New Technique Treats Axillary Hyperhidrosis

Arthroscopic shaver technique may safely and effectively reduce excess perspiration
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WEDNESDAY, Feb. 28 (HealthDay News) -- In patients with localized axillary hyperhidrosis, a new arthroscopic shaver technique is a safe and effective treatment, according to the results of a study published in the February issue of Plastic and Reconstructive Surgery.

Jugpal S. Arneja, M.D., of the University of Manitoba in Winnipeg, Canada, and colleagues conducted a retrospective, five-year review of 50 patients who underwent the new arthroscopic shaver technique.

The researchers found that the patients reported an average symptom severity score of 9.8 out of 10 before surgery and 2.3 out of 10 after surgery. Only three patients (6 percent) reported a recurrence of mild symptoms (4.6 of 10). Overall satisfaction was high at 96 percent. The average surgical operating time was 46 minutes, resulting in minimal and self-limiting complications and an average 3.9 days of missed work, the report indicates.

"We have described a new approach for the treatment of axillary hyperhidrosis using an arthroscopic shaver typically used in orthopedic surgery," the authors write. "It is theoretically sound in that it addresses the cause of hyperhidrosis by removing a large percentage of gross eccrine gland volume and denervating the eccrine gland and simultaneously preserving vascularized dermal skin flaps. We would offer this treatment approach as first-line treatment for localized axillary hyperhidrosis."

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