Objective To evaluate the effectiveness of suction-assisted endoscopic cartilage shaver on cases of axillary osmidrosis recurrence after routine mini invasion apocrine glands *** From July 2006 to March 2012, 830 cons...
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Objective To evaluate the effectiveness of suction-assisted endoscopic cartilage shaver on cases of axillary osmidrosis recurrence after routine mini invasion apocrine glands *** From July 2006 to March 2012, 830 consecutive patients with axillary osmidrosis were treated with suction-assisted endoscopic cartilage shaver apocrine glands excision technique on an outpatient basis, of which 147 were recurred cases after routine small incision glands excision *** cases included 42 males and 105 females, with 280 axillae, ranged in age from 14 to 51 *** incision was designed and marked within previously wound scar, length about 5 to 7 *** local tumescent anesthesia, the cavity was performed by subcutaneous separation using scissors at the superficial fascia *** endoscopic cartilage shaver with pipe diameter 5.5 mm or 4 mm was inserted through the small incision, extended to the edge of the axilla, and subcutaneous tissue and glands were excised as the shaver was drawn from the axillary edge to the incision with or without a suction *** procedure was repeated throughout the entire axilla, till a partial fullthickness skin was formed, which apocrine sweat glands were removed completely checked by endoscope *** wound slight haemorrhage was coagulated ***, the cavity was washed with plenty normal *** incision was sutured with 6-0 Nylon, and tieover bolster dressing was usedto anchor the skin to the axillary *** was moredifficult in recurred cases as compared to the primary operation, when separating the subcutaneous *** surgical time was about 60 *** average convalescent time was 7 *** patients were followed-up and surveyed for satisfaction with surgery, of which 69 cases surpassed more than 6 *** effective results were achieved on both completely hair removal and satisfactory malodour elimination in axillary *** wound infection was occurred i
Objective To modify the operative techniques for satisfactory results for pressure ulcer reconstruction with freestyle perforator-based *** Between May 2008 and March 2012, 16 patients with severely pressure ulcers we...
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Objective To modify the operative techniques for satisfactory results for pressure ulcer reconstruction with freestyle perforator-based *** Between May 2008 and March 2012, 16 patients with severely pressure ulcers were enrolled and *** were 6 males and 10 females, aged from 20 to 87 years, with disease duration from 3.5 months to 6 years, including two cases of recurrence *** size of wound defect ranged from 4 cm × 4 cm to 14 cm× 8 *** of them were diagnosed as degree Ⅳ or suspected deep tissue injury according to the staged standard of the National Pressure Ulcer Advisory Panel (NPUAP, 2007).The debridement including removal of slough, excision of necrosis, and smoothing plane of bone hump, was planned as early as possible when the patients could endured the ***, the vacuum sealing drainage (VSD) technique was applied in cases with suspected necrosis tissue difficult to eliminate *** the second stage, the fresh granulation of the wounds was removed, island perforator flaps which pedicle contained skin sensory nerve were designed with the aid of a handheld Doppler device, and performed according to a modified procedure using microscopic technique, and then,transplanted to repair the *** donor sites sutured *** Average surgical time was 30 minutes at the first stage and 1.5 to 2 hours at the second stage,*** incisions of donor sites healed *** of 17 perforator flaps healed uneventfully without *** case had partial necrosis in the distal end of the flap 3 days after operation, and the wound cured by measures of bedside debridement and dressing change within 6 *** patient died of the complication of radiotherapy 5 weeks postoperatively, with wound dehiscence, osThe median length of hospital was 37 days (stays range, from 22 to 58 days).During a follow-up of 1 to 34 months, most of the flaps had good texture, color, and elasticity, furthermo
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