Operative Möglichkeiten der Hyperhidrosebehandlung

Zusammenfassung

Die operative Versorgung stellt immer die Ultima Ratio in der Behandlung der Hyperhidrose dar, nachdem konservative Verfahren ausgeschöpft sind. Operationen eignen sich nur zur Therapie fokaler Hyperhidrosen, wobei axillär lokal chirurgische Maßnahmen möglich sind, während palmar eine endoskopische Sympathektomie zum Einsatz kommen kann. Leider fehlen für viele operative Verfahren evidenzbasierte Daten bezüglich Effektivität und Langzeitergebnissen.

Abstract

Surgical therapy is the ultima ratio for the treatment of hyperhidrosis after conservative procedures have failed. Surgery is only suitable for focal hyperhidrosis. Local surgical procedures are preserved for axillary hyperhidrosis. Endoscopic sympathectomy is a therapy option for severe palmar hyperhidrosis. However, for most surgical treatments evidence-based data concerning efficacy and long-term results are missing.

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