Modified Suction-assisted Cartilage Shaver for Axillary Osmidrosis
الكلمات الدالة
نبذة مختصرة
وصف
A 0.5-cm long incision was made in the center of identified elliptical surgical area at each axilla for the better access of arthroscopy to remove the apocrine glands located at dermo-subcutaneous junction, and for hiding the scar in the skin crease to make it less noticeable. A suction-assisted cartilage shaver (E9005 System, Linvatec Corporation, Largo, Florida, USA) was introduced through the incisions to remove of the subcutaneous tissue containing the apocrine glands radially. The investigator set the system to keep the inner cannula at 1500 rotations per minute in oscillation mode. After defatting, the incisions were closed primarily with 4-0 polyglactin. The investigator anchored the defatting skin to the axillary fascia by using 4-0 nylon sutures instead of the tie-over dressing used in the conventional shaver procedure, and the investigator also made several drainage holes by inserting an 18G needle obliquely into the defatting skin rather than placing the drainage tubes used in the conventional shaver procedure. Therefore, draining tubes were no longer needed. The investigator will remove the stitches at the 8th day after the operation.
تواريخ
آخر التحقق: | 12/31/2018 |
تم الإرسال لأول مرة: | 12/27/2018 |
تم إرسال التسجيل المقدر: | 01/01/2019 |
أول نشر: | 01/03/2019 |
تم إرسال آخر تحديث: | 01/02/2019 |
آخر تحديث تم نشره: | 01/06/2019 |
تاريخ بدء الدراسة الفعلي: | 12/11/2018 |
تاريخ الإنجاز الأساسي المقدر: | 11/30/2019 |
التاريخ المتوقع لانتهاء الدراسة: | 11/30/2019 |
حالة أو مرض
التدخل / العلاج
Other: Axillary osmidrosis patients
مرحلة
مجموعات الذراع
ذراع | التدخل / العلاج |
---|---|
Axillary osmidrosis patients Patients with axillary malodor and require surgical intervention. The subcutaneous apocrine glands shaving were used. | Other: Axillary osmidrosis patients A 0.5-cm long incision was made in the identified elliptical surgical area at each axilla for the access of arthroscopy to remove the apocrine glands. A suction-assisted cartilage shaver (E9005 System, Linvatec Corporation, Largo, Florida, USA) was introduced through the incisions to remove of the subcutaneous apocrine glands radially. After defatting, the incisions were closed primarily with 4-0 polyglactin. We anchored the defatting skin to the axillary fascia by 4-0 nylon sutures instead of the tie-over dressing or tissue glues, and we also made several drainage holes by inserting an 18G needle obliquely into the defatting skin. Therefore, draining tubes were no longer needed. We will remove the stiches at the 8th day after the operation. |
معايير الأهلية
الأجناس المؤهلة للدراسة | All |
طريقة أخذ العينات | Probability Sample |
يقبل المتطوعين الأصحاء | نعم |
المعايير | Inclusion Criteria: - Patients with moderate to severe axillary osmidrosis and require surgical intervention. Exclusion Criteria: - Patients with bleeding tendency were excluded. - Patients with active infections. - Patients with major cardiovascular diseases. |
النتيجة
مقاييس النتائج الأولية
1. The change of malodor of axillary osmidorsis after the modified suction-assiated cartilage shaver [The treatment efficacy is evaluated 1 year after the surgery.]
مقاييس النتائج الثانوية
1. The rate of complications of the modified suction-assiated cartilage shaver for axillary osmidrosis [The immediate and longterm complications are recorded and evaluated at 1 week and 1 year respectively after the surgery.]