What is included in preoperative care for the Skoog procedure to treat axillary hyperhidrosis?

Updated: Feb 12, 2019
  • Author: Richard H S Karpinski, MD, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Very little preoperative preparation is required for this local-anesthetic procedure. A shower with regular soap or antibacterial soap (eg, chlorhexidine) the morning of surgery is an appropriate precaution. The surgery is slightly more convenient if the patient (or surgeon) shaves the axilla, but the operation is perfectly feasible in an unshaved field. In light of the relative hypoperfusion that flap dissection produces, a single dose of intravenous antibiotics at the commencement of the operation is probably a wise precaution. The patient should be scrupulously free of any anticoagulant medications (eg, aspirin, ibuprofen, high-dose vitamin E, ginkgo, ginger, garlic, dong quai).


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