Comparison of Effectiveness and Associated Complications Between Conventional Subdermal Excision and Hydrosurgery (VersajetTM) for Osmidrosis

Moon, Bo Min; Kim, Yu Jin

doi:10.1007/s00266-021-02485-z

Cited by 1 publication

(4 citation statements)

References 23 publications

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“…However, 2.7% to 62.5% of patients experienced complications such as seroma/hematoma, epidermal erosions, pigmentation, scar contracture, wound necrosis, or recurrence. In a study by Moon and Kim [3], skin necrosis was significantly more frequent in the Versajet group than in the conventional group (P = 0.036). This could be considered as an emerging drawback of the Versajet method.…”

Section: Figmentioning

confidence: 92%

“…However, no significant difference was observed between Metzenbaum scissors and the ETC. satisfied [3,[8][9][10][11]. However, 2.7% to 62.5% of patients experienced complications such as seroma/hematoma, epidermal erosions, pigmentation, scar contracture, wound necrosis, or recurrence.…”

Section: Figmentioning

confidence: 99%

“…The absence of postoperative complications (e.g., hematoma or skin necrosis) in the ETC group may have been the result of the low pressure applied while rubbing. In contrast, the Versajet possesses a speed of up to 1,078 km/hr [3] with the pressure of the skin flap maintained by the surgeon's free hand. Like the Metzenbaum scissors, only the desired tissue was removed and subdermal vascularity was preserved using the ETC.…”

Section: Figmentioning

confidence: 99%

“…The Versajet has the advantage of removing apocrine tissue faster and more evenly. However, it is an expensive surgical tool, and a recent study demonstrated that skin necrosis of the axilla occurs more frequently with its use [3]. In this study, we propose a novel, cost-effective, and safe subdermal excision method that utilizes an electrosurgical tip cleaner (ETC).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis

Kim

Seo

Lee

et al. 2023

Arch Aesthetic Plast Surg

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Background Axillary osmidrosis is a disease characterized by axillary malodor. The conventional treatment method of subdermal excision uses Metzenbaum scissors. Recently, subdermal excision using the Versajet system was introduced. However, it is an expensive surgical tool, and a recent study demonstrated a higher frequency of axillary skin necrosis with the Versajet. We propose a novel, cost-effective, and safe subdermal excision method that utilizes an electrosurgical tip cleaner (ETC).Methods Our retrospective cohort study included 27 patients who underwent subdermal excision from June 2012 to November 2021. The patients were classified into three groups according to the surgical method: Metzenbaum scissors, Versajet, and ETC. The operation time, hospitalization cost, and postoperative complications were investigated.Results The number of patients in the Metzenbaum scissors, Versajet, and ETC groups was seven, eleven, and nine, respectively. The mean operation time and hospitalization cost were significantly different among the three groups (P<0.05). The longest mean operation time was observed in the Metzenbaum scissors group (112.9±23.6 minutes), followed by the ETC and Versajet groups (76.4±27.1 and 64.2±24.8 minutes, respectively). The most expensive method was the Versajet ($2,346.1±517.7), followed by the ETC and Metzenbaum scissors ($1,391.8±317.7 and $1,279.6±287.5, respectively). No postoperative complications were observed.Conclusions The ETC is a novel method of subdermal excision, comparable to Metzenbaum scissors or Versajet. Therefore, it is recommended for situations where it is necessary to consider both the time and cost of surgery.

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Section: Figmentioning

confidence: 92%