title: Subcutaneous fistulectomy in bridging hidradenitis suppurativa.
abstract: BACKGROUND
  The treatment of chronic lesions in hidradenitis suppurativa remains a challenge. For some clinical types surgical management is an excellent alternative.
  
  
  OBJECTIVE
  This study evaluates an alternative surgical approach for the treatment of hidradenitis suppurativa of specific bridging lesions by subcutaneous resection of the tubular fibrotic tissue.
  
  
  METHODS
  Periorificial fusiform skin incisions were made around the orifices parallel to the axillary or inguinal folds and the subcutaneous tubular fibrotic tissue was removed en bloc before skin suturing.
  
  
  RESULTS
  The outcome was evaluated as satisfactory due to lower morbidity, minimizing the excised skin areas, prevention of bridles or adherences, shorter incisions, no healing difficulties, and less dehiscence or wound exposure.
  
  
  CONCLUSIONS
  The subcutaneous fistulectomy is a surgical option in bridging hidradenitis suppurativa.
authors.affiliation: Department of Dermatology, University of São Paulo Medical School, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Brazil.
authors.forename: R
authors.initials: R
authors.lastname: Golcman
authors.forename: B
authors.initials: B
authors.lastname: Golcman
authors.forename: B M
authors.initials: BM
authors.lastname: Tamura
authors.forename: M A
authors.initials: MA
authors.lastname: Nogueira
authors.forename: C M
authors.initials: CM
authors.lastname: Zoo
authors.forename: J A
authors.initials: JA
authors.lastname: Germano
mesh_terms: D000328:Adult; D001365:Axilla; D002908:Chronic Disease; D017577:Cutaneous Fistula / Q000209:etiology / Q000473:pathology; D005260:Female; D017497:Hidradenitis Suppurativa / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D014845:Vulvar Diseases / Q000473:pathology / Q000601:surgery