Priesack W, Maroske D, Hamelmann H
Chirurg. 1984 May;55(5):343-6.
Acne conglobata - hidradenitis suppurativa - as a particular form of acne vulgaris is, in its pronounced, chronic progressive form, incontrollable by conservative means. Smaller foci of infection need only a local excision of skin and subcutis followed by primary wound closure or secondary healing. When large areas are involved, a generous excision including removal of the fistula system is followed by a 1-3 week intermediary phase with hydrotherapy and antiseptic local treatment. Clean granulation is waited upon and covered in a second session with a skin grafting. In the area of joints, a third session with flap-plastic under sterile conditions is necessary, if limitations to motility are present or are threatened by scar contracture. From 1975-1982, 14 patients with pronounced acne conglobata were successfully treated by a surgical procedure in multiple sittings. All patients could, in this manner, be rehabilitated both professionally and socially.
聚合性痤疮 - 化脓性汗腺炎 - 作为寻常痤疮的一种特殊形式，在其严重的慢性进行性形式下，保守治疗无法控制。较小的感染病灶只需局部切除皮肤和皮下组织，然后进行一期伤口缝合或二期愈合。当涉及大面积病变时，需进行广泛切除，包括切除瘘管系统，随后是为期1 - 3周的中间阶段，进行水疗和局部抗菌治疗。等待创面清洁肉芽形成，在第二次手术中进行植皮覆盖。在关节部位，如果存在活动受限或有瘢痕挛缩风险，在无菌条件下进行第三次皮瓣整形手术是必要的。1975年至1982年期间，14例严重聚合性痤疮患者通过多次手术成功治愈。通过这种方式，所有患者在职业和社交方面都得以康复。
