Staged Ablation and Complex Reconstruction of Extensive Perineal Hidradenitis Suppurativa

Michael R DeLong and Salah Rubayi

Department of Surgery, University of California at Los Angeles, California, USA
Department of Surgery, Rancho Los Amigos National Rehabilitation Center, California, USA

^*Correspondance to: Salah Rubayi 

 PDF  Full Text DOI: 10.25107/2474-1647.2040

Abstract

Hidradenitis Suppurative (HS) is a potentially debilitating chronic inflammatory condition affecting apocrine gland-bearing tissue found in the axilla and perineum. We describe the staged ablation and complex reconstruction of extensive HS involving the perineum, gluteus, scrotum, and perianal region in a paraplegic patient. Complete eradication of the disease required diverting colostomy, anal closure, and extensive subcutaneous tissue excision. At a second stage, reconstruction was performed with bilateral gluteal advancement flaps to cover the rectal stump, a rotation medial thigh fasciocutaneous flap to provide durable coverage for the perineum, and split thickness skin grafting to reconstruct the scrotum and denuded gluteal muscle. With this technique, the patient was successfully cured of his HS and was provided an excellent reconstruction.

Keywords

Cite the article

DeLong MR, Rubayi S. Staged Ablation and Complex Reconstruction of Extensive Perineal Hidradenitis Suppurativa. Clin Surg. 2018; 3: 2040.