Treatment of long-standing extensive perianal hidradenitis suppurativa using double rotation plasty, V-Y plasty and free grafts

Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurating, and fistulizing disease of apocrine glands, adjacent anal canal skin, and soft tissues. The standard treatment used for extensive cases is a staged surgical procedure allowing the wound to heal by secondary intention...

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Bibliographic Details
Published in:International journal of colorectal disease 2004, Vol.19 (1), p.73-78
Main Authors: LIRON-RUIZ, R, TORRALBA-MARTINEZ, J. A, PELLICER-FRANCO, E, MORALES-CUENCA, G, MARTIN-LORENZO, J. G, MIGUEL-PERELLO, J, AGUAYO-ALBASINI, J. L
Format: Article
Language:English
Subjects:
Biological and medical sciences
Buttocks
Dermatology
Gastroenterology. Liver. Pancreas. Abdomen
Hidradenitis Suppurativa - surgery
Humans
Male
Medical sciences
Middle Aged
Skin involvement in other diseases. Miscellaneous. General aspects
Skin Transplantation - methods
Surgical Flaps
Treatment Outcome
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Summary:Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurating, and fistulizing disease of apocrine glands, adjacent anal canal skin, and soft tissues. The standard treatment used for extensive cases is a staged surgical procedure allowing the wound to heal by secondary intention or the delayed use of skin grafts. A long-standing case, disabling for the patient, with extensive involvement of the buttock region, treated in one stage, which for reconstruction required the use of sliding plasties and free skin grafts, is reported. The outcome was satisfactory. Primary closure after wide excision using plastic-surgery techniques may help us resolve complex situations and obtain good results and a rapid recovery. The method of closure with a combination of skin flaps and skin graft in one stage can be considered a valid surgical option for a group of patients with extensive perianal hidradenitis.
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-003-0518-8