The surgery is a science studying diseases to cure which it is possible only by an operative measure, improving recently treatment methods. The matter is that with development of a science and techniques there is possible a minimization of area of a surgical intervention and, as consequence, faster healing of cuts. The surgery in the XXI-st century obliges the expert the nobility in perfection of a basis of modern medicine, and the developed approaches to operations of an internal considerably dilate science possibilities.
So, the raised sweating, as well as set of other pathological states of health of the person, it is possible to cure a surgical way. However it is necessary to mean that operation at a hyperhidrosis is a variant always applied in last turn: after have not brought simplification traditional methods of treatment of the raised diaphoresis to which carry an ionophoresis, deodorants, injections of Botox.
Treatment of a hyperhidrosis by an operative measure has been tested for the first time in 1946 in Austria, and since then it a direction in surgery is improved, and the quantity of methods of treatment of a sweating is enlarged.
All methods of surgical treatment of a hyperhidrosis can be parted on two types. The first type is central which the sympathectomy, a selective ramicotomy, clipping of a sympathetic trunk concerns. Local operations concern the second type, such as liposuction of an axillary zone, excising of a zone of a hyperhidrosis, “scraping” of a zone of the raised sweating, or curettage.
It is important that the methods of the second group are safe enough, as practically have no by-effects. Their basic problem is excising or quantity reduction of sweat glands to lower intensity of a diaphoresis. After such operations does not remain scars on a skin as they are carried out through small punctures. Methods of the second group help with 90 cases from 100 spent operations on hyperhidrosis treatment together with which the unpleasant smell leaves also, but there are cases when ??????? glands sprout again and the hyperhidrosis can return.
The central methods of treatment of a hyperhidrosis deserve special attention. Among them group of methods under the general name “sympathectomy”: it includes a thoracal and cervical sympathectomy, difficult intervention and the newest trend of surgery ? an endoscopic sympathectomy. Unfortunately, any sympathectomy demands a close attention, an individual approach, and prescribes it is only made in a special emergency. It is bound by that after it the compensatory hyperhidrosis can develop: at the patient one zone will recover from the raised sweating, another however can start to suffer from this pathology. Therefore in some countries a sympathectomy do not prescribe until it will be clear confidence of “feebleness” of conservative methods of treatment of a hyperhidrosis.
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