CAJ | 학술논문

腋臭;小切口;一次性负压引流球;血肿
액취;소절구;일차성부압인류구;혈종
Objective:To explore an effective method preventing hematoma from the radical surgery of osmidrosis via minimal axillary crease incisions. Methods:under tumescent anesthesia , 3.5 to 5cm incision along the central axillary crease was adopted and sharp dissection was conducted superficial layer of subcutaneous tissues were 1cm separated outside of the ampit hair field or appreciably 1cm beyond the border of hirci region. Then bilateral flaps were turned over, sweat glands and arm pit hair follicles were removed beneath the skin via small incisions, and the skin was shaved to full-thickness skin. One-off negative-pressure drainage ball was implanted under the full thick skin graft within the top of 1.5cm of incision on the edge, and was then deflated and plugged by ball plug, the flap adhered well to subcutaneous tissue by negative pressure, then pressure dressing. Results:Of 112patients,111 healed primarily with concealed scar ,1patient showed lateral subcutaneous hematoma and was healed finally after simple change dressings. There was no odor remained in each case .Conclusion:One-time negative-pressure drainage ball is very useful on surgical procedure concerning axillary osmidrosis via mini crease incision, and it can reduce efficiently hematoma complication and increase cure rate significantly. Therefore, it is worth popularized in clinic.