Surgical treatment of perianal and perineal hidradenitis suppurativa

Thornton, Joseph P.; Abcarian, Herand

doi:10.1007/bf02586399

Cited by 65 publications

(44 citation statements)

References 7 publications

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“…Harrison et al [124] reported a 37% recurrence rate of inguinoperineal disease after wide excision without skin grafting. However, Ariyan and Krizek [140] and Thornton and Abcarian [141] recommended excision and secondary healing for patients with more extensive inguinoperineal and/or perianal-perineal disease, respectively, noting that the need for colostomy was rare. Finally, Hyland and Neale [142] and Ramasastry et al [143] recommended wide excision of perineal disease with delayed skin grafting as a means of reducing patient discomfort and effecting more rapid and stable wound closure.…”

Section: Reconstruction After Radical Wide Excisionmentioning

confidence: 99%

Medical and Surgical Treatment of Hidradenitis Suppurativa: A Review

Scuderi

Monfrecola

Dessy

et al. 2017

Skin Appendage Disord

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Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease presenting with painful nodules, abscesses, sinus tracts, and scarring primarily affecting apocrine gland-rich intertriginous areas. HS prevalence ranges from 0.05 to 1%. The central pathogenic event in HS is believed to be the occlusion of the upper part of the folliculopilosebaceous unit, leading to the rupture of the sebofollicular canal with the consequent development of perifollicular lymphohistiocytic inflammation. The HS treatment choices are influenced by disease severity and its individual subjective impact, involving both medical and surgical interventions. However, given the chronic nature of HS, its destructive impact on social, working, and daily life of patients, its management is often frustrating for both the patient and physician. Hence, prompt and effective management strategies are urgently needed and a multidisciplinary approach is advocated. Therefore, in this article, we highlighted the main features of HS (clinical aspects, epidemiology, pathogenesis, diagnostic criteria, classifications, comorbidities, and treatments), so that awareness of this disease might be heightened in primary care physicians and surgeons, who may be the first health care providers to see patients with this disease owing to its characteristic clinical presentation (inflammatory nodules, abscesses, sinus tract, etc.).

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Section: Reconstruction After Radical Wide Excisionmentioning

confidence: 99%

Medical and Surgical Treatment of Hidradenitis Suppurativa: A Review

Scuderi

Monfrecola

Dessy

et al. 2017

Skin Appendage Disord

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“…Thornton & Abcarian [64] fanden in ihrem Krankengut 71% Männer und 29% Frauen, wir selbst [43] 61% männliche und 39% weibliche Patienten. Hilker [31] sah ein Verhältnis von 58 zu 42%, Wiltz et al [69] von 93 zu 7% und Broadwater et al [12] von 61 zu 39%.…”

Section: Epidemiologieunclassified

Interdisziplin�re Leitlinie: Acne inversa (Entwicklungsstufe S1)

Wienert¹,

Breuninger²,

Peto³

et al. 2003

Colo-Proctology

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“…Die Krankheit kommt bei Männern wie bei Frauen vor. Thornton & Abcarian [63] fanden in ihrem Krankengut 71% Männer und 29% Frauen, wir selbst [42] 61% männliche und 39% weibliche Patienten. Hilker [31] sah ein Verhältnis von 58 zu 42%, Wiltz et al [68] von 93 zu 7% und Broadwater et al [12] von 61 zu 39%.…”

Section: Epidemiologieunclassified

“…Die pathologisch veränderte Haut und auch das subkutane Gewebe müssen weit im Gesunden, notfalls bis zur Faszie, exzidiert werden. Dies kann mit dem Skalpell, elektrochirurgisch [63] oder auch mit dem Laser erfolgen [9,15,20,41]. In manchen Fällen hat sich die Tumeszenzanästhesie, eine Form der Lokalanästhe-sie, bewährt [11,38].…”

Section: Therapieunclassified