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New help for excessive sweating
A so-called suction curretage, during which persipatory glands under arms are removed by suction, has been carried out only for a couple of years and only in some centers. The operation technique with the help of a sharp instrument, used before, always showed complications or relatively high recurrance rate, so that a new intervention had to be performed. When using canulae, the way they are used during vibration modelling, the success rates were not satisfactory either.
Through improving and developing the technique and through introduction of a new special cannule the success rate increased significantly.The possible complications are minimal, these are usually small hematomas and hardenings in the underarm area, which disappear after a short while.
The minimal- invasive intervention is carried out under so-called tumescent – local anaesthesia. It is an ambulant operation. Only two small incisions, appr. 2 mm in size, under the armpit and over it, are needed as an access to the operation area. In addition to that, the perspiratory glands are removed by suction after maceration of the tissue by means of tumescent solution. The small surgical accesses are closed with a clip plaster, a pressure bandage is put over it. The after-operative swelling disappears after a few days.
As a rule, patients can start working normally directly after the intervention. We have had patients who went directly to work from the hospital. Still it is recommended to take a 1 or 2 days off after the operation.
Directly after the operation the armpit is dry, the persipatory glands have been already removed by suction. They cannot appear again. There will be no compensatory sweat oversecretion on other body spots. Solely neurosupply of the still remaining persipatory glands can regenerate; therefore, a very light persipatory gland secretion is possible.
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