Treatment of Axillary Hidradenitis with Transposition Flaps

Varkarakis, George M.; Daniels, Justin; Coker, Karah; Oswald, Tanya; Akdemır, Ovunc; Lineaweaver, William C.

doi:10.1097/sap.0b013e3181da1c4f

Cited by 27 publications

(27 citation statements)

References 6 publications

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“…1,2,4,5,13 Resection of involved tissue should not be limited by the ability to provide closure. Radical excision is essential to prevent recurrences of this already debilitating and depressive disease.…”

Section: Discussionmentioning

confidence: 99%

“…Radical excision is essential to prevent recurrences of this already debilitating and depressive disease. 1,2,4,5,13 Only the extremely huge defect will require a skin graft as the only possible solution. 2 The typical disease pattern as in the given clinical examples are amenable to the use of flaps as a preferable single-staged reliable method to achieve rapid healing.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Initial medical treatment often is only palliative. Its persistent and chronic course may instead be more amenable to surgical correction.…”

mentioning

confidence: 99%

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Island Thoracodorsal Artery Perforator–Based V-Y Advancement Flap After Radical Excision of Axillary Hidradenitis

Hallock¹

2013

Annals of Plastic Surgery

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Chronic axillary hidradenitis invariably ultimately requires surgical intervention to ameliorate this often painful, unrelenting, recurrent disease that can be disabling. The treatment of choice requires radical excision of at least all hair-bearing skin and its associated apocrine sweat glands. The ensuing large defect often is amenable to closure using a local flap instead of a skin graft to better expedite healing, to allow more rapid rehabilitation, and to minimize the risk of later scar contracture. The island thoracodorsal artery perforator V-Y advancement flap is another alternative that allows unrestricted insetting with primary donor-site closure, as presented here with 2 clinical examples.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Island Thoracodorsal Artery Perforator–Based V-Y Advancement Flap After Radical Excision of Axillary Hidradenitis

Hallock¹

2013

Annals of Plastic Surgery

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“…A review of the Limberg flap for axillary hidradenitis was presented quite recently [28]. Local fasciocutaneous V-Y advancement flaps was reported for large defects following wide surgical excision of long-standing hidradenitis suppurativa of the axilla [29].…”

Section: Discussionmentioning

confidence: 99%

A review of wide surgical excision of hidradenitis suppurativa

2012

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BackgroundHidradenitis suppurativa (HS) is a chronic inflammatory cutaneous disorder that involves the infundibular terminal follicles in areas rich of apocrine glands. It can be associated with fistulating sinus, scarring and abscesses formation. Hidradenitis suppurativa is a challenging aspect and requires a proper treatment plan which may involve different specialties. We present herein the option of surgical treatment involving wide surgical excision and methods of reconstruction as well as the rate of recurrence. Furthermore, review of the literature regarding surgical treatment of hidradenitis suppurativa is provided.MethodsA retrospective analysis reviewed 50 operative procedures for 32 patients in 5 anatomical sites. These anatomical sites have been divided to 23 sites involving the axilla, 17 sites involving the inguinal region and 8 sites involving the perianal/perineal area, 1 site involving the gluteal region and 1 site involving the trunk region.ResultsTwenty six patients (81, 25 %) showed no recurrence after surgery and the average time of hospital stay period was 5 days. Recurrence was observed only in 6 patients (18, 75 %).ConclusionElimination of the acute inflammatory process should occur in advance, including the use of antibiotics and minor surgeries such as abscess drainage with proper irrigations. After stabilizing the acute phase, wide surgical excision is recommended. Herein, planning of surgical reconstruction should be initiated to achieve the best outcome and consequently decreasing the risk of recurrence and complications after surgery.

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“…A limitation of this study was the small number of patients treated. In 2010, Varkarakis et al [130] proposed an extension of the technique described by Altmann et al [131] in 2004. In particular, the authors reported a series of HS patients undergoing wide resection of axillary hidradenitis with reconstruction by Limberg transposition flaps.…”

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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Treatment of Axillary Hidradenitis with Transposition Flaps

Cited by 27 publications

References 6 publications

Island Thoracodorsal Artery Perforator–Based V-Y Advancement Flap After Radical Excision of Axillary Hidradenitis

Island Thoracodorsal Artery Perforator–Based V-Y Advancement Flap After Radical Excision of Axillary Hidradenitis

A review of wide surgical excision of hidradenitis suppurativa

Medical and Surgical Treatment of Hidradenitis Suppurativa: A Review

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