Background
s : The visits of patients who want to treat the osidrosis were increased due to the improvement of living status. Surgical methods, therefore, that removes only scars subcutaneous tissue with the minimum of scars in short time have been studied. This study is to compare the clinical and shistological results of Manual and INABA's method that is available in primary care units briefly.

Methods : The authors reviewed 48 patients who were treated osmidrosis in Kun San Medical Center by use of the manual method in right axilla and Inaba's method in the left axila from May 1992 to June 1994. We chddoose the single incision-flap method and 48 patients were analyzed in 2 groups according to instrument in same patient. The results of the extent of Apocrine and Eccring gland removed were compared by the histological byopsy in pre and post-operation. The complications of these methods folowed for at least 4 months up to 13 months after operation.

Results : There were 35 females and 13 males among the 48 patients. The age of the patients ranged from 14 years to 43 years with the mean age of 22 years(Table 1). In histological comparision, apocrine gland was removed completly by two methods, but Inaba method reduced more eccrine gland than Manual method(Tabele 4, p<0.001). After operation, the complications, 12%(6/48) flap necrosis, 6%(3/48) hypertrophic scar and 12%(6/48) hematoma occurred by Manual method, instead of only 12%(6/48) hematoma showed by Inaba method without other complications(Table 3). The operation time for the single incision was 45 minutes(42-47) by Manual method, 30 minutes(25-35) by Indaba(Table 5). The operation time of Manual method is longer than Inaba method about 15 minutes(p<0.001)

Conclusion : Inaba method is brief and easier than Manual's in operation. It is desirable to recommend Inaba method for the patients and physicians in primary care units.