Surgical treatment of extensive perianal hidradenitis

Česká verzia

Authors: V. Kocinec ¹; A. Bártlová ²; M. Salavec ²; S. Jackanin ³; L. Havrlentová ³; J. Örhalmi ¹; Z. Šerclová ¹
Authors place of work: Chirurgické oddělení Nemocnice Hořovice, Hořovice ¹; Dermatovenerologická klinika Fakultní nemocnice Hradec Králové a Lékařské fakulty Univerzity Karlovy, Hradec Králové ²; Chirurgické oddělení Vítkovické nemocnice, a. s., Vítkovice ³
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 9, s. 408-412.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2020.99.9.409–413

Summary

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages.

Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

Keywords:

perianal hidradenitis suppurativa – Verneuil disease – rotation flap – skin graft

Zdroje

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