Choi Dylan G, Liao Christopher D, Krajewski Aleksandra
From the Division of Plastic and Reconstructive Surgery, Renaissance School of Medicine of Stony Brook University, Stony Brook, NY.
Plast Reconstr Surg Glob Open. 2025 Aug 4;13(8):e7040. doi: 10.1097/GOX.0000000000007040. eCollection 2025 Aug.
Hidradenitis suppurativa (HS) is a chronic inflammatory disease beginning with hyperkeratosis of the hair follicles in the dermis and leading to inflammation involving adjacent apocrine glands. HS has significant functional and psychological sequelae, but there is currently no standardized algorithm for treatment. For more severe cases of HS, wide surgical excision remains a standard method of treatment to address the underlying fibrosis and sinus tract formation. However, wide local excision to the subcutaneous fat often entails a multistage recovery and is associated with prolonged wound healing and hospitalization. In hopes of decreasing this burden of care and providing a less invasive method of surgical treatment, the authors propose a single-stage operation involving radical unroofing and deepithelialization with simultaneous split-thickness skin grafting.
化脓性汗腺炎（HS）是一种慢性炎症性疾病，始于真皮层毛囊的角化过度，并导致相邻顶泌汗腺发生炎症。HS具有显著的功能和心理后遗症，但目前尚无标准化的治疗方案。对于更严重的HS病例，广泛手术切除仍然是解决潜在纤维化和窦道形成的标准治疗方法。然而，广泛切除至皮下脂肪通常需要多阶段恢复，且与伤口愈合延长和住院时间延长相关。为了减轻这种护理负担并提供一种侵入性较小的手术治疗方法，作者提出了一种单阶段手术，包括根治性去顶和去上皮化，同时进行中厚皮片移植。
