Department of Dermatology, Medical University, Wrocław, Poland.
Dermatol Surg. 2010 Dec;36(12):1998-2004. doi: 10.1111/j.1524-4725.2010.01763.x. Epub 2010 Oct 7.
To describe our own surgical techniques of wound closure in pubic and armpit areas in the treatment of hidradenitis suppurativa (HS) and to analyze surgical procedures performed with regard to complications, tolerance, and factors influencing recurrence rate.
Between 1999 and 2009, 118 operations were performed on 57 patients with HS. Surgical procedures included local excision of involved tissue and different methods of wound closure, including those of our own design such as the "star-like" technique and "pubic flaps." Treatment tolerance was evaluated 3 months after surgery, and efficacy was evaluated after 24 months.
Forty-four (77.2%) patients showed good tolerance of the operation and during the postoperative period, whereas only one individual (1.8%) reported unsatisfactory tolerance. Of all patients, 51 (89.5%) expressed willingness to undergo additional surgery in the event of lesion recurrence. During the 2-year follow-up period, complete recovery was observed in 34 (59.7%) patients, partial recovery in 18 (31.6%), and no improvement in five (8.8%). Factors influencing recurrence rate were number of skin areas affected by HS lesions and disease duration.
Surgical treatment of HS is effective and well tolerated. In selected cases, our own techniques of surgical wound closure accelerated healing and improved results.
描述我们在治疗化脓性汗腺炎（HS）时在耻骨和腋窝区域进行伤口闭合的手术技术，并分析手术操作中与并发症、耐受性和影响复发率的因素相关的内容。
1999 年至 2009 年间，57 例 HS 患者接受了 118 次手术。手术包括切除受累组织和不同的伤口闭合方法，包括我们自己设计的“星形”技术和“耻骨皮瓣”等方法。术后 3 个月评估治疗耐受性，24 个月后评估疗效。
44 例（77.2%）患者对手术和术后期间具有良好的耐受性，而仅有 1 例（1.8%）报告耐受性不佳。所有患者中，有 51 例（89.5%）表示愿意在病变复发时接受额外手术。在 2 年的随访期间，34 例（59.7%）患者完全恢复，18 例（31.6%）部分恢复，5 例（8.8%）无改善。影响复发率的因素是 HS 病变影响的皮肤面积数和疾病持续时间。
手术治疗 HS 是有效且耐受性良好的。在选择的病例中，我们自己的手术伤口闭合技术加速了愈合并改善了结果。
