What are the contraindications to surgery for axillary hyperhidrosis?

Updated: Feb 12, 2019
  • Author: Richard H S Karpinski, MD, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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As with any invasive treatment of a non—life-threatening condition, the risks of axillary hyperhidrosis surgery need to be low. Any health condition that substantially increases the surgical risk may make a recommendation for such surgery inappropriate.

Pulmonary or cardiac pathology may make thoracic surgery, even endoscopic thoracic surgery, too dangerous for the nature of the problem. Problems with skin circulation (eg, lupus) or situations known to degrade wound healing (eg, steroid treatment, previous radiation therapy, diabetes) may make the risk of surgery unacceptable.

Patients with only (or predominantly) axillary hyperhidrosis probably should not be steered toward endoscopic transthoracic sympathectomy (ETS). Patients with multiple hyperhidrotic sites should strongly consider ETS before Skoog adenectomy.

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