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2010 | 5 | 6 | 674-678
Tytuł artykułu

Reconstructive options in severe cases of Hidradenitis suppurativa

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Hidradenitis suppurativa is a chronic, debilitating inflammatory disease of apocrine glands characterized with abscesses and nodular lesions. The treatment of Hidradenitis suppurativa consists of topical antibacterial or antiseptic solutions, systemic antibiotics, steroids, hormonal therapy, anti-tumor necrosis factor, and various surgical procedures. In this report, we present a series of 14 cases with severe Hidradenitis suppurativa. Surgical options are reviewed to show the best outcomes in the long term. A total of 14 patients (9 female, 5 male) were treated for advanced cases of Hidradenitis suppurativa. They underwent excision of the affected regions followed by reconstruction. The reconstruction methods consisted of split-thickness skin grafting and various cutaneous and myocutaneous flaps. There was no flap necrosis or dehiscence. One patient developed contracture in the axilla, for which he underwent release surgery. There were recurrences in 4 cases. There was no limitation of the arm movements in cases with flap reconstruction. In the long-term, they were satisfied with the results. In conclusion, incision and drainage should be avoided because it is of limited value. Surgical removal of the involved tissue should be the first treatment of choice. Depending on the defect following excision, local flaps should be preferred over the grafts for recurrence prevention.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
5
Numer
6
Strony
674-678
Opis fizyczny
Daty
wydano
2010-12-01
online
2010-10-07
Twórcy
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey, birolciv@hotmail.com
autor
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey
autor
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey
autor
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey
  • Department of Plastic and Reconstructive Surgery, Diskapi Y. Beyazit Training and Research Hospital, 06100, Ankara, Turkey
Bibliografia
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  • [21] Harrison B, Mudge M, Hughes LE. Recurrence after surgical treatment of Hidradenitis suppurativa. Br Med J 1987;294:487–489 http://dx.doi.org/10.1136/bmj.294.6570.487[Crossref]
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  • [23] Soldin MG, Tulley P, Kaplan H et al. Chronic axillary hidradenitis -the efficacy of wide excision and flap coverage. Br J Plast Surg 2000;53;434–436 http://dx.doi.org/10.1054/bjps.1999.3285[Crossref]
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  • [28] Geh JL, Niranjan NS. Perforator based fasciocutaneous island flaps for the reconstruction of axillary defects following excision of Hidradenitis suppurativa. Br J Plast Surg 2002;55(2):124–128 http://dx.doi.org/10.1054/bjps.2001.3783[Crossref]
  • [29] Rehman N, Kanan RY, Hassan S et al. Thoracodorsal artery perforator (TAP) type I V-Y advancement flap in axillary Hidradenitis suppurativa. Br J Plast Surg 2005;58:441–444 http://dx.doi.org/10.1016/j.bjps.2004.10.022[Crossref]
  • [30] Lipshutz H. Closure of axillary hidradenitis defects with local triangular flaps. Plast Reconstr Surg 1974;53:677–679 http://dx.doi.org/10.1097/00006534-197406000-00018[Crossref]
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  • [34] Wisemann MC. Hidradenitis suppurativa: a review. Dermatol Ther 2004;17:50–54 http://dx.doi.org/10.1111/j.1396-0296.2004.04007.x[Crossref]
  • [35] Ritz JP, Runkel N, Haier J et al. Extent of surgery and recurrence rate of Hidradenitis suppurativa. Int J Colorectal Dis 1998;13:164–168 http://dx.doi.org/10.1007/s003840050159[Crossref]
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  • [38] Giovannini U, Giannasi S. Fasciocutaneous flap to treat Verneuil disease (Hidradenitis suppurativa) in the axillary region. Plast Reconstr Surg 2003;50(1):108–109
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-009-0126-2
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