{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T18:02:26Z","timestamp":1763402546975,"version":"3.45.0"},"reference-count":15,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPHS"],"abstract":"<jats:p>Objective: This study aimed to investigate the effects of the Enhanced Recovery After Surgery (ERAS) protocol on treatment compliance, psychological distress, and patient satisfaction in individuals undergoing radical surgery for axillary bromhidrosis.\nMethods: In this randomized controlled trial, 150 patients scheduled for axillary bromhidrosis surgery were allocated to an ERAS group (n = 75) or a conventional care group (n = 75) using a computer-generated randomization sequence. The ERAS protocol included preoperative counseling, optimized fasting, intraoperative anxiety management, and structured postoperative rehabilitation. Outcomes were assessed via treatment compliance rates (defined as the sum of partial compliance [cooperation after prompting] and full compliance [voluntary cooperation]; non-compliance was resistance to treatment), Self-Rating Anxiety\/Depression Scales (SAS\/SDS), and a validated satisfaction survey. Statistical analysis was performed using SPSS 22.0.\nResults: The ERAS group exhibited significantly higher total compliance (93.34% vs. 75.00%,\u00a0P &lt; 0.001) and satisfaction rates (89.33% vs. 79.00%,\u00a0P = 0.012) compared to the control group. Both groups showed reduced SAS and SDS scores post-intervention (P &lt; 0.05), with greater reductions in the ERAS group (SAS: 51.23 \u00b1 5.26 vs. 58.45 \u00b1 4.28; SDS: 53.44 \u00b1 4.06 vs. 60.37 \u00b1 4.72;\u00a0P &lt; 0.01).\nConclusion: Implementing the ERAS protocol improves patient compliance, alleviates perioperative psychological distress, and enhances satisfaction in axillary bromhidrosis surgery, supporting its integration into clinical practice.<\/jats:p>","DOI":"10.2340\/jphs.v60.44908","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T18:00:02Z","timestamp":1763402402000},"page":"214-218","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced recovery after surgery protocol improves compliance and satisfaction in radical axillary bromhidrosis surgery"],"prefix":"10.2340","volume":"60","author":[{"given":"Chuqing","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaixi","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenwen","family":"Xi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianfei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"133094","doi-asserted-by":"crossref","unstructured":"Hsu TH, Chen YT, Tu YK, et al. A systematic review of microwave-based therapy for axillary hyperhidrosis. J Cosmet Laser Ther. 2017;19(5):275\u2013282. https:\/\/doi.org\/10.1080\/14764172.2017.1303168","DOI":"10.1080\/14764172.2017.1303168"},{"key":"133095","doi-asserted-by":"crossref","unstructured":"Chen W, Zhang X, Zhang L, et al. Treatment of axillary bromhidrosis in adolescents by combining electrocauterization with ultrasound-guided botulinum toxin type A injection. J Plast Reconstr Aesthet Surg. 2021;74(11):3114\u20133119. https:\/\/doi.org\/\u200b10.1016\/j.bjps.2021.03.089","DOI":"10.1016\/j.bjps.2021.03.089"},{"key":"133096","doi-asserted-by":"crossref","unstructured":"Mohamoud AA, Zeraiq L, Vestergaard T. A case series evaluating microwave-based therapy for axillary hyperhidrosis and bromhidrosis. J Dermatolog Treat. 2022;33(3):1572\u20131575. https:\/\/doi.org\/10.1080\/09546634.2020.1856317","DOI":"10.1080\/09546634.2020.1856317"},{"key":"133097","doi-asserted-by":"crossref","unstructured":"Li CY, Wang XF, Zhou HY, et al. Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis. Dermatol Ther. 2021;34(1):e14690. https:\/\/doi.org\/10.1111\/dth.14690","DOI":"10.1111\/dth.14690"},{"key":"133098","doi-asserted-by":"crossref","unstructured":"Zhang J, Han P, Yang F, et al. Power-assisted rotary cutter with negative pressure suction through small incision for axillary osmidrosis. Dermatol Ther. 2022;35(8):e15615. https:\/\/doi.org\/\u200b10.1111\/dth.15615","DOI":"10.1111\/dth.15615"},{"key":"133099","doi-asserted-by":"crossref","unstructured":"Zhang Q, Wan R, Liu C. The impact of intense nursing care in improving anxiety, depression, and quality of life in patients with liver cancer: a systematic review and meta-analysis. Medicine (Baltimore). 2020;99(34):e21677. https:\/\/doi.org\/10.\u200b1097\/MD.0000000000021677","DOI":"10.1097\/MD.0000000000021677"},{"key":"133100","doi-asserted-by":"crossref","unstructured":"Wang X, Liu Y. Application of lean visual and \u20186S\u2019 management concept in clinical nursing. J Multidiscip Healthc. 2023;16:\u200b3923\u20133931. https:\/\/doi.org\/10.2147\/JMDH.S438753","DOI":"10.2147\/JMDH.S438753"},{"key":"133101","doi-asserted-by":"crossref","unstructured":"Bogani G, Sarpietro G, Ferrandina G, et al. Enhanced recovery after surgery (ERAS) in gynecology oncology. Eur J Surg Oncol. 2021;47(5):952\u2013959.","DOI":"10.1016\/j.ejso.2020.10.030"},{"key":"133102","doi-asserted-by":"crossref","unstructured":"Gillis C, Ljungqvist O, Carli F. Prehabilitation, enhanced recovery after surgery, or both? A narrative review. Br J Anaesth. 2022;128(3):434\u2013448. https:\/\/doi.org\/10.1016\/j.bja.2021.12.007","DOI":"10.1016\/j.bja.2021.12.007"},{"key":"133103","doi-asserted-by":"crossref","unstructured":"Patel F, Tu Y M, Fernandes S, et al. A case of axillary bromhidrosis secondary to trimethylaminuria successfully treated with microwave-based therapy. JAAD Case Rep. 2019;5(10):\u200b915\u2013917. https:\/\/doi.org\/10.1016\/j.jdcr.2019.07.018","DOI":"10.1016\/j.jdcr.2019.07.018"},{"key":"133104","doi-asserted-by":"crossref","unstructured":"Morioka D, Nomura M, Lan L, et al. Axillary osmidrosis: past, present, and future. Ann Plast Surg. 2020;84(6):722\u2013728. https:\/\/doi.org\/10.1097\/SAP.0000000000002111","DOI":"10.1097\/SAP.0000000000002111"},{"key":"133105","doi-asserted-by":"crossref","unstructured":"Zhu Z, Zhang H, Luo G, et al. Association between the ABCC11 gene polymorphism and the expression of apolipoprotein D by the apocrine glands in axillary osmidrosis. Mol Med Rep. 2015;11(6):4463\u20134467. https:\/\/doi.org\/10.3892\/mmr.\u200b2015.3274","DOI":"10.3892\/mmr.2015.3274"},{"key":"133106","doi-asserted-by":"crossref","unstructured":"Van TN, Manh TN, Minh P, et al. The effectiveness of local surgical technique in treatment of axillary bromhidrosis. Open Access Maced J Med Sci. 2019;7(2):187\u2013191. https:\/\/doi.org\/10.3889\/oamjms.2019.133","DOI":"10.3889\/oamjms.2019.133"},{"key":"133107","doi-asserted-by":"crossref","unstructured":"Xiong T, Ou Y, Zha P. Modified minimally invasive incision surgery for axillary osmidrosis. Aesthetic Plast Surg. 2020;44(2):\u200b614\u2013616. https:\/\/doi.org\/10.1007\/s00266-020-01623-3","DOI":"10.1007\/s00266-020-01623-3"},{"key":"133108","doi-asserted-by":"crossref","unstructured":"Powell R, Scott NW, Manyande A, et al. Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. 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