Abstract | BACKGROUND: OBJECTIVES: To investigate efficacy and side-effects of a second LC with an aggressive rasping cannula in patients with insufficient prior surgery. METHODS: Nineteen nonresponders to prior LC (13 female and six male) underwent a second LC with a rasping cannula. Gravimetry was performed before and 8 months after surgery. Side-effects, patient satisfaction, the surgeons' intraoperative evaluation and the Vancouver Scar Scale (VSS) before and after surgery were documented. RESULTS: Sweat rates showed a reduction of 69% in 17 (89%) patients. Two patients (11%) did not respond to surgery. Eighty-four per cent of all patients were completely satisfied or satisfied with postoperative results. No severe side-effects were observed. The surgeon reported slightly increased difficulties during dissection of dermis from subcutaneous fat in three patients. Assessment of scars showed an excellent aesthetic outcome (mean VSS 0.79 before vs. 1.1 after surgery). CONCLUSIONS: LC using an aggressive cannula is an effective therapy option for patients with insufficient response to prior LC surgery, with a low risk of side-effects.
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Authors | F G Bechara, M Sand, N S Tomi, P Altmeyer, K Hoffmann |
Journal | The British journal of dermatology
(Br J Dermatol)
Vol. 157
Issue 4
Pg. 739-43
(Oct 2007)
ISSN: 0007-0963 [Print] England |
PMID | 17634083
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Adult
- Axilla
(surgery)
- Cicatrix
(etiology)
- Curettage
(adverse effects, methods)
- Female
- Humans
- Hyperhidrosis
(physiopathology, surgery)
- Lipectomy
(adverse effects, methods)
- Male
- Minimally Invasive Surgical Procedures
(methods)
- Patient Satisfaction
- Reoperation
(adverse effects, methods)
- Sweating
- Treatment Outcome
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