What are the dangers of surgery for body odor

Summer is here, the weather is hot and people sweat easily. Some people have well-developed sweat glands and a strong armpit odor, commonly known as body odor. Body odor can affect people's work and life. People with body odor are often unconfident and unwilling to stay in crowded places. In order to solve the problem of body odor, some people choose surgical treatment, while others choose drug treatment. So what are the dangers of surgery for body odor? Let’s talk about it below.

Complications of body odor surgery

1. Hematoma

Hematoma is a common complication after bromhidrosis surgery. If the hematoma is not treated promptly, it may lead to serious consequences such as flap skin necrosis, incision infection and delayed healing. The main causes of hematoma are: first, incomplete hemostasis during surgery, unreliable electrocoagulation hemostasis, and detachment of ligature hemostatic suture knots; second, poor postoperative negative pressure drainage and unreliable pressure bandage fixation; third, excessive upper limb activity after surgery, loose fit between the skin flap and the wound, and premature removal of the drainage strip.

2. Subcutaneous effusion

Subcutaneous effusion usually occurs several days after the drainage tube is removed. The skin and wound surface are not tightly attached, the upper limbs are moved too much, and subcutaneous fluid continues to seep into the skin to form subcutaneous effusion. There is a sense of fluctuation under the skin when touched. After aspiration, pale yellow serum-like fluid can be seen. The causes of subcutaneous effusion are mostly the presence of cavities between the flap and subcutaneous tissue in the early postoperative period, necrosis and liquefaction of residual hair follicles or electrocoagulated sweat glands and fat under the flap, premature removal of the drainage tube, and inability to absorb excessive exudate. To prevent subcutaneous effusion, avoid excessive coagulation of fat tissue by radiofrequency coagulation during surgery, and the subcutaneous tissue should be rinsed repeatedly after the operation. If fluid accumulates under the skin, it can be aspirated with a syringe and then fixed with pressure bandage for a few days to heal.

3. Skin necrosis. Skin necrosis is the most serious complication after bromhidrosis surgery. The main reasons are that the superficial skin is trimmed too thin, the dermis and subdermal vascular network are destroyed, and the postoperative bandage and fixation are improper. In the early stage, pale, dark brown and gray-black spots appear on the skin in the surgical area, and after one week, necrotic skin forms a black hard scab.