Surgical Treatment of Axillary Hyperhidrosis

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Abstract
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. 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. 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 Conclusion: Due to the higher efficacy we recommend performing suction-curettage with a sharp suction-curettage cannula.