What is the best surgery to do for bad breath and do you need to be hospitalized?

There are many ways to treat armpit odor, including medication, X-rays, freezing, lasers and surgery. Surgery is a thorough treatment. A simple shuttle excision of the hairy area is used. The edge of the trauma pull together suture method to treat armpit odor, but because of too much skin excision, suture tension, easy to cause all or part of the incision split, later also easy to cause scar contracture, affecting the activities of the upper limbs, so it should not be used. Generally more pike excision Z-shaped molding method, can also be used S-shaped dermal flap dermal excision treatment, not only the removal of the dermal layer of sweat glands, but also does not cause the flap defects, wound splitting, scar contracture.

Pre-operative preparation

Shave the armpit hair and clean the axillary skin.

Anesthesia

Local anesthesia, or swelling anesthesia. Swelling anesthesia works well without bleeding, and the anesthesia takes a long time.

Surgical Procedure

(I) Pike excision Z-plasty

1. Position Lie flat on your back, with pillows on your head, neck and shoulders. Raise the upper limbs and rest the palms of the hands on the back of the head to fully reveal the axillary triangle.

2. Incision The skin, subcutaneous tissue and sweat glands in the hairy area were removed in a shuttle shape, and the bleeding was stopped completely. Two lateral incisions are made on both sides of the incision, forming two triangular flaps, A and B, each with an apex angle of approximately 60°.

3. Suture After hemostasis, the flap was repositioned and the subcutaneous tissue and skin were sutured.

(2) S-shaped flap dermal excision

1. Position As above.

2. Incision The upper half of the flap is cut in the hairy area of the axilla in an S-shape, and most of the dermis is excised with sharp tissue scissors or a sharp-edged knife to remove all the sweat glands and hair follicles, leaving behind only a thin middle-thickness piece of skin. The lower half of the S-shaped flap was treated in the same way. At this point, most of the dermis and sweat glands in the axilla have been removed.

3. Suture Suture the skin after thorough hemostasis.2

Intraoperative attention

1. Pay attention to aseptic operation and thorough hemostasis to prevent infection and scar contracture.

2. When the range of axillary hair is large, S-shaped incision can be used.

3. The flip flap of the S-shaped incision should be larger, and the dermis of the skin in the hairy area should be removed.

4. There are axillary artery, vein, brachial plexus nerve and other important tissues in the axillary triangle, so the incision should not be too deep to avoid injury.

Postoperative treatment

1. After the operation, the thick layer of dressing in the axilla is wrapped with shoulder joint bandage, so that the upper limb on the side of the operation is lightly abducted, which is conducive to the fixation and wound healing.

2. Pay attention to prevent wound infection. Routine application of antibiotics.

3. The stitches will be removed in stages on the 10th to 14th day after surgery.

4. Oral antibiotics are taken for 3 days after surgery, drain strips are removed 1-2 days after surgery, and stitches are removed in 7 days.

5, postoperative dressings should be well fixed, the upper limb should not be lifted more than 90 degrees, avoid strenuous activities to prevent hematoma.

6, postoperative patients have a slight pain, such as pain is intense, may appear hematoma, should go to the hospital for treatment.

7, armpit odor plastic repair surgery is the application of plastic surgery principles and techniques for plastic repair of armpit odor, easy surgery, postoperative scar is not obvious, postoperative effect is ideal, the success rate can reach 99%, but there are still some individual patients who have the possibility of recurrence after surgery.

Precautions

1)Patients should have a normal diet before the operation, and it is recommended that patients should not have an empty stomach. Individual patients may experience dizziness and fatigue after the operation due to excessive stress and lack of food.

2)Do not shave your armpit hair before surgery, if you have removed your armpit hair, you need to grow your armpit hair to at least 2cm before surgery.

3)If you are using medication before surgery, you can stop using it and it usually has little effect.

4)Wear a loose-fitting shirt on the day of surgery, as the armpits will be bandaged with more dressings after the surgery, and it will be difficult to wear clothes that are too narrow.

5)There is usually no significant pain after surgery, so no painkillers or antibiotics are needed. You can do office work, but for heavier physical activities should be avoided.

6)After surgery, the arms should not droop completely, but at least at a 45-degree angle, and the upper arms should be spread out at night when you sleep as they were at the time of the surgery, so that the wound is flatter and has a better shape after healing.

7)You can't have surgery during menstruation, so you should wait until after your menstruation to make an appointment.

Post-operative attention

1, within two weeks after surgery, the arms should not be raised above the shoulders, strictly avoid arm extensor movements (such as pulling the bracelet on the bus, putting on and taking off headgear, as well as cycling, driving, turning the steering wheel, etc.), to avoid strenuous exercise, excessive sweating, because these may occur wound hematoma and some skin necrosis, wound healing complications.

2. There is no need to change the dressing after the surgery, and the gauze will be removed by the nursing staff at the outpatient clinic on the 4th day after the surgery.

3. On the 4th day after surgery, you can change the medication by yourself. Wash the armpits with saline or boiled cold water, wipe them dry, apply ointment, and then cover them with gauze.

4. If there is any postoperative swelling, wound hematoma, or any problems, you can go to the dermatology treatment room or hospital emergency room or outpatient clinic.

5. For those who undergo traditional axillary sweat gland removal, upper arm exercises such as lifting heavy objects, heights, playing ball games, and hugging children should be limited for 1 to 2 weeks after the surgery to ensure smooth wound recovery.

6. 5 to 7 days after the surgery, those who have undergone axillary sweat gland extraction and scraping should start to move their upper limbs moderately to facilitate the recovery.

7, whether it is traditional axillary sweat gland excision or suction scraping, the patient before and after the operation 1 week need to ban smoking, otherwise the axillary skin is prone to necrosis and ulceration.

Post-operative care

1. Improvement of immunity

Part of the patients due to poor health, immunity is not strong, the entire axillary gland microcirculation has not been adjusted, can not resist the invasion of bacteria again recurrence, so unused medicines are properly preserved, and used again.

2. Improve the environment

Survival environment is humid or hot and rainy, coupled with the patient's physical weakness, spleen and stomach failure, dampness is easy to accumulate in the body into heat, resulting in the recurrence of armpit odors, after the cure, the living environment should keep the air circulating, dry, and change clothes regularly to keep the armpits dry and cool.

3. Improve the diet

Spicy stimulating products, or paste Liang thick taste (high sugar, high fat) easy to cause the body microcirculation is not normal, too much unsaturated fat through the sweat glands out of the body by the epidermal bacterial decomposition, resulting in an unpleasant odor, so the treatment of the good should pay attention to the diet of light, less to eat high-sugar, high-fat food, less spicy stimulating food such as chili peppers, Smoke, alcohol and substances that are prone to odor, such as onions, garlic cloves and so on.