Skin Puncture and External Fixation Techniques Prevent Postoperative Hematoma and Malalignment After Radical Bromhidrosis Surgery

Background: Bromhidrosis can significantly impact a patient’s quality of life. Despite the availability of various treatment options, radical surgery remains the gold standard for permanent resolution. However, complications such as hematoma and malposition healing can occur postoperatively, necessitating the exploration of effective techniques to mitigate these risks and improve patient outcomes. Objective: This study explores the application effect of skin puncture and external fixation techniques in preventing hematoma and malposition healing after radical surgery for bromhidrosis. Methods: A total of 300 patients who underwent radical surgery for bromhidrosis in our hospital from June 2023 to April 2024 were retrospectively selected from medical records. They were divided into two groups based on whether skin puncture and external fixation techniques were applied, with 150 patients in each group after propensity score matching. Both groups underwent subcutaneous sweat gland removal using a small incision with a rotary cutter. The study group utilized skin puncture and external fixation techniques. The adverse reaction rates after surgery, postoperative negative emotion scores, surgical satisfaction rates, and scar Vancouver Scar Scale (VSS) scores of the two groups of patients were compared statistically. Results: The total incidence of postoperative adverse reactions in the study group was significantly lower than that in the control group. Postoperative negative emotions were less frequent, and the overall surgical satisfaction rate was significantly higher than that in the control group. There was no statistically significant difference in scar VSS scores of wound scars within 3 months after surgery between the two groups. Conclusion: Skin puncture and external fixation techniques effectively prevent adverse reactions such as hematoma and malposition healing after radical surgery for bromhidrosis. Patients experience fewer postoperative negative emotions, higher overall surgical satisfaction rates, and less noticeable scar formation.