Division of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience; "Santa Maria alle Scotte" Hospital, Viale Bracci, University of Siena. Siena, Italy. .
2. Affilation: Department of Plastic Surgery, ASST Spedali Civili di Brescia, Brescia, Italy.
Acta Biomed. 2022 May 11;93(2):e2022064. doi: 10.23750/abm.v93i2.11930.
Hidradenitis suppurativa (HS) is a chronic and debilitating disease that primarily affects the axillary, inguinal and anogenital areas. The treatment requires wide surgical excision of the affected tissue with adequate free margins in order to avoid recurrence. However, axillary and inguinal regions reconstruction after HS excision still represents a big challenge; the large defect can be closed using flaps, which allows more rapid rehabilitation and minimizes the risk of later scar contracture. In this report is discussed our experience with reconstruction of severe bilateral hidradenitis lesions of the axillary and inguinal areas in a young woman. Bilateral thoracodorsal artery perforator flaps were used for the axillary reconstruction while profunda artery perforator flap and direct suture were used respectively for left and right inguinal region.
化脓性汗腺炎（HS）是一种慢性且使人虚弱的疾病，主要影响腋窝、腹股沟和肛门生殖器区域。治疗需要广泛切除受累组织，并保证足够的游离边缘，以避免复发。然而，HS 切除术后的腋窝和腹股沟区域的重建仍然是一个巨大的挑战；可以使用皮瓣来封闭大的缺损，这可以更快地康复，并最大限度地降低后期瘢痕挛缩的风险。在本报告中，我们讨论了在一名年轻女性中使用双侧胸背动脉穿支皮瓣重建严重双侧腋窝和腹股沟化脓性汗腺炎病变的经验。双侧胸背动脉穿支皮瓣用于腋窝重建，而左侧和右侧腹股沟区域分别使用旋股外侧动脉穿支皮瓣和直接缝合。
