Osmidrosis is a condition characterized by malodorous sweat production in the armpits that often necessitates surgical intervention with tie-over bandages in the axillary area. Standard tie-over bandages may cause skin compression-related complications, such as bruising and skin erosion. To address this issue, we developed a novel technique using a modified protective sleeve. We conducted an observational study involving 60 patients undergoing axillary osmidrosis surgery and divided them into groups. In the experimental group we used a novel technique that included using a modified protective sleeve secured with 4-0 silk sutures. In the control group we used standard tie-over bandages. We created the protective sleeve from the tail of a 3 mL syringe by drilling holes on both sides and securing it onto a 10 mm-wide Penrose drain. We threaded sutures through the holes and provided padding between the sutures and the skin. We assessed primary outcomes of bruising and skin breakdown at eight anchoring sites. We found that using the novel protective sleeve significantly reduced skin complications. Compared with standard bandages, the incidence of bruising was reduced by 83.33% (i.e., 16.7% vs 70%). The incidence of skin erosion was reduced by 75% (10% vs 40%). Notably, the control group exhibited delayed complications, such as hypertrophic scars.
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