title: [Results of multiple surgical therapy in pronounced acne conglobata].
abstract: Acne conglobata - hidradenitis suppurativa - as a particular form of acne vulgaris is, in its pronounced, chronic progressive form, incontrollable by conservative means. Smaller foci of infection need only a local excision of skin and subcutis followed by primary wound closure or secondary healing. When large areas are involved, a generous excision including removal of the fistula system is followed by a 1-3 week intermediary phase with hydrotherapy and antiseptic local treatment. Clean granulation is waited upon and covered in a second session with a skin grafting. In the area of joints, a third session with flap-plastic under sterile conditions is necessary, if limitations to motility are present or are threatened by scar contracture. From 1975-1982, 14 patients with pronounced acne conglobata were successfully treated by a surgical procedure in multiple sittings. All patients could, in this manner, be rehabilitated both professionally and socially.
mesh_terms: D000038:Abscess / Q000601:surgery; D000152:Acne Vulgaris / Q000601:surgery*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007249:Inflammation; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013543:Sweat Gland Diseases / Q000601:surgery*; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Ergebnisse der mehrzeitigen chirurgischen Therapie bei ausgeprägter Akne conglobata.