Ho Wen-Tsao
Department of Dermatology, Ho Wen Tsao Skin Clinic, No.179, sec 2, Wenhua 3rd Rd., Linkou Dist., New Taipei City 244, Taiwan (R.O.C.).
J Surg Case Rep. 2024 Dec 26;2025(1):rjae812. doi: 10.1093/jscr/rjae812. eCollection 2025 Jan.
Hematoma formation is a rare complication following axillary osmidrosis surgery, and its delayed liquefaction can pose significant risks to flap viability, leading to complications such as necrosis. This study examines two cases of postoperative hematomas, highlighting the importance of appropriate drainage management. In both cases, the initial hematomas were evacuated and treated with Penrose drains, but complications arose due to delayed liquefaction. The first case experienced delayed flap necrosis after premature removal of the drain, while the second case benefited from a proactive approach by reintroducing the drain on the sixth postoperative day. This strategy allowed for the prevention of toxic hematoma buildup, improving flap survival. The findings emphasize the need for vigilant postoperative monitoring and drainage management to minimize risks associated with hematoma liquefaction and optimize flap healing. Further research is required to establish standardized protocols for managing postoperative hematomas in axillary osmidrosis surgery.
血肿形成是腋臭手术后一种罕见的并发症，其延迟液化会对皮瓣存活构成重大风险，导致坏死等并发症。本研究检查了两例术后血肿病例，强调了适当引流管理的重要性。在这两例病例中，最初的血肿均被清除并用橡皮引流管进行治疗，但由于延迟液化而出现了并发症。第一例在过早拔除引流管后出现了延迟性皮瓣坏死，而第二例通过在术后第六天重新插入引流管的积极方法而受益。该策略可防止毒性血肿积聚，提高皮瓣存活率。研究结果强调，需要进行 vigilant 术后监测和引流管理，以将与血肿液化相关的风险降至最低，并优化皮瓣愈合。需要进一步研究以建立腋臭手术中术后血肿管理的标准化方案。 （注：“vigilant”此处可能有误，原文可能是“vigorous”，意为“积极的、有力的” ）
