Steps of the surgical procedure for axillary osmidrosis

May 24, 2023 Source: Cainiu Health

Dr. Li Feng

Introduction

Surgery for axillary osmidrosis is a relatively thorough method for treating body odor, generally divided into traditional surgery and minimally invasive surgery. Minimally invasive surgery involves smaller incisions, but carries a higher risk of hematoma formation. Therefore, adequate rest after surgery is essential, and strenuous exercise should be avoided to prevent wound dehiscence. It is also important to maintain healthy lifestyle habits and avoid spicy or irritating foods, which may impair recovery.

Generally, axillary osmidrosis surgery is a relatively definitive method for treating body odor and is usually divided into traditional surgery and minimally invasive surgery. Taking minimally invasive surgery as an example, the specific procedure is as follows:

1. Shave the armpit and surrounding area to facilitate the surgical procedure.

2. Position the patient in a supine position with the upper arm extended, followed by local anesthesia.

3. Make a small vertical incision of 3–5 cm in length on the armpit.

4. Incise the skin layer by layer, including the epidermis and dermis, then cut through the superficial subcutaneous tissue to remove the sweat glands.

5. Irrigate the wound with normal saline and perform hemostasis.

6. After hemostasis, place a drainage strip under the skin and secure the skin flap at the surgical site.

7. Suture the incision and cover it with sterile dressing, then bandage the wound.

This surgery involves a relatively small wound, but hematoma formation is common. Therefore, patients should rest adequately after surgery and avoid strenuous activities to prevent wound dehiscence. Additionally, keep the armpit area dry to prevent infection and promote proper healing.

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Surgical procedure for axillary osmidrosis excision

Axillary osmidrosis excision surgery is performed under routine disinfection and local anesthesia. The procedure involves targeting and destroying each hair follicle in the armpit area, blocking the openings of the apocrine sweat gland ducts, thereby achieving permanent hair removal. The surgery must be conducted at a正规 hospital. The specific procedure is as follows: the patient lies supine on the operating table with arms abducted 90 degrees; local anesthesia is administered to the axilla, followed by routine disinfection and draping.

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Full video of minimally invasive surgery for axillary odor

For minimally invasive surgery for axillary osmidrosis, local anesthesia is first administered to the affected skin area. A 1–1.5 cm incision is then made in the axilla. The skin and subcutaneous tissue are separated to create a cavity, through which fat pads and apocrine glands are removed. Finally, the wound is irrigated with 0.9% sodium chloride solution, electrocautery is used for hemostasis, and the incision is sutured.

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What does axillary odor smell like?

Axillary osmidrosis refers to bromhidrosis, commonly known as "fox odor." Generally, this condition is characterized by a foul smell resembling the secretions of a fox. Axillary osmidrosis is a condition primarily defined by a pungent, unpleasant odor emanating from the armpits. Apocrine sweat glands are present in the axillary region; when these glands secrete sweat, the moisture is broken down by bacteria on the skin, producing unsaturated fatty acids and ammonia, which together create a strong, offensive odor.