Bilali Sokol, Todi Vangjel, Lila Ali, Bilali Valbona, Habibaj Julian
General Surgery Clinic, University Hospital Center "Mother Teresa", Tirana, Albania.
Acta Chir Iugosl. 2012;59(2):91-5. doi: 10.2298/aci1202091b.
Verneuil disease, or perianal hidradenitis suppurativa (HS), is a chronic suppurative disease with a tendency to develop sinus formation, fibrosis, and sclerosis, having a great impact on quality of life. HS affect the apocrine sweat glands or sebaceous glands and may arise in each of the regions where the apocrine glands are prominent: the axilla, breast aureole, umbilicus, perineum, groin, and buttocks. We present here moderate and extensive HS cases, with their respective treatment methods and outcomes.
A retrospective review of 6 patients' medical records from January 2001 to December 2010.
The 6 patients underwent treatment for HS in the gluteal and perianal regions with surgical excision. Five of the patients were male (83%). The median age was 42.5 years. We performed a total of 8 operations on these patients. In 3 patients, the wound was left open for secondary healing, and the mean time for complete wound healing was 11.3 weeks (range: 9.5-19 weeks). Delayed skin grafting was used for 2 patients in whom the wounds had been left open after the first operation. In this group, complete wound healing took 2 months in total. One patient underwent primary wound closure using rotation flaps, with a complete healing time of 2 weeks. Successful treatment without recurrence was accomplished in 5 (83.3%) of the patients.
The conservative treatment methods had little effect, particularly on gluteal and perianal/perineal HS. The only successful treatment was wide surgical excision. Management of the wound after wide excision should be tailored to the individual patient.
韦尔内伊病，即肛周化脓性汗腺炎（HS），是一种慢性化脓性疾病，有形成窦道、纤维化和硬化的倾向，对生活质量有很大影响。HS影响顶泌汗腺或皮脂腺，可发生在顶泌腺突出的各个部位：腋窝、乳晕、脐部、会阴、腹股沟和臀部。我们在此介绍中度和重度HS病例及其各自的治疗方法和结果。
回顾性分析2001年1月至2010年12月6例患者的病历。
6例患者因臀部和肛周HS接受手术切除治疗。其中5例为男性（83%）。中位年龄为42.5岁。我们对这些患者共进行了8次手术。3例患者伤口敞开进行二期愈合，伤口完全愈合的平均时间为11.3周（范围：9.5 - 19周）。2例首次手术后伤口敞开的患者采用了延迟植皮。在这组患者中，伤口完全愈合共花费2个月。1例患者采用旋转皮瓣进行一期伤口闭合，完全愈合时间为2周。5例（83.3%）患者治疗成功且无复发。
保守治疗方法效果甚微，尤其是对臀部和肛周/会阴HS。唯一成功的治疗方法是广泛手术切除。广泛切除术后伤口的处理应根据个体患者进行调整。
