Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps
INTRODUCTION: Hidradenitis suppurativa (HS) is a chronic, multifactorial, and often recurrent bacterial infection, affecting the skin and subcutaneous tissues. However, complete HS resolution can be achieved through surgical treatment. A series of patients with HS complications is described herein,...
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Thieme Revinter Publicações Ltda.
2016-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1791/en_v31n4a13.pdf |
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| author | Valderi Vieira da Silva Júnior Nelson Gurgel Simas de Oliveira Francis Régis Soares de Sousa |
| author_facet | Valderi Vieira da Silva Júnior Nelson Gurgel Simas de Oliveira Francis Régis Soares de Sousa |
| author_sort | Valderi Vieira da Silva Júnior |
| collection | DOAJ |
| description | INTRODUCTION: Hidradenitis suppurativa (HS) is a chronic, multifactorial, and often recurrent bacterial infection, affecting the skin and subcutaneous tissues. However, complete HS resolution can be achieved through surgical treatment. A series of patients with HS complications is described herein, along with their evolution and complications after complete axillary surgical resection and lateral thoracic fasciocutaneous flap rotation. The evaluation of associated affected areas is also reported.
METHODS: Between 2009 and 2014, 6 patients with an average age of 25.5 years (range: 15 to 35 years) underwent surgery for the treatment of HS. All patients had long-standing, chronic axillary lesions that were refractory to non-surgical treatment.
RESULTS: Six patients with HS (2 males and 4 females) underwent surgery. The average follow-up period was 16 months (range: 4 months to 5 years). Complete resolution was achieved and no HS recurrence was observed. Bilateral resection was performed in 4 cases, and unilateral resection in 2. Five patients also had inguinal involvement, and 3 had surgery concurrent with the axilla. Five patients had partial dehiscence and serosanguinous discharge, followed by complete scar formation by second intention healing.
CONCLUSION: Surgery is often the most appropriate and definitive treatment for HS. The lateral thoracic fasciocutaneous flap technique is associated with high success rates in this patient population. |
| format | Article |
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| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-bf117386dae84ca4a08ce3da2ebb14de2025-08-20T03:35:50ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352016-12-01310452252610.5935/2177-1235.2016RBCP0086Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flapsValderi Vieira da Silva Júnior0Nelson Gurgel Simas de Oliveira1Francis Régis Soares de Sousa2Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilUniversidade de Fortaleza, Fortaleza, CE, BrazilINTRODUCTION: Hidradenitis suppurativa (HS) is a chronic, multifactorial, and often recurrent bacterial infection, affecting the skin and subcutaneous tissues. However, complete HS resolution can be achieved through surgical treatment. A series of patients with HS complications is described herein, along with their evolution and complications after complete axillary surgical resection and lateral thoracic fasciocutaneous flap rotation. The evaluation of associated affected areas is also reported. METHODS: Between 2009 and 2014, 6 patients with an average age of 25.5 years (range: 15 to 35 years) underwent surgery for the treatment of HS. All patients had long-standing, chronic axillary lesions that were refractory to non-surgical treatment. RESULTS: Six patients with HS (2 males and 4 females) underwent surgery. The average follow-up period was 16 months (range: 4 months to 5 years). Complete resolution was achieved and no HS recurrence was observed. Bilateral resection was performed in 4 cases, and unilateral resection in 2. Five patients also had inguinal involvement, and 3 had surgery concurrent with the axilla. Five patients had partial dehiscence and serosanguinous discharge, followed by complete scar formation by second intention healing. CONCLUSION: Surgery is often the most appropriate and definitive treatment for HS. The lateral thoracic fasciocutaneous flap technique is associated with high success rates in this patient population.http://www.rbcp.org.br/export-pdf/1791/en_v31n4a13.pdfhidradenitis suppurativasurgical flapsreconstructive surgical procedures |
| spellingShingle | Valderi Vieira da Silva Júnior Nelson Gurgel Simas de Oliveira Francis Régis Soares de Sousa Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps Revista Brasileira de Cirurgia Plástica hidradenitis suppurativa surgical flaps reconstructive surgical procedures |
| title | Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| title_full | Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| title_fullStr | Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| title_full_unstemmed | Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| title_short | Surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| title_sort | surgical treatment of hidradenitis suppurativa with anterior and posterior lateral thoracic fasciocutaneous flaps |
| topic | hidradenitis suppurativa surgical flaps reconstructive surgical procedures |
| url | http://www.rbcp.org.br/export-pdf/1791/en_v31n4a13.pdf |
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