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Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.

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Title: Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.
Authors: Ho, Wen-Tsao1 (AUTHOR)
Source: Journal of Surgical Case Reports. Jan2025, Vol. 2025 Issue 1, p1-3. 3p.
Subject Terms: *OPERATIVE surgery, *DERMATOLOGIC surgery, *MEDICAL drainage, *HEMATOMA, *HEALING
Abstract: Hematoma formation is a rare complication following axillary osmidrosis surgery, and its delayed liquefaction can pose significant risks to flap viability, leading to complications such as necrosis. This study examines two cases of postoperative hematomas, highlighting the importance of appropriate drainage management. In both cases, the initial hematomas were evacuated and treated with Penrose drains, but complications arose due to delayed liquefaction. The first case experienced delayed flap necrosis after premature removal of the drain, while the second case benefited from a proactive approach by reintroducing the drain on the sixth postoperative day. This strategy allowed for the prevention of toxic hematoma buildup, improving flap survival. The findings emphasize the need for vigilant postoperative monitoring and drainage management to minimize risks associated with hematoma liquefaction and optimize flap healing. Further research is required to establish standardized protocols for managing postoperative hematomas in axillary osmidrosis surgery. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Surgical Case Reports is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.
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  Data: <searchLink fieldCode="AR" term="%22Ho%2C+Wen-Tsao%22">Ho, Wen-Tsao</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Surgical+Case+Reports%22">Journal of Surgical Case Reports</searchLink>. Jan2025, Vol. 2025 Issue 1, p1-3. 3p.
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  Data: *<searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br />*<searchLink fieldCode="DE" term="%22DERMATOLOGIC+surgery%22">DERMATOLOGIC surgery</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+drainage%22">MEDICAL drainage</searchLink><br />*<searchLink fieldCode="DE" term="%22HEMATOMA%22">HEMATOMA</searchLink><br />*<searchLink fieldCode="DE" term="%22HEALING%22">HEALING</searchLink>
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  Data: Hematoma formation is a rare complication following axillary osmidrosis surgery, and its delayed liquefaction can pose significant risks to flap viability, leading to complications such as necrosis. This study examines two cases of postoperative hematomas, highlighting the importance of appropriate drainage management. In both cases, the initial hematomas were evacuated and treated with Penrose drains, but complications arose due to delayed liquefaction. The first case experienced delayed flap necrosis after premature removal of the drain, while the second case benefited from a proactive approach by reintroducing the drain on the sixth postoperative day. This strategy allowed for the prevention of toxic hematoma buildup, improving flap survival. The findings emphasize the need for vigilant postoperative monitoring and drainage management to minimize risks associated with hematoma liquefaction and optimize flap healing. Further research is required to establish standardized protocols for managing postoperative hematomas in axillary osmidrosis surgery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Surgical Case Reports is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1093/jscr/rjae812
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: OPERATIVE surgery
        Type: general
      – SubjectFull: DERMATOLOGIC surgery
        Type: general
      – SubjectFull: MEDICAL drainage
        Type: general
      – SubjectFull: HEMATOMA
        Type: general
      – SubjectFull: HEALING
        Type: general
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      – TitleFull: Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.
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            – D: 01
              M: 01
              Text: Jan2025
              Type: published
              Y: 2025
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              Value: 2025
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