Short- and long-term efficacy and mechanism of action of tumescent suction curettage for axillary hyperhidrosis

Journal of the European Academy of Dermatology and Venereology : JEADV
L FeldmeyerS Läuchli

Abstract

Axillary hyperhidrosis is a common and distressing problem interfering with the life of affected individuals. Currently, local surgery is the treatment of choice once conservative treatment has failed. To evaluate the clinical efficacy and safety of tumescent suction curettage (TSC) in treating axillary hyperhidrosis and to correlate it with histological markers. Thirty patients (17 females and 13 males, average age 29.9 years) underwent TSC. After tumescent anaesthesia, a suction cannula was inserted in the axilla on each side through two tiny incisions and subcutaneous tissue was removed by suction. We evaluated the clinical efficacy and complications, and in a subset of patients performed biopsies before surgery, as well as 1 month and 1 year after the operation. In comparison with preoperative values, the sweat rate was diminished by 85% after 1 month, 71% after 6 months, 77% after 12 months and 61% after 24 months. The reduced efficacy with time was histologically correlated with an increase in the innervation, whereas the number of sweat glands continued to diminish. The majority of patients were satisfied with the operation but the satisfaction diminished with time. Patients with the highest preoperative sweat rates were...Continue Reading

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Citations

Mar 21, 2017·The Journal of Dermatological Treatment·Jason E Sammons, Amor Khachemoune
Dec 23, 2017·Health Technology Assessment : HTA·Ros WadeNerys Woolacott
Jul 11, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Berthold RzanyBirgit Wörle
Jul 11, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Berthold RzanyBirgit Wörle
Sep 6, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Aikaterini Tsiogka, Josef Koller
Sep 16, 2018·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·J Wohlrab, B Kreft
Jul 2, 2020·Dermatologic Therapy·Pedro Rodríguez-JiménezIgnacio Sánchez-Carpintero
Oct 10, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Aikaterini Tsiogka, Josef Koller
Apr 12, 2016·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Girish S Munavalli
Jun 4, 2021·International Journal of Dermatology·Johannes Kjeldstrup Kristensen, Corina Nielsen

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