Hidradenitis Suppurativa: Combined Treatment with Dermal Template, Skin Graft and Negative Pressure Wound Therapy, a Case Study

Authors

  • Luís Mata Ribeiro Serviço de Cirurgia Plástica, Reconstrutiva e Estética. Hospital São José. Centro Hospitalar Lisboa Central. Lisboa.
  • Ana Silva Guerra Serviço de Cirurgia Plástica, Reconstrutiva e Estética. Hospital São José. Centro Hospitalar Lisboa Central. Lisboa. Serviço de Cirurgia Plástica, Reconstrutiva e Estética. Hospital CUF Descobertas. Lisboa.

DOI:

https://doi.org/10.20344/amp.8656

Keywords:

Hidradenitis Suppurativa, Negative-Pressure Wound Therapy, Skin Transplantation

Abstract

Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to describe our two-stage reconstructive procedure regarding this kind of disease. We present a clinical case of a patient with severe, bilateral axillary hidrosadenitis. In the first surgical step we excised the lesions and applied the artificial dermis secured with negative pressure wound therapy. In the second step we used a split thickness skin graft to close the wound and again applied negative pressure wound therapy. The graft take was very good, without complications. The cosmetic outcome is acceptable and shoulder mobility was not compromised. No recurrence was detected (nine months follow up).

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Author Biography

Luís Mata Ribeiro, Serviço de Cirurgia Plástica, Reconstrutiva e Estética. Hospital São José. Centro Hospitalar Lisboa Central. Lisboa.

3rd Year Resident

Plastic Surgery Department

Hospital São José, Centro Hospitalar Lisboa Central

Published

2018-01-31

How to Cite

1.
Ribeiro LM, Guerra AS. Hidradenitis Suppurativa: Combined Treatment with Dermal Template, Skin Graft and Negative Pressure Wound Therapy, a Case Study. Acta Med Port [Internet]. 2018 Jan. 31 [cited 2024 Nov. 8];31(1):59-62. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8656

Issue

Section

Case Report