A review of wide surgical excision of hidradenitis suppurativa.
A review of wide surgical excision of hidradenitis suppurativa.
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DOI：
10.1186/1471-5945-12-9
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发表时间：
2012-06-26
期刊：
影响因子：
--
通讯作者：
Pallua N
中科院分区：
文献类型：
--
作者：
Alharbi Z;Kauczok J;Pallua N
化脓性汗管炎(HS)是一种慢性炎症性皮肤疾病，累及大汗腺丰富区域的漏斗末端毛囊。它可能与窦瘘、疤痕形成和脓肿形成有关。化脓性汗腺炎是一个具有挑战性的方面，需要一个适当的治疗计划，可能涉及不同的专科。我们在这里提出了手术治疗的选择，包括广泛的手术切除和重建的方法以及复发率。此外，还提供了有关化脓性汗腺炎外科治疗的文献综述。对5个解剖部位32例患者的50例手术治疗进行了回顾分析。解剖部位分为腋窝23个，腹股沟17个，肛周/会阴区8个，臀部1个，躯干1个。术后无复发26例(81%)，平均住院时间5天。仅6例复发(18例，75%)。应提前消除急性炎症过程，包括使用抗生素和适当冲洗下的小手术，如脓肿引流。急性期稳定后，建议广泛手术切除。因此，应该开始手术重建的计划，以达到最佳的效果，从而减少术后复发和并发症的风险。
Hidradenitis 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. A 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. Twenty 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 %). Elimination 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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DOI：
10.1054/bjps.2001.3783
发表时间：
2002-03-01
期刊：
BRITISH JOURNAL OF PLASTIC SURGERY
影响因子：
--
作者：
Geh, JLC;Niranjan, NS
通讯作者：
Niranjan, NS
影响因子：
2.4
作者：
Bieniek, Andrzej;Matusiak, Lukasz;Szepietowski, Jacek C.
通讯作者：
Szepietowski, Jacek C.
影响因子：
3.8
作者：
Kagan, RJ;Yakuboff, KP;Warden, GD
通讯作者：
Warden, GD
影响因子：
2.6
作者：
Matusiak, Lukasz;Bieniek, Andrzej;Szepietowski, Jacek C.
通讯作者：
Szepietowski, Jacek C.
影响因子：
2.4
作者：
Rompel, R;Petres, J
通讯作者：
Petres, J