Minimally Invasive Surgery for Axillary Osmidrosis: Combined Operation with CO2 Laser and Subcutaneous Tissue Remover

Abstract

A combined technique using a CO2 laser and subcutaneous tissue remover has the advantages of a high success rate, low complication rate, no admission treatment, less scarring, and rapid recovery. This combined approach should become the preferred technique for the treatment of axillary osmidrosis.

Hyperhidrosis, bromhidrosis, and chromhidrosis: Fold (intertriginous) dermatoses

“…A novel surgical approach has combined surgical intervention with additional carbon dioxide laser vaporization for the residual apocrine glands. 72 Advantages of this combined approach include a high success rate, low complication rate, no admission treatment, less scarring, and rapid recovery.…”

“…Various mechanisms can be involved, including blockade of cholinergic stimulation and inhibition of substance P release. 72,73 Although apocrine glands are less responsive to cholinergic stimulation compared with eccrine glands, cholinergic nerve fibers have been shown around their secretory coils but with a lower density of innervation. 74 Treatment results usually persist for 4 to 5 months, and the course of treatment can be continued for as long as needed.…”

Aktuelle Therapie der fokalen Hyperhidrose

“…Somit fallen auch alte Techniken der offenen Adenektomie nach großflä-chiger Inzision wie die Skoog-Prozedur hierunter [32]. In den letzten Jahren wurde eine Vielzahl von Verfahren in der Literatur beschrieben, die teils mit hohem apparativem Aufwand verbunden sind [3,18,20]. Haut "aufgeklappt", und die Schweißdrü-sen werden mittels Schere offen adenektomiert.…”

“…Abb. 3c, d; [19,25] [18,20]. Die Evaluierung des Therapieerfolgs ist jedoch nur durch subjektive Beurteilung der Patienten belegt, teilweise ohne Kontrolle durch die behandelnden Ärzte.…”

Minimally Invasive Procedure for Axillary Osmidrosis

“…However, it is important to keep in mind the potential complications of minimally invasive surgery for axillary osmidrosis. According to the report by Kim et al [3], unwanted complications can be seen in about 4 % of the patients.…”