Polidori G, Renard Y, Lorimier S, Pron H, Derruau S, Taiar R
GRESPI, EA 4694, Research Group in Engineering Sciences, University of Reims, Reims, France.
Department of General, Digestive and Endocrine Surgery, Reims University Hospital, Reims, France.
Int J Surg Case Rep. 2017;34:56-59. doi: 10.1016/j.ijscr.2017.03.015. Epub 2017 Mar 16.
The purpose of this case report is to highlight for the first time the way Medical Infrared Thermography can be a helpful tool to assist the surgeon in the surgical treatment of Hidradenitis Suppurativa inflammatory disease.
A 36-year-old man with a 7-year history of Hidradenitis Suppurativa presented inflammatory nodules in the left axilla area corresponding to Hurley stage II. Choice is made to surgically treat this patient using a wide excision protocol combined with a postoperative second intention healing. For the study purpose, an IR FLIR SC620 camera (FLIR Systems, Wilsonville, OR), having a high resolution pixel detector of 640×480 pixels for greater accuracy and higher resolution, has been used.
For the first time in the literature, this case report on HS disease supports the idea that real-time medical infrared thermography may be helpful in establishing the true extent of disease preoperatively in the surgical room and in a similar manner, that this technique allows the surgeon to ensure all diseased lesions are removed during surgery.
At least, medical infrared thermography seems to be a powerful tool to control the final wide surgical wound, in order to minimize recurrence risk of such a disease.
本病例报告的目的是首次强调医学红外热成像技术如何能够成为一种有用的工具，辅助外科医生对化脓性汗腺炎炎症性疾病进行手术治疗。
一名患有化脓性汗腺炎7年的36岁男性，其左腋窝区域出现符合Hurley II期的炎性结节。决定采用广泛切除方案结合术后二期愈合的方式对该患者进行手术治疗。为了进行研究，使用了一台IR FLIR SC620相机（FLIR Systems，威尔逊维尔，俄勒冈州），该相机具有640×480像素的高分辨率像素探测器，以实现更高的准确性和分辨率。
本关于化脓性汗腺炎疾病的病例报告首次在文献中支持了这样一种观点，即实时医学红外热成像技术可能有助于在手术室术前确定疾病的真实范围，并且同样地，该技术能让外科医生确保在手术过程中切除所有患病病变。
至少，医学红外热成像技术似乎是控制最终广泛手术伤口的有力工具，以便将此类疾病的复发风险降至最低。
