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 Printable version |
Subcutaneous curettage for the treatment of axillary
hyperhidrosis |
European Journal of Dermatology. Volume 7, Number 1, 43-6, January - February 1997, Thérapie
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 Free Article
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Author(s) : R. Rompel, I. Peros, J. Petres |
Summary : Axillary hyperhidrosis is a functional abnormality of the eccrine sweat glands that causes discomfort and sometimes even social stigmatisation in the afflicted patient. The cause of genuine hyperhidrosis is unknown and therefore no specific corrective therapy is available and conservative treatment often fails. Thus, local surgical intervention is indicated and various techniques have been described. We present our results on 52 patients treated by subcutaneous curettage that were followed up at a median of 78 months. Postoperative complications were, bleeding in three patients, seroma formation in one and prolonged wound healing in another patient. Except for one axillary revision because of bleeding, all complications were managed by local measures and healed ad integrum. In 78.8% of the patients a good or very good reduction of axillary perspiration was seen, 19.2% had a moderate reduction, and only one patient experienced a complete recurrence. Subjective assessment revealed a significant reduction of sweating at rest and under physical stress. Thus 82.6% of the patients were satisfied with the result of the operation. We conclude that subcutaneous curettage for axillary hyperhidrosis represents an efficient treatment with a good cosmetic outcome and a low complication rate. |
Keywords : axillary hyperhidrosis, subcutaneous curettage, surgical therapy. |
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