Young Sing Quillan, Mohammed Fayard, Mooteeram Justin, Blackburn Victor, Romany Stephen
General Hospital Port Of Spain, Trinidad, West Indies, Trinidad and Tobago.
JPRAS Open. 2017 Oct 25;15:25-31. doi: 10.1016/j.jpra.2017.10.003. eCollection 2018 Mar.
Hidradenitis Suppurativa (HS) is a chronic, recurrent, suppurative, cutaneous disease, manifested by abscesses, fistulating sinus tracts and scarring (Brown, Rosen, & Orengo, 1998). After failed conservative management, surgical excision is the only definitive option (Edlich et al 1986). There are several approaches to the excision and wound closure of axillary HS, mostly involving radical excision with associated risks of poor wound healing despite advanced wound closure techniques. We present a case series using the Modified Skoog approach for the management of axillary HS as a skin sparing technique that offers adequate wound healing, a short hospital stay and high patient satisfaction.
化脓性汗腺炎(HS)是一种慢性、复发性、化脓性皮肤病,表现为脓肿、瘘管性窦道和瘢痕形成(Brown、Rosen和Orengo,1998年)。保守治疗失败后,手术切除是唯一的确定性选择(Edlich等人,1986年)。对于腋窝HS的切除和伤口闭合有几种方法,尽管有先进的伤口闭合技术,但大多涉及根治性切除,存在伤口愈合不良的相关风险。我们展示了一组病例,采用改良Skoog方法治疗腋窝HS,作为一种保留皮肤的技术,该技术能实现充分的伤口愈合、缩短住院时间并提高患者满意度。