underarm odor surgery

Underarm odour operation refers to the way in which odor is treated by surgery. The odorless surgery is divided into traditional odorless surgery and minimally invasive odorless surgery. Traditional odorless surgery mainly involves the removal of sweat glands through Z-type or S-shaped incisions, while the minimally invasive sputum surgical incision is much smaller than the traditional surgery, usually a 3-5 mm incision. Treating diseases: body odor Indication There are many ways to treat underarm odor, including drugs, X-rays, freezing, lasers, and surgery. Surgical treatment is a thorough treatment. A simple fusiform resection with a hairy area was used. The method of creating a marginal suture is to treat the underarm odor. However, due to excessive skin resection, the suture tension is large, and it is easy to cause the incision to be completely or partially ruptured. In the later stage, the scar is contracted and the upper limb movement is affected, so it is not suitable. Generally, the method of fusiform Z-deformation is generally used, and the S-shaped flap dermis resection can also be used to treat the sweat gland in the dermis without causing flap defect, wound splitting, and scar contracture. Contraindications 1. Adolescents whose apocrine glands are not yet mature and are under 18 years of age. Young people after puberty have been basically perfected due to the development of apocrine glands, and they are beginning to be at the peak of secretion. They are suitable for surgery. They are clinically 18-year-old, but they are well developed. Adolescents who are under 18 years old can also choose surgery. However, it should not be lower than 16 years old. If the age is too small, it may be caused by the apocrine gland not fully developed, and the risk of recurrence after surgery is increased. 2. Those with a history of lung disease or those who have undergone thoracic surgery, it is more difficult and risky to perform endoscopic intrathoracic infection with nerve ablation. Therefore, it is generally not recommended to undergo this operation. 3. Severe diabetes patients have poor ability to heal wounds, and generally do not recommend traditional resection. 4. Within 2 months after the implementation of axillary sweat gland scraping, the body odor is almost completely eliminated, but after a small number of patients, after exercise or hot weather, it may still emit a little odor that other people can't smell. 5. Women avoid the menstrual period, so as not to aggravate bleeding and form a hematoma. 6. Cases that have undergone laser or cryotherapy should undergo minimally invasive surgery 3 to 6 months after the last treatment. Preoperative preparation 1) Patients with normal diet before surgery, it is recommended that patients should not be fasting, individual patients due to excessive tension and no food, may have dizziness, fatigue and other discomfort after surgery. 2) Do not scrape the mane before surgery. If the mane has been removed, the mane is required to be at least 2 cm long before surgery. 3) If you use the drug before surgery, you can stop it, generally it has little effect. 4) Wear a loose top on the day of surgery. Because the dressing is more likely to be wrapped in the armpit after surgery, it may be difficult to dress too narrowly. 5) There is usually no obvious pain after surgery, so no painkillers or antibiotics are needed. Can work in the office, but should be avoided for heavier physical activity. 6) After the operation, the arms should not sag completely, at least maintain a 45-degree angle. At night, the upper arm should be deployed like a surgery, so that the wound is flatter and has a better shape after healing. 7) Intrauterine period can not be operated, should wait for the appointment after the menstruation. Surgical procedure (a) fusiform excision Z forming 1. Position: supine position, head, neck, shoulder pad pillow. Lifting the upper limbs, the palm rests on the back of the head, fully revealing the armpit triangle. 2. Incision: The skin of the hairy area, the subcutaneous tissue and the sweat gland are removed by a fusiform method to completely stop the bleeding. Two side slits are respectively formed on both sides of the slit to form two triangular flaps A and B, and the apex angles are each about 60°. 3. Stitching: After the hemostasis, the flap is translocated, and the subcutaneous tissue and skin are sutured. (B) S-shaped flap dermal layer resection 1. Position: Same as above. 2. Incision: In the armpit, there is a hairy area for S-shaped incision of the upper half of the flap. Most of the dermis is removed with a sharp tissue scissors or a sharp-edged knife. All sweat glands and hair follicles are removed, leaving only thin and medium-thickness skin. The S-shaped lower half flap was treated in the same way. At this point, most of the dermis and sweat glands of the armpit have been removed. 3. Stitching: suture the skin after complete hemostasis. complication First, hematoma Hematoma is a more common postoperative complication of body odor. If the hematoma is not treated in time, it may lead to skin skin necrosis, wound infection and delayed healing. The main causes of hematoma: First, intraoperative hemostasis is not complete, electrocoagulation is not reliable, ligation of hemostatic knots, etc.; second, postoperative negative pressure drainage and compression bandage fixation is not reliable; third is postoperative upper limb activity Too much, the flaps are not tightly attached to the wound surface, and the drainage strips are removed too early. Second, subcutaneous fluid Subcutaneous effusion generally occurs after the drainage tube is pulled out for several days. The skin and the wound surface are not closely attached, and the upper limbs are excessively active. The subcutaneous fluid continues to form subcutaneous effusion under the skin, and there is a sense of fluctuation under the skin. A pale yellow serum-like liquid was observed after aspiration. The causes of subcutaneous effusion are mostly the existence of cavities in the skin flaps and subcutaneous tissues in the early postoperative period. The hair follicles under the flaps or the effusions formed by necrosis and liquefaction of electrocoagulated sweat glands and fats, the drainage tube is pulled out prematurely. Excessive exudate can not be absorbed. In order to prevent the occurrence of subcutaneous fluid, the radiofrequency electrocoagulation is prevented from over-coagulation of fat tissue during operation, and the skin should be washed repeatedly under the skin. The effusion appears under the skin and can be healed by a syringe and then pressurized and wrapped for several days. Third, skin necrosis Skin necrosis is the most serious postoperative complication of body odor. The main reason is that the shallow skin trimming is too thin, the dermal and subdermal vascular network is destroyed, and the postoperative dressing is improperly fixed. In the early stage, the skin appeared pale or dark brown and grayish black spots, and after one week, the skin became dark and hard.