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

J Cosmet Dermatol. 2023 Sep;22(9):2528-2533. doi: 10.1111/jocd.15753. Epub 2023 Mar 29.

Abstract

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.

Keywords: axillary osmidrosis; endoscopic assistance; negative pressure suction; rotary cutter; skin surgery.

MeSH terms

  • Apocrine Glands / surgery
  • Axilla / surgery
  • Body Odor
  • Endoscopes
  • Humans
  • Hyperhidrosis* / surgery
  • Odorants
  • Suction / methods
  • Sweat Gland Diseases* / surgery
  • Young Adult