Skip to main content
Erschienen in: Die Dermatologie 7/2009

01.07.2009 | Leitthema

Aktuelle Therapie der fokalen Hyperhidrose

Operative Verfahren

verfasst von: PD Dr. F.G. Bechara

Erschienen in: Die Dermatologie | Ausgabe 7/2009

Einloggen, um Zugang zu erhalten

Zusammenfassung

Zur Behandlung fokaler Hyperhidrosen stehen diverse konservative und operative Optionen zur Verfügung. Bei schweren therapieresistenten Formen kann operativ versucht werden, eine dauerhafte Reduktion zu erzielen. Bei axillärer Hyperhidrose stehen lokale operative Techniken im Vordergrund, wobei in letzter Zeit mehr minimal-invasive Verfahren favorisiert werden. Palmar stellt die Sympathektomie eine Ultima Ratio dar, die jedoch mit schweren Komplikationen einhergehen kann. Für viele operative Verfahren fehlen Langzeitdaten. Seitenvergleichsstudien lokal chirurgischer Techniken stehen noch aus.
Literatur
1.
Zurück zum Zitat Achenbach RK (2004) Hyperhidrosis. Physiologisches und krankhaftes Schwitzen in Diagnose und Therapie. Steinkopff, Darmstadt Achenbach RK (2004) Hyperhidrosis. Physiologisches und krankhaftes Schwitzen in Diagnose und Therapie. Steinkopff, Darmstadt
2.
Zurück zum Zitat Arneja JS, Hayakawa TE, Singh GB et al (2007) Axillary hyperhidrosis: a 5-year review of treatment efficacy and recurrence rates using a new arthroscopic shaver technique. Plast Reconstr Surg 119:562–567PubMedCrossRef Arneja JS, Hayakawa TE, Singh GB et al (2007) Axillary hyperhidrosis: a 5-year review of treatment efficacy and recurrence rates using a new arthroscopic shaver technique. Plast Reconstr Surg 119:562–567PubMedCrossRef
3.
Zurück zum Zitat Bechara FG (o J) Chirurgische Therapieverfahren der fokalen axillären Hyperhidrose. In: von Heimburg D, Lemperle G (Hrsg) Ästhetische Chirurgie. ecomed Medizin, 20. erg. Lfg. 12/08 Bechara FG (o J) Chirurgische Therapieverfahren der fokalen axillären Hyperhidrose. In: von Heimburg D, Lemperle G (Hrsg) Ästhetische Chirurgie. ecomed Medizin, 20. erg. Lfg. 12/08
4.
Zurück zum Zitat Bechara FG, Gambichler T, Sand M et al (2007) Assessment of quality of life in patients with axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol 57:207–212PubMedCrossRef Bechara FG, Gambichler T, Sand M et al (2007) Assessment of quality of life in patients with axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol 57:207–212PubMedCrossRef
5.
Zurück zum Zitat Bechara FG, Sand M, Hoffmann K et al (2008) Histological and clinical findings in different surgical strategies for focal axillary hyperhidrosis. Dermatol Surg 34:1001–1009PubMedCrossRef Bechara FG, Sand M, Hoffmann K et al (2008) Histological and clinical findings in different surgical strategies for focal axillary hyperhidrosis. Dermatol Surg 34:1001–1009PubMedCrossRef
6.
Zurück zum Zitat Bechara FG, Sand M, Sand D et al (2006) Surgical treatment of axillary hyperhidrosis: a study comparing liposuction cannulas with a suction-curettage cannula. Ann Plast Surg 56:654–657PubMedCrossRef Bechara FG, Sand M, Sand D et al (2006) Surgical treatment of axillary hyperhidrosis: a study comparing liposuction cannulas with a suction-curettage cannula. Ann Plast Surg 56:654–657PubMedCrossRef
7.
Zurück zum Zitat Bechara FG, Sand M, Sand D et al (2007) Suction-curettage as a surgical treatment of focal axillary hyperhidrosis: recommendation for an aggressive approach. Plast Reconstr Surg 119:1390–1391PubMedCrossRef Bechara FG, Sand M, Sand D et al (2007) Suction-curettage as a surgical treatment of focal axillary hyperhidrosis: recommendation for an aggressive approach. Plast Reconstr Surg 119:1390–1391PubMedCrossRef
8.
Zurück zum Zitat Bechara FG, Sand M, Tomi NS et al (2007) Repeat liposuction-curettage is safe and effective. Br J Dermatol 157:739–743PubMedCrossRef Bechara FG, Sand M, Tomi NS et al (2007) Repeat liposuction-curettage is safe and effective. Br J Dermatol 157:739–743PubMedCrossRef
9.
Zurück zum Zitat Bisbal J, del Cacho C, Casalots J (1987) Surgical treatment of axillary hyperhidrosis. Ann Plast Surg 18:429–436PubMedCrossRef Bisbal J, del Cacho C, Casalots J (1987) Surgical treatment of axillary hyperhidrosis. Ann Plast Surg 18:429–436PubMedCrossRef
10.
Zurück zum Zitat Bretteville-Jensen G (1973) Radical sweat gland ablation for axillary hyperhidrosis. Br J Plast Surg 26:158–162PubMedCrossRef Bretteville-Jensen G (1973) Radical sweat gland ablation for axillary hyperhidrosis. Br J Plast Surg 26:158–162PubMedCrossRef
11.
Zurück zum Zitat Cameron AE (2003) Specific complications and mortality of endoscopic thoracic sympathectomy. Clin Auton Res 13:31–35CrossRef Cameron AE (2003) Specific complications and mortality of endoscopic thoracic sympathectomy. Clin Auton Res 13:31–35CrossRef
12.
Zurück zum Zitat Dumont P, Denoyer A, Robin P (2004) Long-term results of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg 78:1801–1807PubMedCrossRef Dumont P, Denoyer A, Robin P (2004) Long-term results of thoracoscopic sympathectomy for hyperhidrosis. Ann Thorac Surg 78:1801–1807PubMedCrossRef
13.
Zurück zum Zitat Goldman A, Wollina U (2008) Subdermal Nd-YAG laser for axillary hyperhidrosis. Dermatol Surg 34:756–762PubMedCrossRef Goldman A, Wollina U (2008) Subdermal Nd-YAG laser for axillary hyperhidrosis. Dermatol Surg 34:756–762PubMedCrossRef
14.
Zurück zum Zitat Gossot D, Galetta D, Pascal A et al (2003) Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 75:1075–1079PubMedCrossRef Gossot D, Galetta D, Pascal A et al (2003) Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 75:1075–1079PubMedCrossRef
15.
Zurück zum Zitat Hornberger J, Grimes K, Naumann M et al (2004) Multi-specialty working group on the recognition, diagnosis and treatment of primary focal hyperhidrosis. Recognition, diagnosis and treatment of primary focal hyperhidrosis. J Am Acad Dermatol 51:274–286PubMedCrossRef Hornberger J, Grimes K, Naumann M et al (2004) Multi-specialty working group on the recognition, diagnosis and treatment of primary focal hyperhidrosis. Recognition, diagnosis and treatment of primary focal hyperhidrosis. J Am Acad Dermatol 51:274–286PubMedCrossRef
16.
Zurück zum Zitat Hund M, Kinkelin I, Naumann M, Hamm H (2002) Definition of axillary hyperhidrosis by gravimetric assessment. Arch Dermatol 138:539–541PubMedCrossRef Hund M, Kinkelin I, Naumann M, Hamm H (2002) Definition of axillary hyperhidrosis by gravimetric assessment. Arch Dermatol 138:539–541PubMedCrossRef
17.
Zurück zum Zitat Hurley HJ, Shelley WB (1966) Axillary hyperhidrosis. Clinical features and local surgical management. Br J Dermatol 78:127–140CrossRef Hurley HJ, Shelley WB (1966) Axillary hyperhidrosis. Clinical features and local surgical management. Br J Dermatol 78:127–140CrossRef
18.
Zurück zum Zitat Ichikawa K, Miyasaka M, Aikawa Y (2006) Subcutaneous laser treatment of axillary osmidrosis: a new technique. Plast Reconstr Surg 118:170–174PubMedCrossRef Ichikawa K, Miyasaka M, Aikawa Y (2006) Subcutaneous laser treatment of axillary osmidrosis: a new technique. Plast Reconstr Surg 118:170–174PubMedCrossRef
19.
20.
Zurück zum Zitat Kim ICH, Seo SL, Oh CH (1999) Minimally invasive surgery for axillary osmidrosis: combined operation with CO2 laser and subcutaneous tissue remover. Dermatol Surg 25:875–879PubMedCrossRef Kim ICH, Seo SL, Oh CH (1999) Minimally invasive surgery for axillary osmidrosis: combined operation with CO2 laser and subcutaneous tissue remover. Dermatol Surg 25:875–879PubMedCrossRef
21.
Zurück zum Zitat Konig CW, Schott UG, Pereira PL et al (2002) MR-guided lumbar sympathicolysis. Eur Radiol 12:1388–1393PubMedCrossRef Konig CW, Schott UG, Pereira PL et al (2002) MR-guided lumbar sympathicolysis. Eur Radiol 12:1388–1393PubMedCrossRef
22.
Zurück zum Zitat Lawrence CM, Lonsdale Eccles AA (2006) Selective sweat gland removal with minimal skin excision in the treatment of axillary hyperhidrosis: a retrospective clinical and histological review of 15 patients. Br J Dermatol 155:115–118PubMedCrossRef Lawrence CM, Lonsdale Eccles AA (2006) Selective sweat gland removal with minimal skin excision in the treatment of axillary hyperhidrosis: a retrospective clinical and histological review of 15 patients. Br J Dermatol 155:115–118PubMedCrossRef
23.
Zurück zum Zitat Lillis PJ, Coleman WP 3rd (1990) Liposuction for treatment of axillary hyperhidrosis. Dermatol Clin 8:479–482PubMed Lillis PJ, Coleman WP 3rd (1990) Liposuction for treatment of axillary hyperhidrosis. Dermatol Clin 8:479–482PubMed
24.
Zurück zum Zitat Park S (2000) Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 24:275–279PubMedCrossRef Park S (2000) Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 24:275–279PubMedCrossRef
25.
Zurück zum Zitat Park YJ, Shin MS (2001) What is the best method for treating osmidrosis? Ann Plast Surg 47:303–309PubMedCrossRef Park YJ, Shin MS (2001) What is the best method for treating osmidrosis? Ann Plast Surg 47:303–309PubMedCrossRef
26.
Zurück zum Zitat Perng CK, Yeh FL, Ma H et al (2004) Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 114:93–97PubMedCrossRef Perng CK, Yeh FL, Ma H et al (2004) Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 114:93–97PubMedCrossRef
27.
Zurück zum Zitat Pröbstle TM, Schneiders V, Knop J (2002) Gravimetrically controlled efficacy of subcorial curettage: a prospective study for treatment of axillary hyperhidrosis. Dermatol Surg 28:1022–1026CrossRef Pröbstle TM, Schneiders V, Knop J (2002) Gravimetrically controlled efficacy of subcorial curettage: a prospective study for treatment of axillary hyperhidrosis. Dermatol Surg 28:1022–1026CrossRef
28.
Zurück zum Zitat Salfeld K (1978) Operative behandlung der hyperhidrosis axillaris. Ther Gegenwart 117:183–201PubMed Salfeld K (1978) Operative behandlung der hyperhidrosis axillaris. Ther Gegenwart 117:183–201PubMed
29.
Zurück zum Zitat Schmidt J, Bechara FG, Altmeyer P, Zirngibl H (2006) Endoscopic thoracic sympathectomy for severe hyperhidrosis: impact of restrictive denervation on compensatory sweating. Ann Thorac Surg 81:1048–1055PubMedCrossRef Schmidt J, Bechara FG, Altmeyer P, Zirngibl H (2006) Endoscopic thoracic sympathectomy for severe hyperhidrosis: impact of restrictive denervation on compensatory sweating. Ann Thorac Surg 81:1048–1055PubMedCrossRef
30.
Zurück zum Zitat Schneider B, Richter GM, Roeren T, Kaufmann GW (1996) CT-gesteuerte Neurolysen. Stand der Technik und aktuelle Ergebnisse. Radiologe 9:692–699CrossRef Schneider B, Richter GM, Roeren T, Kaufmann GW (1996) CT-gesteuerte Neurolysen. Stand der Technik und aktuelle Ergebnisse. Radiologe 9:692–699CrossRef
31.
Zurück zum Zitat Shenaq SM, Spira M (1987) Treatment of bilateral axillary hyperhidrosis by suction-assisted lipolysis technique. Ann Plast Surg 19:548–551PubMedCrossRef Shenaq SM, Spira M (1987) Treatment of bilateral axillary hyperhidrosis by suction-assisted lipolysis technique. Ann Plast Surg 19:548–551PubMedCrossRef
32.
Zurück zum Zitat Skoog T, Thyresson N (1962) Hyperhidrosis of the axillae, a method of surgical treatment. Acta Chir Scand 124:531–538PubMed Skoog T, Thyresson N (1962) Hyperhidrosis of the axillae, a method of surgical treatment. Acta Chir Scand 124:531–538PubMed
33.
Zurück zum Zitat Strutton DR, Kowalski JW, Glaser DA, Stang PE (2004) US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey. J Am Acad Dermatol 51:241–248PubMedCrossRef Strutton DR, Kowalski JW, Glaser DA, Stang PE (2004) US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey. J Am Acad Dermatol 51:241–248PubMedCrossRef
34.
Zurück zum Zitat Tsai RY, Lin JY (2001) Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 27:446–448PubMedCrossRef Tsai RY, Lin JY (2001) Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 27:446–448PubMedCrossRef
35.
Zurück zum Zitat Wörle B, Rapprich S, Heckmann M (2007) Definition and treatment of primary hyperhidrosis. J Dtsch Dermatol Ges 5:625–628PubMedCrossRef Wörle B, Rapprich S, Heckmann M (2007) Definition and treatment of primary hyperhidrosis. J Dtsch Dermatol Ges 5:625–628PubMedCrossRef
Metadaten
Titel
Aktuelle Therapie der fokalen Hyperhidrose
Operative Verfahren
verfasst von
PD Dr. F.G. Bechara
Publikationsdatum
01.07.2009
Verlag
Springer-Verlag
Erschienen in
Die Dermatologie / Ausgabe 7/2009
Print ISSN: 2731-7005
Elektronische ISSN: 2731-7013
DOI
https://doi.org/10.1007/s00105-009-1717-1

Weitere Artikel der Ausgabe 7/2009

Die Dermatologie 7/2009 Zur Ausgabe

CME - Weiterbildung - Zertifizierte Fortbildung

Haut und Zähne

Leitlinien kompakt für die Dermatologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Dermatologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.