The Use of Fibrin Glue to Reduce Hematoma Formation after Axillary Osmidrosis Shaving Surgery

Abstract

Background: Axillary osmidrosis is a distressing condition that can pose significant social embarrassment, especially in Asian countries. Removal of subcutaneous apocrine glands by manual subdermal shaving is the procedure of choice for axillary osmidrosis and has been widely used. However, the disadvantages of this procedure include a long period of immobilization and hematoma formation. At the same time, fibrin glue in cosmetic surgery has been proven to reduce hematoma formation and promote wound adhesion. Aim and Objectives: The purpose of this study was to study the benefits of using Fibrin glue in reducing hematoma formation after axillary osmidrosis shaving surgery. Materials and Methods: From July 2005 to August 2007, 35 patients underwent subdermal shaving for axillary osmidrosis, including 4 males and 31 females. Fourteen patients agreed to the use of Fibrin glue injection. All patients received the sweat gland ablation procedure using the arthroscopic shaver. Mini-drain tubes were inserted in all patients. The volume of drainage was measured 24 hours after surgery and the data was analysed using Student's t-test. Results: The mean volume of drainage in Fibrin glue group was 1.05ml, ranging from 0.1ml to 2.7ml. In Non-Fibrin glue group, the mean was 2.55ml, ranging from 0.1ml to 3.6ml. The P value of T-test was 0.233(＞0.05). Conclusion: Using Fibrin Glue in subdermal shaving for axillary osmidrosis may not decrease post operative bleeding and enhance skin flap adhesion. It is still an option for patients who receive subdermal shaving treatment for bromidrosis of axilla. However, it is expensive and may not be acceptable for all patients.