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Aktuelle Therapie der fokalen Hyperhidrose

Operative Verfahren

Current treatment of focal hyperhidrosis

Surgical approaches

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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.

Abstract

A variety of conservative and surgical therapy options are available for the treatment of focal hyperhidrosis. In case of severe therapy-resistant forms, surgery aims to achieve permanent reduction of sweating. For axillary hyperhidrosis, local surgical techniques are the method of choice with minimally-invasive techniques favored in recent years. Sympathectomy is the ultima ratio for palmar hyperhidrosis; however, the procedure can lead to severe side effects. For most surgical techniques for hyperhidrosis, both long-term studies and side-to-side comparisons are not available.

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  1. Operative Dermatologie, Klinik für Dermatologie und Allergologie, Ruhr-Universität Bochum, Gudrunstraße 56, 44791, Bochum, Deutschland

    F.G. Bechara

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Correspondence to F.G. Bechara.

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Bechara, F. Aktuelle Therapie der fokalen Hyperhidrose. Hautarzt 60, 538–545 (2009). https://doi.org/10.1007/s00105-009-1717-1

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