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Surgical Treatment of Axillary Hyperhidrosis

2006; Lippincott Williams & Wilkins; Volume: 56; Issue: 6 Linguagem: Inglês

10.1097/01.sap.0000205771.40918.b3

1536-3708

Falk G. Bechara, Michael Sand, Daniel Sand, Peter Altmeyer, Klaus Hoffmann,

Natural Compound Pharmacology Studies

In Brief Background: Suction-curettage is a minimally invasive surgical approach for the treatment of focal axillary hyperhidrosis. Studies comparing the efficacy of different surgical cannulas are missing. Therefore, we gravimetrically compared a specially designed cannula versus 2 standard liposuction cannulas. Methods: Axillary suction-curettage was performed in 42 patients (n = 42). Fourteen patients (n = 14) were operated with a 1-hole liposuction cannula, 14 patients (n = 14) with a larger 3-hole liposuction cannula, and 14 (n = 14) with a sharp suction-curettage cannula. Sweat rates in mg/min were measured by gravimetry before and 6 months after surgery. Results: Sweat rate in the 1-hole liposuction cannula group was significantly reduced from 57.65 ± 5.85 mg/min to 32.58 ± 4.64 mg/min (P < 0.001), corresponding to a reduction of 44.15%. Patients operated with the larger 3-hole liposuction cannula showed a significant reduction of sweat rate from 63.95 ± 8.25 mg/min to 33.14 ± 6.25 mg/min (P < 0.001), corresponding to a reduction of 49.19%. The largest reduction of sweat rates (63.07%) was achieved with the suction-curettage cannula (61.85 ± 9.03 mg/min to 21.27 ± 4.42 mg/min (P < 0.001). No severe side effects were observed. Conclusion: Due to the higher efficacy we recommend performing suction-curettage with a sharp suction-curettage cannula. Suction-curettage was performed for axillary hidradenitis on 42 patients, divided equally into 3 groups with 1/3 performed using a 1-hole cannula, 1/3 with a 3-hole cannula, and 1/3 with a large Suction-Curettage cannula. Postoperative reduction in rate of sweating was reduced respectively by 44%, 49%, and 63% in the 3 groups, with the greatest effectiveness achieved by the sharp cannula.