[Surgical treatment of axillary hidradenitis suppurativa].
BACKGROUND
Hidradenitis suppurativa is a chronic inflammatory disease of the cutis with furuncles, fistulas and abscesses, mostly located in the groin and axillary regions. A conservative treatment can not prevent a recurrence.


METHODS
We report on 16 patients with axillary hidradenitis suppurativa. The inflammatory region was excised, followed by immediate coverage with a transposition flap according to Limberg. Postoperatively, all patients received antibiotic treatment. After 2 weeks, physiotherapy was begun.


RESULTS
All wounds healed primarily. Functional and aesthetic results were very satisfactory. Movement of the shoulder showed no restrictions. There was no major complication. The recurrence rate was low.


CONCLUSIONS
Only radical debridement prevents a recurrence. The therapy of choice is radical excision of the affected region and immediate coverage by a transposition flap. Open granulation or split-skin grafting are inferior compared with a primary closure by transposition flap. Using the Limberg flap the donor site can be closed primarily.
Altmann
S
S
Klinik für Plastische-, Wiederherstellungs- und Handchirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg.
Fansa
H
H
Schneider
W
W
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001365:Axilla / Q000601:surgery; D005260:Female; D017497:Hidradenitis Suppurativa / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents