Effectiveness and safety of the improved mini-incision surgery for osmidrosis treatment

Blunt Dissection of the Axillary Flap through Double Mini-Incisions on Both Sides of the Axilla to Prevent Postoperative Hematoma

BACKGROUND

The purpose of this study was to investigate the clinical effect of treating axillary osmidrosis by trimming the apocrine glands under direct vision after blunt dissection of the axillary flap through double mini-incisions on both sides of the axilla to prevent postoperative hematoma.

METHODS

The clinical data of 108 patients with axillary osmidrosis were retrospectively analyzed. Treatment involved blunt dissection of the axillary flap through double mini-incisions and trimming of the apocrine glands under direct vision. The surgical duration, hematoma incidence, flap necrosis rate, incision healing rate, incision Vancouver Scar Scale score, comfort level, axillary odor cure rate, and satisfaction rating were all analyzed statistically.

RESULTS

The average surgical duration was 72.45 ± 5.71 minutes. The cure rate of axillary osmidrosis was 100%. Postoperative complications, including delayed incision healing 12 days after surgery (1 patient), a small hematoma (2 patients), and local flap necrosis (1 patient), were minor. No infection, malodor, or recurrence was observed. The visual analog scale scores were 8.53 ± 0.89 for patient comfort, 8.87 ± 0.98 for patient satisfaction, and 0.84 ± 0.99 for the incision.

CONCLUSIONS

This retrospective study demonstrated that trimming of apocrine glands after blunt dissection of the axillary flap through double mini-incisions on both sides of the axilla effectively controlled bleeding. This approach significantly reduces the complication rate of axillary osmidrosis surgery and ensures the complete trimming of apocrine glands, eradicating axillary odor and maintaining a good appearance.

Healing with Systematic Wound Management after Minimally Invasive Treatment of Axillary Osmidrosis

ABSTRACT

Axillary osmidrosis (AO), the condition of armpit smell, can be treated with minimally invasive techniques. However, patients may experience wound complications and a relatively long recovery period after operation. In this case series, the researchers investigated the effectiveness of systematic wound management for wound healing after minimally invasive treatment of AO.From January 2016 to December 2021, 64 patients with AO underwent systematic wound management after minimally invasive treatment. Systematic wound management included three consecutive steps of wound irrigation with 0.9% sodium chloride, suction drainage, and compression dressing. The researchers retrospectively evaluated wound healing results and recorded complications. Of the patients, 60 (93.8%) had good primary wound healing results, 1 (1.5%) developed a hematoma, and 3 (4.7%) had partial epidermis necrosis. The hematoma was easily evacuated, and the partial epidermis necrosis recovered spontaneously without obvious scarring. No other adverse effects were observed.The results of this case series indicate that systematic wound management is reliable and practical and provides good wound healing results after minimally invasive treatment of AO.

Clinical Efficacy, Safety, and Complications of the Arthroscopic Cartilage Shaving Procedure for Secondary Osmidrosis Treatment

BACKGROUND

Axillary osmidrosis is a common disease with negative psychosocial impact on patients. Further, many treatment modalities are not sufficient and result in recurrence.

OBJECTIVE

We aimed to evaluate the effectiveness and safety of using a cartilage shaver in patients with recurrent osmidrosis to remove tightly attached apocrine glands and subdermal scars.

METHODS

We retrospectively evaluated 24 patients with secondary axillary osmidrosis who underwent cartilage shaving surgery between January 2013 and May 2022. We analyzed the incidence of complications, including seroma, infection, pigmentation, wound dehiscence, skin necrosis, scarring, shoulder movement limitation, comedones/sebaceous cysts, and nerve injury. Clinical effectiveness was also evaluated.

RESULTS

Excellent or good efficacy with improved malodor was achieved in 24 patients (47 axillae [100%]). Complications were observed in 16 (36.17%) axillae, including hematomas (n = 2), pigmentation (n = 7), skin necrosis (n = 3), and comedones/sebaceous cysts (n = 4); one patient (2.13%) required local debridement. Mean Vancouver Scar Scale scores were markedly low (5.41 to 4.67). Scar tissue did not interfere with the shaving surgery, allowing for successful removal of the apocrine glands.

CONCLUSIONS

Secondary osmidrosis treatment using a cartilage shaver system yielded satisfactory and better scar results than the patients' previous treatments.

Effect of optimizing the use of endoscope on the efficiency of microdynamic bromhidrosis removal operation

BACKGROUND

Bromhidrosis, also known as body odor, is a common disease in life, which often occurs in young adults. The histological basis of bromhidrosis is the hyperplasia of apocrine sweat glands.

OBJECTIVE

To compare the effects of different methods of endoscopy in microdynamic axillary osmidrosis removal on curative effect, complications, and surgical efficiency.

METHODS

A total of 149 patients with axillary osmidrosis were treated in our hospital from January 2020 to December 2021. They were treated with endoscopic assistance in the whole process of operation (Group A) and endoscope-assisted exploration after blind rotary cutter suction (Group B), respectively, and the curative effect, complication rate, and surgical efficiency were evaluated.

RESULTS

There was no significant difference in the curative effect and complication rate between the two groups, but the endoscope-assisted exploration group after suction with rotary cutter (Group B) had higher surgical efficiency.

CONCLUSION

On the basis of professional use of rotary cutter, it is efficient to choose endoscope to check the excision of sweat gland in the operation area and stop bleeding in time after blind suction.