|
|
Journal of the Korean Wound Management Society 2014;10(2): 94-97. |
| Failed Negative Pressure Therapy and SuccessfulSplit-Thickness Skin Grafting in the Management of ExtensiveHidradenitis Suppurativa : A Case Report |
| Myeong Su Jeon1, Dong Lark Lee1, Hea Kyeong Shin1, Gyu Yong Jung1, Jong Im Lee2 |
| Departments of 1Plastic and Reconstructive Surgery, and 2Pathology, Dongguk University College of Medicine, Gyeongju, Korea |
|
Published online: 30 November 2014. |
|
|
|
| ABSTRACT |
|
Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory disease affecting skin that bears apocrine sweatglands. It is difficult to treat medically, especially in severe cases. In this report, the authors present their experienceof an extensive HS case, which was treated surgically. A 49-year-old male patient had an abnormal skin lesion (about20 cm x 10 cm), with many openings and scars on the left buttock. The patient had undergone medical treatmenton many occasions, and other forms of treatment, including incision and drainage, but none prevented recurrence.According to clinical and histopathologic findings, our case was of stage II (Hurley’s staging system), and a surgicalcourse was adopted. Wide surgical excision of all diseased skin and subcutaneous fatty tissue was carried out underspinal anesthesia. The surgical defect was resurfaced with a split-thickness skin graft harvested from the right buttock,immediate postoperative negative-pressure wound therapy was failed because of an incomplete hemostasis. Thesurgical approach chosen resulted in complete healing with no evidence of recurrence at 6 months postoperatively.This report describes a rare case of extensive HS of the buttock, which after wide excision and a split-thicknessskin graft and resulted in a good aesthetic outcome without recurrence. (J Korean Wound Management Soc2014;10:94-97) |
| Key Words:
Hidradenitis suppurativa, Skin transplantation, Negative-Pressure wound therapy |
|
|
|
PDF Links
Full text via DOI 
Download Citation 
