The Use of Fibrin Glue to Reduce Hematoma Formation after Axillary Osmidrosis Shaving Surgery

使用Fibrin glue降低狐臭刮除手術血腫量

蘇逸軒(Yi-Hsuan Su) ； 唐文瑞(Wen-Ruay Tang) ； 黃田中(Marcus Thien-Chong Wong) ； 劉奕添(Yi-Tien Liu) ； 許恩旎(Enny-Sonia Xu) ； 陳宏基(Hung-Chi Chen)

《中華民國整形外科醫學會雜誌》 18卷2期 (2009/06) Pp. 131-137

https://doi.org/10.7096/JPSA.200906.0131

摘要

Background:
Axillary osmidrosis is a distressing condition that can pose significant social embarrassment, especially in Asian countries. Removal of subcutaneous apocrine glands by manual subdermal shaving is the procedure of choice for axillary osmidrosis and has been widely used. However, the disadvantages of this procedure include a long period of immobilization and hematoma formation. At the same time, fibrin glue in cosmetic surgery has been proven to reduce hematoma formation and promote wound adhesion.
Aim and Objectives:
The purpose of this study was to study the benefits of using Fibrin glue in reducing hematoma formation after axillary osmidrosis shaving surgery.
Materials and Methods:
From July 2005 to August 2007, 35 patients underwent subdermal shaving for axillary osmidrosis, including 4 males and 31 females. Fourteen patients agreed to the use of Fibrin glue injection. All patients received the sweat gland ablation procedure using the arthroscopic shaver. Mini-drain tubes were inserted in all patients. The volume of drainage was measured 24 hours after surgery and the data was analysed using Student's t-test.
Results:
The mean volume of drainage in Fibrin glue group was 1.05ml, ranging from 0.1ml to 2.7ml. In Non-Fibrin glue group, the mean was 2.55ml, ranging from 0.1ml to 3.6ml. The P value of T-test was 0.233(＞0.05).
Conclusion: Using Fibrin Glue in subdermal shaving for axillary osmidrosis may not decrease post operative bleeding and enhance skin flap adhesion. It is still an option for patients who receive subdermal shaving treatment for bromidrosis of axilla. However, it is expensive and may not be acceptable for all patients.

並列摘要

Background:
Axillary osmidrosis is a distressing condition that can pose significant social embarrassment, especially in Asian countries. Removal of subcutaneous apocrine glands by manual subdermal shaving is the procedure of choice for axillary osmidrosis and has been widely used. However, the disadvantages of this procedure include a long period of immobilization and hematoma formation. At the same time, fibrin glue in cosmetic surgery has been proven to reduce hematoma formation and promote wound adhesion.
Aim and Objectives:
The purpose of this study was to study the benefits of using Fibrin glue in reducing hematoma formation after axillary osmidrosis shaving surgery.
Materials and Methods:
From July 2005 to August 2007, 35 patients underwent subdermal shaving for axillary osmidrosis, including 4 males and 31 females. Fourteen patients agreed to the use of Fibrin glue injection. All patients received the sweat gland ablation procedure using the arthroscopic shaver. Mini-drain tubes were inserted in all patients. The volume of drainage was measured 24 hours after surgery and the data was analysed using Student's t-test.
Results:
The mean volume of drainage in Fibrin glue group was 1.05ml, ranging from 0.1ml to 2.7ml. In Non-Fibrin glue group, the mean was 2.55ml, ranging from 0.1ml to 3.6ml. The P value of T-test was 0.233(＞0.05).
Conclusion: Using Fibrin Glue in subdermal shaving for axillary osmidrosis may not decrease post operative bleeding and enhance skin flap adhesion. It is still an option for patients who receive subdermal shaving treatment for bromidrosis of axilla. However, it is expensive and may not be acceptable for all patients.

並列關鍵字

osmidrosis ； bromihidrosis ； cartilage shaver