Experience of Tumescent Liposuction in the Treatment of Osmidrosis

“…In the last few years, tumescent suction curettage has emerged as one of the surgical treatment modalities in axillary hyperhidrosis [4,5,6]. This technique is performed under local anesthesia, and the tumescent fluid containing saline, bicarbonate, epinephrine and lidocaine is used as the only source of pain control.…”

Section: Discussionmentioning

confidence: 99%

“…In a previous study, tumescent suction curettage was found to be more effective than tumescent liposuction alone [6]. As the eccrine glands, responsible for the overproduction of sweat, are localized in the dermis, curettage needs to be performed to obtain better results.…”

Section: Discussionmentioning

confidence: 99%

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Tumescent Suction Curettage in the Treatment of Axillary Hyperhidrosis: Experience in 63 Patients

Böni¹

2006

Dermatology

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Background: Axillary hyperhidrosis is a common and most distressing problem, which can be addressed by a variety of treatment modalities. Objective: To assess the value of tumescent suction curettage in the treatment of axillary hyperhidrosis. Methods: 63 patients (39 female, 25 male; mean age 30.3 ± 7.6 years) with axillary hyperhidrosis were enrolled in the study. All patients were treated in an outpatient setting with tumescent suction curettage of the axillary cavity, using two entry sites. The results were evaluated with the iodine-starch test after 4 weeks and after 6 months. Two years after the procedure, patient satisfaction was evaluated as ‘satisfied’, ‘partially satisfied’ or ‘dissatisfied’. Results: None of the patients had early postoperative complications of infection or seroma. All patients had a marked reduction of hyperhidrosis after 4 weeks, confirmed by the iodine-starch test. After 6 months, 15 patients had high sweat rates and asked for repeat surgery. Two years after the procedure, 49 patients were satisfied, 11 patients were partially satisfied and 3 patients were dissatisfied. Conclusion: Tumescent suction curettage is a safe and effective treatment of axillary hyperhidrosis resulting in a high level of patient satisfaction. Some patients will need repeat surgery. Suction curettage, however, should not be used as the first line of treatment in axillary hyperhidrosis.

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“…If these nonresponders desire permanent reduction of sweating, surgical options should be considered, ranging from removal of subcutaneous tissue without skin excision to resection of axillary skin with adjacent subcutaneous tissue to a combination of both methods, resulting in a partial skin resection with combined removal of subcutaneous and surrounding tissue [17]. Both – the anatomical location of human sweat glands and clinical studies evaluating surgical techniques – have resulted in a preference for minimally invasive strategies for treating FAH [1,2,3,4,5, 18, 19]. LC has demonstrably reduced the sweat rate significantly with a low risk of side effects.…”

Section: Discussionmentioning

confidence: 99%

Laser Doppler Scanning Study of Axillary Skin before and after Liposuction Curettage in Patients with Focal Hyperhidrosis

et al. 2008

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Background:Minimally invasive surgeries are frequently used in patients suffering from focal axillary hyperhidrosis (FAH). Sweat glands are removed surgically and the axillary skin is thinned out, with skin necrosis being a possible complication due to reduced microcirculation. Although of considerable interest, studies evaluating pre- and postoperative skin perfusion are unavailable. Objective: To evaluate the blood flow of axillary skin in patients with severe focal axillary hyperhidrosis before and after liposuction curettage (LC). Material and Methods: The blood flow in the axillary skin of 11 patients was measured by laser Doppler perfusion imaging before surgery and on days 1, 7 and 28 after LC with a rasping cannula. Skin perfusion was measured in arbitrary units (AU) with measuring points in the axillary center (AC), the operated skin 2 cm from the center (2C) and the surrounding healthy skin (HS). Results: No significant differences of preoperative skin perfusion were found (AC: 0.39 ± 0.08 AU/2C: 0.38 ± 0.07 AU/HS: 0.39 ± 0.07 AU; p > 0.05). On the first and seventh postoperative days, AC (0.2 ± 0.04 AU/0.27 ± 0.81 AU) and 2C (0.2 ± 0.03 AU/0.28 ± 0.06 AU) area were significantly less perfused, whereas the HS showed higher perfusion values (0.59 ± 0.1 AU/0.53 ± 0.09 AU). Twenty-eight days after LC the 2C (0.36 ± 0.07 AU) and HS (0.4 ± 0.06 AU) skin revealed no significant differences compared to preoperative skin perfusion (p > 0.05). The AC perfusion was still slightly reduced (0.37 ± 0.09 AU) without significant difference compared to preoperative findings. Conclusion: LC reduces the axillary skin blood flow with the axillary center being the least perfused area. However, in our collective, no correlation to possible side effects was observed.

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Experience of Tumescent Liposuction in the Treatment of Osmidrosis

Cited by 52 publications

References 15 publications

Arthroscopic shaver with refinement for axillary osmidrosis

Arthroscopic shaver with refinement for axillary osmidrosis

Tumescent Suction Curettage in the Treatment of Axillary Hyperhidrosis: Experience in 63 Patients

Laser Doppler Scanning Study of Axillary Skin before and after Liposuction Curettage in Patients with Focal Hyperhidrosis

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