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

Feldmeyer, Laurence; Bogdan, I; Moser, André; Specker, R.; Kamarashev, Jifco; French, Lars E.; Läuchli, Severin

doi:10.1111/jdv.13078

Cited by 21 publications

(11 citation statements)

References 15 publications

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“…The incisions are closed by adhesive strips or suture. While long‐term outcomes are usually good , the effect thus achieved seems to decrease after a few years .…”

Section: Treatment Of Primary Hyperhidrosismentioning

confidence: 98%

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Rzany

Bechara

Feise³

et al. 2018

J Deutsche Derma Gesell

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Focal hyperhidrosis can have a considerable impact on social and occupational activities and be associated with significant impairment in quality of life. Primary (idiopathic) hyperhidrosis is neither caused by systemic disorders nor by external factors. It usually occurs in areas characterized by a high density of sweat glands such as the axillae and hands. The diagnosis of focal hyperhidrosis is based on history and clinical findings. Supplementary diagnostic tests include gravimetry (measurement of the amount of sweat) and the iodine starch test (which shows the area of sweating). Treatment options consist of topical agents, botulinum toxin A injections, iontophoresis, treatment with radiofrequency, microwaves, or ultrasound as well as surgical procedures (axillary suction curettage, sympathectomy). Systemic agents such as anticholinergics may also be used. Selection of the most appropriate therapeutic approach depends on the site affected, prior treatment as well as the patient's requests.

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“…The incisions are closed by adhesive strips or suture. While long‐term outcomes are usually good , the effect thus achieved seems to decrease after a few years .…”

Section: Treatment Of Primary Hyperhidrosismentioning

confidence: 98%

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Rzany

Bechara

Feise³

et al. 2018

J Deutsche Derma Gesell

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“…Subcutaneous axillary curettage using liposuction devices (liposuction-curettage) is an effective procedure for the treatment of hyperhidrosis. It is considerably less invasive and produces better cosmetic results with less scarring compared to traditional surgical excision [50]. The concurrent suction of fatty tissue leads to better outcomes than curettage alone diowej (1 MHz) w tkance ludzkiej.…”

Section: Surgical Methodsmentioning

confidence: 99%

“…Podskórne łyżeczkowanie dołu pachowego z zastosowaniem urządzeń do liposukcji (liposuction-curettage) jest skutecznym zabiegiem o znacznie mniejszej inwazyjności i lepszych efektach kosmetycznych oraz z mniejszym bliznowaceniem w porównaniu z tradycyjnym wycięciem chirurgicznym [50]. Jednoczesne odessanie tkanki tłuszczowej daje lepsze Dermatology Review/Przegląd Dermatologiczny 2018/4 which only causes damage to the glands without removing them [6].…”

Section: Metody Operacyjneunclassified

Hyperhidrosis – pathogenesis and treatment methods

Sazanów-Lubelski¹,

Bergler‐Czop²,

Barasińska³

et al. 2018

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Hyperhidrosis is a condition characterized by excessive sweating which may have a primary or secondary cause. The diagnosis is facilitated by the guidelines of the Canadian Hyperhidrosis Advisory Committee. Prior to initiating treatment, the severity of the condition is determined based on the Hyperhidrosis Disease Severity Scale or objective examinations (Minor test or gravimetric method). The therapeutic options depend on the type of hyperhidrosis and are divided into topical, systemic and procedural modalities. The first-line drugs are topical preparations including aluminium salts, glycopyrrolate 2% and tannic acid solutions. Systemic therapies are based primarily on anti-cholinergic and β-adrenolytic drugs. Procedural therapies include botulinum toxin treatment, iontophoresis, laser therapy as well as techniques based on microwaves and ultrasounds. If these modalities fail, the remaining option is surgery, including sympathectomy or surgical removal of sweat glands. streszczenie Nadpotliwość to nadmierne wydzielanie potu, które może mieć przyczynę pierwotną lub wtórną. Diagnozę ułatwiają wytyczne Canadian Hyperhidrosis Advisory Committee. Przed rozpoczęciem terapii określa się stopień nasilenia dolegliwości wg skali subiektywnej (Hyperhidrosis Disease Severity Scale) lub obiektywnych badań (test Minora, metoda grawimetryczna). Leczenie zależy od typu nadpotliwości i dzieli się na miejscowe, ogólne i zabiegowe. Preparaty miejscowe: sole glinu, 2% glikopirolan i roztwory kwasu taninowego, są lekami pierwszego wyboru. W terapii ogólnej stosuje się głównie leki antycholinergiczne i β-adrenolityczne. Do metod zabiegowych należą: terapia toksyną botulinową, jonoforeza, laseroterapia, zastosowanie mikrofal i ultradźwięków. Jeżeli powyższe metody zawiodą, pozostaje leczenie operacyjne-sympatektomia lub chirurgiczne usunięcie gruczołów potowych.

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“…Der Wundverschluss wird mittels Klammerpflaster oder Naht durchgeführt. Die Langzeitergebnisse sind in den meisten Fällen gut , scheinen jedoch eine abnehmende Effektivität zu haben nach einigen Jahren .…”

Section: Therapie Der Primären Hyperhidroseunclassified

Aktualisierung der S1‐Leitlinie zur Definition und Therapie der primären Hyperhidrose

Rzany

Bechara

Feise³

et al. 2018

J Deutsche Derma Gesell

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Zusammenfassung Die fokale Hyperhidrose kann zu erheblichen sozialen und beruflichen Einschränkungen und damit zu einer ausgeprägten Verminderung der Lebensqualität führen. Der primären Hyperhidrose liegen keine internistischen Erkrankungen oder externen Ursachen zugrunde. Sie tritt vor allem im Bereich von Arealen mit einer großen Schweißdrüsendichte wie den Achseln und den Händen auf. Die Diagnose der Hyperhidrose basiert auf der Anamnese und der Klinik. Unterstützt wird die Diagnostik durch Gravimetrie (die Schweißmengenmessung) und den Iod‐Stärke‐Test (der das vom Schwitzen betroffene Areal definiert). Zur Behandlung der primären Hyperhidrose stehen eine Reihe von Verfahren wie die topische Therapie, die Injektionstherapie mit Botulinumtoxin A, die Leitungswasser‐Iontophorese, die Therapie mit Radiofrequenz, Mikrowellen oder Ultraschall bis hin zu den operativen Interventionen wie der axillären Saugkürettage oder der Sympathektomie zur Verfügung. Auch systemische Therapeutika (vor allem Anticholinergika) kommen zur Anwendung. Die Auswahl der geeigneten Behandlungsmaßnahmen sollte individuell auf die Lokalisation, die vorangegangen Behandlungen und die Wünsche des Patienten abgestimmt werden.

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

Abstract: TSC is an effective and safe treatment for axillary hyperhidrosis. The long-term recurrence may be due to reinnervation.

Cited by 21 publications

References 15 publications

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Hyperhidrosis – pathogenesis and treatment methods

Aktualisierung der S1‐Leitlinie zur Definition und Therapie der primären Hyperhidrose

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