[A tailor-made flap for an extremely severe case of hidradenitis suppurativa in the genital area]

Hidradenitis suppurativa Research


Author(s): Dagrégorio G, Darsonval V

Hidradenitis suppurativa is a chronic, suppurative and scarring disease characterized by painful, inflamed lesions in the axillae, perineum, groin, scrotum and other parts of the body with apocrine-bearing skin including genital skin. Appropriate medical treatment alone appears to be insufficient for managing most patients with severe lesions. In the vast majority of cases, surgery consists in complete excision of the lesions with primary closure or healing by secondary intention. In severe cases, radical excision of all diseased apocrine-bearing skin is mandatory and the resulting defects are generally repaired by mesh skin grafts. In the most severe cases it may be necessary to realize loco-regional flaps. Generally we reconstruct the perineal region with bilateral fasciocutaneous thigh flaps. We report a case of hidradenitis suppurativa where the lesions were so extensive from penis to anus we had to imagine a tailor-made flap based on the abdominoplasty techniques.


Dermatology Journal and/or Publisher

Journal Name: Annales de chirurgie plastique et esthetique
Journal Abbreviation: Ann Chir Plast Esthet
Journal Date Published: 2005-06-20


National Center for Biotechnology Information

PMID: 15963846
Article Source: http://www.ncbi.nlm.nih.gov/pubmed/15963846
Lasted Revision: 2006-11-15


Abstract Source: National Center for Biotechnology Information, U.S. National Library of Medicine Abstract Query for Hidradenitis suppurativa (HS).


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