Liposucción en hiperhidrosis axilar (Glandulosucción)
Palabras clave:
liposucción, hiperhidrosis, axilarResumen
La hiperhidrosis axilar es el aumento excesivo de la producción de sudor por la intensa actividad de las glándulas sudoríparas ecrinas y apocrinas como respuesta a estímulos térmicos o emocionales, y produce en la mayoría de los pacientes molestias laborales y sociales.
La hiperhidrosis axilar tiene tratamiento tópico, oral y quirúrgico, con diferentes resultados y efectos secundarios. Nosotros planteamos como la mejor terapia la liposucción con técnica tumescente, previa evaluación del área a tratar con el test de Minor, por sus excelentes resultados, mínima incapacidad y pocas complicaciones. Describimos la técnica quirúrgica utilizada.
Se llama liposucción la técnica quirúrgica con anestesia tumescente en hiperhidrosis axilar, nombre que no compartimos porque con ella no se succiona tejido graso sino tejido glandular como es el de las glándulas sudoríparas; por lo tanto, sugerimos el término glandulosucción con anestesia tumescente, que describe mejor el procedimiento.
Referencias bibliográficas
1. Swinehart JM. Treatment of axillary hyperhidrosis: Com-bination of the starch-iodine test with the tumescent li-posuction technique. Dermatol Sug 2000; 26:392-396.
https://doi.org/10.1046/j.1524-4725.2000.00604.x
2. Maillard H, Briand N, Bara C, et al. Efficacy of botuli-num toxin A in the treatment of axillary and palmar hy-perhidrosis: 1 O cases. Ann Dermatol Venereol 2003; 130(5):511-513.
3. Rusciani L, Severino E, Rusciani A. Type A botulinum toxin: a new treatment for axillary and palmar hyperhi-drosis. J Drugs Dermatol 2002; 1(2):147-151.
4. Department of Plastic and Reconstructive Surgery. What is the best method for treating osmidrosis?. Ann Plast Surg 2002; 47(3):303-309.
https://doi.org/10.1097/00000637-200109000-00014
5. University Dermatological Clinic. Curren! therapeutic strategies for hyperhidrosis: a review. Eur J Dermatol 2002; 12(3):219-223.
6. Division of Plastic and Reconstructive Surgery. Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 2004; 114(1 ):93-97.
https://doi.org/10.1097/01.PRS.0000127801.15386.99
7. Department of Dermatology and Skin Laser Center. Ex- perience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 2001; 27(5):446-448.
https://doi.org/10.1046/j.1524-4725.2001.00318.x
8. Klein JA. Anesthetic formulation of tumescent solution. Dermatol Clin 1999; 17(4):751-759.
https://doi.org/10.1016/S0733-8635(05)70124-8
9. Flynn TC, Narins RS. Preoperative evaluation of the liposuction patient. Dermatol Clin 1999; 17(4):729-734.
https://doi.org/10.1016/S0733-8635(05)70122-4
10. Fulton JE, Rahimi AD, Helton P. Modified tumescent liposuction. Dermatol Surg 1999; 25:755-776.
https://doi.org/10.1046/j.1524-4725.1999.99018.x
11. Hernández-Pérez E. La técnica tumescente en liposuc- ción. Act Terap Dermatol 1995; 18:217-223.
12. Hanke CW, Coleman 111 WP, Lillis PJ, et al. lnfusion rates and levels of premedication in tumescent liposuc- tion. Dermatol Surg 1997; 23:1131-1134.
https://doi.org/10.1111/j.1524-4725.1997.tb00462.x
13. Bernstein G. lnstrumentation for liposuction. Dermatol Clin 1999; 17(4):735-749.
https://doi.org/10.1016/S0733-8635(05)70123-6
14. Fischer G. Liposculpture. Dermatol Surg 1997; 23:1183- 1187.
https://doi.org/10.1111/j.1524-4725.1997.tb00469.x
15. Coleman 111 WP, Glogau RG, Klein JA, et al. Guidelines of care for liposuction. J Am Acad Dermatol 2001; 45:438-447.
https://doi.org/10.1067/mjd.2001.117045
16. Lawrence N, Clark RE, Flynn TC; et al. American Society for Surgery. Guidelines of Care for Liposuction. Dermatol Surg 2000; 26:265-269.
17. The American Academy Of Cosmetic Surgery. Guidelines for Liposuction Surgery. Am J Cosm Surg 1997; 14(4):389-393.
https://doi.org/10.1177/074880689701400403
18. The Two Counties Vascular Unit. Curren! therapeutic options for treating primary hyperhidrosis. Eur J Vasc Endosas Surg 2004; 27(6):571-576.
https://doi.org/10.1016/j.ejvs.2004.01.023
19. Department of Plastic Surgery. Very superficial ultra-sound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 2000; 24(4):275-279.
https://doi.org/10.1007/s002660010045
20. Shiffman MA. Superficial liposculpture: Can it be dangerous? Am J Cosm Surg 1997; 14(4):463-466.
https://doi.org/10.1177/074880689701400416
21. Connolly M, de Berker D. Management of primary hy-perhidrosis: a summary of the different treatment modalities. Am J Clin Dermatol 2003; 4(10):681-697.
https://doi.org/10.2165/00128071-200304100-00003
https://doi.org/10.1046/j.1524-4725.2000.00604.x
2. Maillard H, Briand N, Bara C, et al. Efficacy of botuli-num toxin A in the treatment of axillary and palmar hy-perhidrosis: 1 O cases. Ann Dermatol Venereol 2003; 130(5):511-513.
3. Rusciani L, Severino E, Rusciani A. Type A botulinum toxin: a new treatment for axillary and palmar hyperhi-drosis. J Drugs Dermatol 2002; 1(2):147-151.
4. Department of Plastic and Reconstructive Surgery. What is the best method for treating osmidrosis?. Ann Plast Surg 2002; 47(3):303-309.
https://doi.org/10.1097/00000637-200109000-00014
5. University Dermatological Clinic. Curren! therapeutic strategies for hyperhidrosis: a review. Eur J Dermatol 2002; 12(3):219-223.
6. Division of Plastic and Reconstructive Surgery. Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 2004; 114(1 ):93-97.
https://doi.org/10.1097/01.PRS.0000127801.15386.99
7. Department of Dermatology and Skin Laser Center. Ex- perience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 2001; 27(5):446-448.
https://doi.org/10.1046/j.1524-4725.2001.00318.x
8. Klein JA. Anesthetic formulation of tumescent solution. Dermatol Clin 1999; 17(4):751-759.
https://doi.org/10.1016/S0733-8635(05)70124-8
9. Flynn TC, Narins RS. Preoperative evaluation of the liposuction patient. Dermatol Clin 1999; 17(4):729-734.
https://doi.org/10.1016/S0733-8635(05)70122-4
10. Fulton JE, Rahimi AD, Helton P. Modified tumescent liposuction. Dermatol Surg 1999; 25:755-776.
https://doi.org/10.1046/j.1524-4725.1999.99018.x
11. Hernández-Pérez E. La técnica tumescente en liposuc- ción. Act Terap Dermatol 1995; 18:217-223.
12. Hanke CW, Coleman 111 WP, Lillis PJ, et al. lnfusion rates and levels of premedication in tumescent liposuc- tion. Dermatol Surg 1997; 23:1131-1134.
https://doi.org/10.1111/j.1524-4725.1997.tb00462.x
13. Bernstein G. lnstrumentation for liposuction. Dermatol Clin 1999; 17(4):735-749.
https://doi.org/10.1016/S0733-8635(05)70123-6
14. Fischer G. Liposculpture. Dermatol Surg 1997; 23:1183- 1187.
https://doi.org/10.1111/j.1524-4725.1997.tb00469.x
15. Coleman 111 WP, Glogau RG, Klein JA, et al. Guidelines of care for liposuction. J Am Acad Dermatol 2001; 45:438-447.
https://doi.org/10.1067/mjd.2001.117045
16. Lawrence N, Clark RE, Flynn TC; et al. American Society for Surgery. Guidelines of Care for Liposuction. Dermatol Surg 2000; 26:265-269.
17. The American Academy Of Cosmetic Surgery. Guidelines for Liposuction Surgery. Am J Cosm Surg 1997; 14(4):389-393.
https://doi.org/10.1177/074880689701400403
18. The Two Counties Vascular Unit. Curren! therapeutic options for treating primary hyperhidrosis. Eur J Vasc Endosas Surg 2004; 27(6):571-576.
https://doi.org/10.1016/j.ejvs.2004.01.023
19. Department of Plastic Surgery. Very superficial ultra-sound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 2000; 24(4):275-279.
https://doi.org/10.1007/s002660010045
20. Shiffman MA. Superficial liposculpture: Can it be dangerous? Am J Cosm Surg 1997; 14(4):463-466.
https://doi.org/10.1177/074880689701400416
21. Connolly M, de Berker D. Management of primary hy-perhidrosis: a summary of the different treatment modalities. Am J Clin Dermatol 2003; 4(10):681-697.
https://doi.org/10.2165/00128071-200304100-00003
Cómo citar
1.
Tovar Berardinelli JM, Carrasquilla Sampayo HI. Liposucción en hiperhidrosis axilar (Glandulosucción) . rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de junio de 2005 [citado 19 de abril de 2024];13(2):139-42. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/527
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2005-06-01
Cómo citar
1.
Tovar Berardinelli JM, Carrasquilla Sampayo HI. Liposucción en hiperhidrosis axilar (Glandulosucción) . rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de junio de 2005 [citado 19 de abril de 2024];13(2):139-42. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/527
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