Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis
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 demons...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2023-01-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2022-00605.pdf |
| _version_ | 1828034304237633536 |
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| author | Jeeyoon Kim Bommie Florence Seo Junho Lee Sung-No Jung |
| author_facet | Jeeyoon Kim Bommie Florence Seo Junho Lee Sung-No Jung |
| author_sort | Jeeyoon Kim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T15:30:46Z |
| format | Article |
| id | doaj.art-ee87d6b23d4349dfbea70b51afd21f76 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-04-10T15:30:46Z |
| publishDate | 2023-01-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-ee87d6b23d4349dfbea70b51afd21f762023-02-14T01:41:32ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372023-01-01291293410.14730/aaps.2022.00605790Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosisJeeyoon Kim0Bommie Florence Seo1Junho Lee2Sung-No JungDepartment of Plastic and Reconstructive Surgery, Uijeongbu St. Mary’s Hospital, Uijeongbu, KoreaDepartment of Plastic and Reconstructive Surgery, Uijeongbu St. Mary’s Hospital, Uijeongbu, KoreaDepartment of Plastic and Reconstructive Surgery, Uijeongbu St. Mary’s Hospital, Uijeongbu, KoreaBackground 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.http://e-aaps.org/upload/pdf/aaps-2022-00605.pdfsurgical procedures, operativeaxillacosmetic techniques |
| spellingShingle | Jeeyoon Kim Bommie Florence Seo Junho Lee Sung-No Jung Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis Archives of Aesthetic Plastic Surgery surgical procedures, operative axilla cosmetic techniques |
| title | Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| title_full | Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| title_fullStr | Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| title_full_unstemmed | Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| title_short | Novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| title_sort | novel surgical use of electrosurgical tip cleaners in subdermal excision for axillary osmidrosis |
| topic | surgical procedures, operative axilla cosmetic techniques |
| url | http://e-aaps.org/upload/pdf/aaps-2022-00605.pdf |
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