title: [Axillary hidradenitis suppurativa: a single-stage surgical treatment].
abstract: BACKGROUND
  Hidradenitis suppurativa is a chronic inflammatory disease, particularly incapacitating. Wide surgical excision of the whole affected skin is the only radical and successful treatment that can be offered. Coverage of the defect is then generally obtained with a split-thickness skin graft after a period of granulation. We expose a single-stage procedure which reduces the number of surgical times and the period of recovery.
  
  
  METHODS
  We have documented a series of five patients who underwent uni- (three cases) or bilateral (two cases) axillary hidradenitis suppurativa, between December 2008 and December 2009. Surgical procedure included excision of the lesions and coverage with a split-thickness skin graft. The graft was meshed in a ratio of 1.5:1, and secured with a negative-pressure dressing. This dressing, which provided a continuous subatmospheric pressure of -75 mmHg, was removed after five days. Then, complete healing was obtained with conventional vaseline gauze dressings.
  
  
  RESULTS
  After removal of the negative-pressure dressings, the graft take was 90% on average (80-100%). Complete healing was obtained within an average of 34 days (20-43 days), with a good quality of scar tissue, no retraction and no limitation of arm's abduction.
  
  
  CONCLUSIONS
  This technique, enabled by negative-pressure dressings, provides a quick and good quality healing, with only one surgical stage. It has many advantages: reduced morbidity, faster healing, higher level of patient's comfort, and lower costs.
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Roger Salengro, CHRU de Lille, 59037 Lille cedex, France. Electronic address: clotildecalibre@yahoo.fr.
authors.forename: C
authors.initials: C
authors.lastname: Calibre
authors.forename: A
authors.initials: A
authors.lastname: Bouhanna
authors.forename: J-P
authors.initials: JP
authors.lastname: Salmin
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.forename: M
authors.initials: M
authors.lastname: Benaïssa-Beck
authors.forename: C
authors.initials: C
authors.lastname: Bruant-Rodier
mesh_terms: D001365:Axilla / Q000601:surgery*; D017497:Hidradenitis Suppurativa / Q000601:surgery*; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy; D012189:Retrospective Studies; D013524:Surgical Flaps; D014945:Wound Healing