Effect of Quilting Sutures on Hematoma Formation after Liposuction with Dermal Curettage for Treatment of Axillary Hyperhidrosis: A Randomized Clinical Trial

• Published in: Dermatologic surgery 2008-08, Vol.34 (8), p.1010-1015
• Main Authors: RHO, NARK-KYOUNG, SHIN, JANG-HYUN, JUNG, CHAN-WOO, PARK, BYUNG-SOON, LEE, YONG TAEK, NAM, JAE-HUI, KIM, WON-SERK
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Dermatology; Medical sciences; Skin involvement in other diseases. Miscellaneous. General aspects; Skin plastic surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
• ISSN: 1076-0512; 1524-4725
• DOI: 10.1097/00042728-200808000-00004

BACKGROUNDLiposuction provides further reduction of axillary sweating and malodor when combined with dermal curettage with sharp rasping cannulas. This aggressive approach is associated with relatively higher rate of hematoma formation when compared to the conventional simple liposuction. OBJECTIVEThe aim of this prospective, randomized, controlled trial was to evaluate the effect of quilting sutures on the incidence of hematoma formation after liposuction-curettage for treatment of axillary hyperhidrosis (AH). MATERIALS AND METHODSThe trial randomized 59 male patients (118 axillae) undergoing liposuction-curettage for AH to quilting procedures (61 axillae) or control group (57 axillae) for intention-to-treat analysis. Outcome measures included the incidence of hematoma formation, operative time, degree of postoperative pain, and amount of analgesics consumption. RESULTSQuilting sutures significantly reduced the incidence of axillary hematoma from 28.1% to 4.9%. Quilting was associated with the lengthening of operative time but did not affect the postoperative pain. CONCLUSIONConsidering its efficacy in reducing postoperative hematoma, quilting is recommended in combination with aggressive liposuction-curettage procedure for treating AH and osmidrosis.