Department of plastic and reconstructive surgery, Gachon University Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea.
Aesthetic Plast Surg. 2021 Dec;45(6):3029-3036. doi: 10.1007/s00266-021-02485-z. Epub 2021 Aug 5.
Recent studies have shown hydrosurgery (Versajet TM II) is a simple and effective tool with reduced complications in surgical treatment of osmidrosis. Since then, hydrosurgery has been widely used for osmidrosis. However, we have experienced that some complications often occur in patients treated with hydrosurgery.
We hypothesized that using a hydrosurgery could lead to excessive resection of the tightly attached apocrine glands and thus more complications. We aimed at evaluating the effectiveness and associated complications of the hydrosurgery method for osmidrosis were compared with those of conventional methods with two parallel incisions.
METHODS & MATERIALS: We retrospectively analyzed 31 and 16 patients who underwent conventional and hydrosurgery methods, respectively, for osmidrosis from 2010 to 2020. Two parallel long incisions were identical in both groups. Early complications (hematoma, seroma, wound dehiscence, skin necrosis, revision, scar contracture), late complications (scar, pigmentation, comedones/milia, and sebaceous cysts), and effectiveness (subjective satisfaction, malodor elimination, reduced hair growth, and sweating elimination) were evaluated.
Skin necrosis was significantly more frequent in the hydrosurgery group than in the conventional group (p = 0.036). No other significant differences were found between the two groups in terms of other complications and effectiveness. As a result of comparing effectiveness, subjective satisfaction (p = 0.306), malodor elimination (p = 1.000), reduced hair growth (p=1.000), and sweating elimination (p = 0.742) did not show any significant difference between the two groups.
Osmidrosis treatment with the use of VERSAJET™ Hydrosurgery System yielded similar and satisfactory results as the conventional subdermal excision method. The incidence of skin necrosis was higher in the hydrosurgery group than in the conventional group with two parallel incisions.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
最近的研究表明，水动力手术（Versajet TM II）是一种简单有效的工具，可减少腋臭手术治疗中的并发症。此后，水动力手术已广泛应用于腋臭治疗。然而，我们发现一些并发症经常发生在接受水动力手术的患者中。
我们假设水动力手术可能导致紧密附着的顶泌腺过度切除，从而导致更多并发症。我们旨在评估水动力手术方法治疗腋臭的有效性和相关并发症，并与传统的双平行切口方法进行比较。
我们回顾性分析了 2010 年至 2020 年期间分别接受传统方法和水动力手术方法治疗腋臭的 31 例和 16 例患者。两组均采用双平行长切口。评估早期并发症（血肿、血清肿、伤口裂开、皮肤坏死、翻修、瘢痕挛缩）、晚期并发症（瘢痕、色素沉着、粉刺/粟粒疹和皮脂囊肿）和有效性（主观满意度、臭味消除、毛发减少和出汗消除）。
水动力手术组皮肤坏死的发生率明显高于传统组（p = 0.036）。两组在其他并发症和有效性方面没有发现其他显著差异。比较有效性的结果显示，主观满意度（p = 0.306）、臭味消除（p = 1.000）、毛发减少（p=1.000）和出汗消除（p = 0.742）在两组之间没有显著差异。
使用 VERSAJET™水动力手术系统治疗腋臭的效果与传统的皮下切除方法相似且令人满意。水动力手术组的皮肤坏死发生率高于双平行切口的传统组。
证据水平 III：本杂志要求作者为每篇文章分配一个证据水平。有关这些基于证据的医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266。
