Negative pressure assisted rubbing suction technique for the treatment of axillary osmidrosis based on minimally invasive principle.

Background: Axillary Osmidrosis is highly prevalent and occurr in adolescents, bilateral onset, its pathogenesis is related to abnormal secretion function of apocrine glands, with a significant genetic predisposition, the patient's bilateral armpit area can smell a spicy pungent odor, although it does not affect the health, but it is inconvenient to life, socialize. Patients are often accompanied by low self-esteem and urgently require treatment, and most of them have the requirement of minimally invasive treatment and minimal scarring.

Method: In this study, we aimed to evaluate the efficacy of minimally invasive treatment of axillary osmidrosis with refined negative pressure-assisted rubbing suction technique. From August 2022 to August 2023, 50 patients (28 females and 22 males) with axillary osmidrosis were treated with refined negative pressure-assisted rubbing suction technique. HE staining of the tissue rubbed out of six of these patients showed a large amount of apocrine gland.

Results: In the subjective evaluation of 50 (100 sides) patients, 66 sides (66 %) were very satisfied with the results of the treatment, 30 sides (30 %) were satisfied, and 4 sides (4 %) were dissatisfied. Clinical efficacy evaluation showed that 74 sides (74 %) of patients rated the results as cured, 18 sides (18 %) as significantly effective, 4 sides (4 %) as effective, and 4 sides (4 %) as ineffective. No serious surgical complications occurred except for the occurrence of Subcutaneous hydrops and hematoma on 6 sides.

Conclusions: Refined negative pressure-assisted rubbing suction technique is an easy and effective method for minimally invasive treatment of axillary hyperhidrosis and deserves clinical promotion.