curettage for treatment of axillary hyperhidrosis (AH). The trial randomized 59 male patients (118 axillae) undergoing liposuction-curettage for AH to quilting procedures (61 axillae) or control group (57 axillae) for intention-to-treat analysis. Outcome measures included the incidence of hematoma formation, operative time, degree of postoperative pain, and amount of analgesics consumption. Quilting sutures significantly reduced the incidence of axillary hematoma from 28.1% to 4.9%. Quilting was associated with the lengthening of operative time but did not affect the postoperative pain. Considering its efficacy in reducing postoperative hematoma, quilting is recommended in combination with aggressive liposuction-curettage procedure for treating AH and osmidrosis.

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Citations

Jan 4, 2015·Annales de chirurgie plastique et esthétique·C ClericoT Ihrai
May 15, 2012·Annales de dermatologie et de vénéréologie·J Fleury, G Guillet
Feb 22, 2018·Aesthetic Plastic Surgery·Jin Ho HanHyun Woo Shin
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Nov 14, 2019·Aesthetic Plastic Surgery·L Murugesan, A Karidis

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