DR WU SKIN CLINIC

我的旋轉刀手術

我的狐臭手術的老師是林口長庚醫院楊志勳主任。在高雄長庚的十年當中，經歷過無數的病患教導，我的手術方式一次次的改變，到如今，從傷口大小，傷口復原狀況，效果與術後疼痛各方面來說，我認為這項手術已經是相當安全且有效的治療。

我們手術特點在於：

1. 腋下傷口較小：我在多年前改用0.2公分細針來剝離腋下皮膚，讓我們的術後為單一傷口約為0.5-0.6公分。（於腋下正中位置），免除細剪造成的大型傷口，在傷口的色素沈澱退去後，病患的疤痕會逐漸消失（見附圖資料）。

2. 術後不用紗布固定於皮膚：術後以絲質細線固定紗布於皮膚，是狐臭手術的傳統做法，但這做法的需要術後數天不可抬高手臂，且相當疼痛，造成病患手臂不敢動作，形成如同五十肩的肩膀僵硬，我約兩年前改以皮下可吸收線直接固定（不再將紗布與皮膚縫合），結果發現皮膚含氧量上升，減少疼痛，且術後隔天即可拆除紗布且肩膀可自由活動，手術後三天可洗澡沖水。

3. 不用組織膠：組織膠是我不能了解的做法，病患的費用增加(約兩萬元），對傷口卻沒有什麼好處。這麼多年下來，不曾用過組織膠，倒接過許多外院用組織膠卻傷口潰爛的病例。

4. 手術的效果有客觀數據：為了解長期手術效果，我一個個用電話去追蹤三十多位在最近兩年手術後的病患（平均追蹤術後一年），並將其客觀數據發表，目前為止，術後有70 ％病患可以完全沒有異味，30%有大幅改善（在運動後有一點味道），97%滿意手術的效果，這樣的結果明顯優於傳統切開式手術，溶脂式手術，或微波除汗治療的效果。

Do you have osmidrosis? It's a hereditary condition in which the sweat composition in axillae has special chemicals that emit odors. It's a common condition and many people use deodorant as a consequence. In Taiwan, perhaps from cultural customs, many patients wish to get rid of osmidrosis permanently. I have provided a shaver-based osmidrosis operation in the recent decade. After hundreds-operation experience and our relentless trials for improvement, I think my current method is world-class in both safety and satisfaction for my patients. The advantages of our current method are listed.

1. We have many international publications for our improvement of osmidrosis.

2. The wound of our operation is very small, around 0.5 cm, and no scar was noted after the wound healed. You may feel strange about how we can assess the full axilla with such a small wound, but that is the advantage of this shaver-based method. I have clear objective evidence to show our results, which is competing among the best results surgery can deliver.  

3. I avoid the drainage tube, the bolster (which involves using silk stitches to fix a big gauze to skin), and the tissue glue in the operation. It is not an easy job for the improvement but our current fixation method is so robust that patients can freely move their arms right after the operation. The freedom of postoperative duration is very much welcomed by my patients. In fact, the fixation method also improves the oxygenation of the axilla skin, which is critical in the postoperative healing process. 

3. How good are we? I have personally contacted more than 30 patients one year after their operation to follow up the result. After the operation, 70% were completely free of the odor even in strenuous exercise and 30% had minimal odor in exercise. 97% patients were satisfied with our surgery (one patient reported a fair result). The data is comparable or even better than other reports using traditional excision, ultrasound liposuction or microwave-based methods for osmidrosis.

We are happy for our continuous effort to improve the surgery and believe you can seriously consider us even if you live abroad. The current surgery fee is USD $1000 covering everything, I know it is dirt cheap back in US although we had the state of art technique.