Arthroscopic shaver with refinement for axillary osmidrosis

Abstract

Arthroscopic shaving for axillary osmidrosis has been associated with variable complication rates. Our experience has indicated that preservation of fibrovascular cords protected epidermis from necrosis and such refinement will allow for more optimal clinical result and lower complications.

Sparing subcutaneous septa avoids skin necrosis in the treatment of axillary bromhidrosis with suction‐curettage shaving

“…In their report, there was no hematoma, flap necrosis or wound edge necrosis, except one local infection (1/60, 1.7%). 26 To eliminate the complications, we used modified suction-curettage shaving method instead of sparing of the 3-5 subcutaneous septa and got a result of no hematoma, no infection, and no skin necrosis with comparable improvements in bromhidrosis.…”

Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

“…A few authors spared fibrous cords and perforating vessels during curettage by the SACS system. Chern et al [18] preserved fibrovascular bands and found a single adverse event involving 1 of 60 axillae. There were no recurrences.…”

“…To our knowledge, only one comparative observation of the efficacy of curettage by the SACS system versus AO treatment by open excision has been published in Japanese [15] . The seven other English-language reports on AO treatment by closed-curettage SACS [2,14,[16][17][18][19][20] were uncontrolled clinical observations or case series, as listed in Table 2. During early SACS procedures, the tip of the outer cannula was open, which often accidentally perforated the axillary skin during the procedure [14,15] .…”

“…[17] 70 (8:62) 26 6-35 NR 1/70 (1.4) NR Chern et al . [18] 30 (10:20) 22 3-13 1/60 (1.7)* 0/30 (0) Smooth/grid Hsu and Wang [19] 19 ( Tseng et al . [20] 39 ( in patients undergoing open surgery.…”

“…While other suction-curettage techniques manually remove sweat glands, SACS uses a double-sheathed electric oscillating cutter to aggressively remove sweat glands. The effectiveness of SACS closed curettage was reported to be comparable to that of open excision [14][15][16][17][18][19][20] . Shin et al [21] recently performed a metaanalysis of the safety and efficacy of closed surgery compared with open surgery for AO and concluded that suction curettage was safer than open surgery, but less effective than open surgery.…”