Bieniek Andrzej, Majda Filip, Chlebicka Iwona, Knecht-Gurwin Klaudia, Szepietowski Jacek C
University Center for General and Oncological Dermatology, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Regional Specialist Health Care Center-Diabetology Clinic, Dobrzyńska 21/23, 50-403 Wroclaw, Poland.
J Clin Med. 2025 Aug 22;14(17):5945. doi: 10.3390/jcm14175945.
: Surgical excision of axillary hidradenitis suppurativa (HS) often results in challenging defects. While flap techniques offer durable coverage, they are typically invasive. We present a modified method combining peripheral defect reduction with two sliding triangular island flaps from the arm and chest, designed to optimize healing with minimal invasiveness. Twelve patients (Hurley II-III) underwent excision and dual V-Y advancement flap reconstruction. Flaps were mobilized without perforator dissection. Outcomes were assessed using patient and surgeon Likert-scale ratings at one and six months. Good healing was achieved in 91.7% of cases. Both patient acceptance and cosmetic outcomes were favorable (83.3%). No major complications were noted; one recurrence (8.3%) occurred at six months. The described technique offers a safe, effective, and cosmetically favorable option for medium-sized axillary HS defects. It provides a less invasive alternative to conventional flaps, with high healing rates and patient acceptance.
化脓性汗腺炎（HS）的手术切除通常会导致具有挑战性的缺损。虽然皮瓣技术能提供持久的覆盖，但通常具有侵入性。我们提出一种改良方法，将周边缺损缩小与来自手臂和胸部的两个滑动三角形岛状皮瓣相结合，旨在以最小的侵入性优化愈合。12例（Hurley II - III级）患者接受了切除及双V - Y推进皮瓣重建术。皮瓣在不进行穿支解剖的情况下进行转移。在1个月和6个月时，使用患者和外科医生的李克特量表评分评估结果。91.7%的病例实现了良好愈合。患者接受度和美容效果均良好（83.3%）。未发现重大并发症；6个月时出现1例复发（8.3%）。所描述的技术为中等大小的腋窝HS缺损提供了一种安全、有效且美容效果良好的选择。它为传统皮瓣提供了一种侵入性较小的替代方法，具有高愈合率和患者接受度。
