Nursing Routine for Surgical Removal of Armpit Body Odor
Preoperative Phase
- Assess the patient's understanding of the procedure and potential risks.
- Obtain informed consent from the patient.
- Review the patient's medical history, including any allergies or current medications.
- Perform a physical examination, focusing on the axillae.
- Prepare the patient for surgery, including shaving the axillae and washing the body.
- Administer preoperative antibiotics as ordered.
Intraoperative Phase
- Position the patient supine with the arms abducted.
- Administer general anesthesia.
- Make an incision in the axilla, using a scalpel or electrocautery.
- Dissect the sweat glands from the underlying tissue.
- Control bleeding with cautery or sutures.
- Close the incision with sutures or skin adhesive.
- Apply a sterile dressing to the wound.
Postoperative Phase
- Monitor the patient for any signs of infection or bleeding.
- Remove the dressing from the wound 24-48 hours after surgery.
- Instruct the patient to keep the wound clean and dry.
- Prescribe antibiotics if signs of infection are present.
- Prescribe pain medication as needed.
- Inform the patient to avoid strenuous activity for 1-2 weeks.
- Schedule follow-up appointments to monitor the wound healing and assess the effectiveness of the procedure.
Additional Nursing Care
- Wound Care:
- Instruct the patient to keep the wound clean and dry.
- Change the dressing as directed by the healthcare provider.
- Monitor the wound for signs of infection, such as redness, swelling, or drainage.
- Pain Management:
- Administer pain medication as needed, as prescribed by the healthcare provider.
- Apply cold compresses to the wound to reduce pain and swelling.
- Activity Restrictions:
- Advise the patient to avoid strenuous activity for 1-2 weeks after surgery.
- Instruct the patient to keep the arms abducted and the elbows bent at 90 degrees to minimize tension on the wound.
- Follow-Up:
- Schedule follow-up appointments to monitor the wound healing and assess the effectiveness of the procedure.
- Instruct the patient to report any concerns or changes in the wound to their healthcare provider promptly.
Expected Outcomes
- Reduced body odor
- Improved self-confidence
- Increased patient satisfaction
- Minimal scarring
Potential Complications
- Infection
- Bleeding
- Scarring
- Nerve damage
- Recurrence of body odor
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