Split-thickness skin graft for repeated extensive hidradenitis suppurativa of axilla: Case report and literature review

Chin-Ta Lin, Shyi-Gen Chen, Niann-Tzyy Dai, Shun-Cheng Chang, Tim-Mo Chen

Research output: Contribution to journalArticle

Abstract

Hidradenitis suppurativa (HS) is a chronic relapsing disease that frequently causes disabling pain, diminished range of motion, and social isolation. In advanced cases of HS, aggressive excision of the involved apocrine tissue with subsequent reconstruction is the defi nitive treatment. Here, we present our recent experience of using split-thickness skin graft (STSG) for managing an extensive defect following wide surgical excision of axillary HS lesions. Adequate wide excision of the infected tissue ensures complete skin-graft take while allowing full shoulder mobility, thereby minimizing undesirable outcomes. No limitation of shoulder joint or disease recurrence was observed during one year of follow-up. This method has satisfactory aesthetic and functional results as well as low donor site morbidity for treatment of repeated extensive HS of axilla. © 2013 JMS.
Original languageEnglish
Pages (from-to)173-175
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number3
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Hidradenitis Suppurativa
Axilla
Transplants
Skin
Social Isolation
Shoulder Joint
Joint Diseases
Articular Range of Motion
Esthetics
Chronic Disease
Morbidity
Recurrence
Pain
Therapeutics

Keywords

  • Axillary skin defect
  • Hidradenitis suppurativa
  • Split-thickness skin graft
  • antibiotic agent
  • adult
  • antibiotic therapy
  • article
  • axillary suppurative hidradenitis
  • bacterium culture
  • case report
  • dermatome
  • disease course
  • disease duration
  • fasciocutaneous flap
  • follow up
  • graft survival
  • human
  • male
  • methicillin resistant Staphylococcus aureus
  • muscle contracture
  • recurrent disease
  • scar formation
  • skin function
  • split thickness skin graft
  • Staphylococcus infection
  • suppurative hidradenitis
  • surgical drainage
  • treatment outcome
  • wound care

Cite this

Split-thickness skin graft for repeated extensive hidradenitis suppurativa of axilla: Case report and literature review. / Lin, Chin-Ta; Chen, Shyi-Gen; Dai, Niann-Tzyy; Chang, Shun-Cheng; Chen, Tim-Mo.

In: Journal of Medical Sciences (Taiwan), Vol. 33, No. 3, 2013, p. 173-175.

Research output: Contribution to journalArticle

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title = "Split-thickness skin graft for repeated extensive hidradenitis suppurativa of axilla: Case report and literature review",
abstract = "Hidradenitis suppurativa (HS) is a chronic relapsing disease that frequently causes disabling pain, diminished range of motion, and social isolation. In advanced cases of HS, aggressive excision of the involved apocrine tissue with subsequent reconstruction is the defi nitive treatment. Here, we present our recent experience of using split-thickness skin graft (STSG) for managing an extensive defect following wide surgical excision of axillary HS lesions. Adequate wide excision of the infected tissue ensures complete skin-graft take while allowing full shoulder mobility, thereby minimizing undesirable outcomes. No limitation of shoulder joint or disease recurrence was observed during one year of follow-up. This method has satisfactory aesthetic and functional results as well as low donor site morbidity for treatment of repeated extensive HS of axilla. {\circledC} 2013 JMS.",
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author = "Chin-Ta Lin and Shyi-Gen Chen and Niann-Tzyy Dai and Shun-Cheng Chang and Tim-Mo Chen",
note = "Export Date: 21 March 2016 通訊地址: Chen, T.-M.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri- Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-gong Road, Taipei 114, Taiwan; 電子郵件: aarondakimo@yahoo.com.tw 參考文獻: Velpeau, A., Aissele, Dictionnaire de Medecine, un Repertoire General des Sciences Medicales sou la Rapport (1839) Theorique et Pratique, 2. , 2nd ed, Paris: Bechet Jeune;:91; Tanaka, A., Hatoko, M., Tada, H., Kuwahara, M., Mashiba, K., Yurugi, S., Experience with surgical treatment of hidradenitis suppurativa (2001) Ann Plast Surg, 47, pp. 636-642; Bohn, J., Svensson, H., Surgical treatment of hidradenitis suppurativa (2001) Scand J Plast Reconstr Surg Hand Surg, 35, pp. 305-309; Kagan, R.J., Yakuboff, K.P., Warner, P., Warden, G.D., Surgical treatment of hidradenitis suppurativa: A 10-year experience (2005) Surgery, 138, pp. 734-741; Mandal, A., Watson, J., Experience with different treatment modules in hidradenitis suppurativa: A study of 106 cases (2005) Surgeon, 3, pp. 23-26; Menderes, A., Sunay, O., Vayvada, H., Yilmaz, M., Surgical management of hidradenitis suppurativa (2010) Int J Med Sci, 7, pp. 240-247; B{\"u}y{\"u}kaşik, O., Hasdemir, A.O., Kahramansoy, N., {\cC}{\"o}l, C., Erkol, H., Surgical approach to extensive hidradenitis suppurativa (2011) Dermatol Surg, 37, pp. 835-842. , doi: 10.1111/j.1524-4725.2011.01961.x; Alharbi, Z., Kauczok, J., Pallua, N., A review of wide surgical excision of hidradenitis suppurativa (2012) BMC Dermatol, 12, p. 9. , doi: 10.1186/1471-5945-12-9; Ather, S., Chan, D.S.Y., Leaper, D.J., Harding, K.G., Surgical treatment of hidradenitis suppurativa: Case series and review of the literature (2006) Int Wound J, 3, pp. 159-169; Soldin, M.G., Tulley, P., Kaplan, H., Hudson, D.A., Grobbelaar, A.O., Chronic axillary hidradenitis-the effi cacy of wide excision and fl ap coverage (2000) Br J Plast Surg, 53, pp. 434-436; Schwabegger, A.H., Herczeg, E., Piza, H., The lateral thoracic fasciocutaneous island fl ap for treatment of recurrent hidradenitis axillaries suppurativa and other axillary skin defects (2000) Br J Plast Surg, 53, pp. 676-678; Sharma, R.K., Kapoor, K.M., Singh, G., Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement fl aps (2006) Indian J Plast Surg, 39, pp. 18-21; Chou, T.D., Chen, S.L., Lee, T.W., Chen, S.G., Cheng, T.Y., Lee, C.H., Chen, T.M., Wang, H.J., Reconstruction of burn scar of the upper extremities with artifi cial skin (2001) Plast Reconstr Surg., 108, pp. 378-384; Yazdanyar, S., Jemec, G.B., Hidradenitis suppurativa: A review of cause and treatment (2011) Curr Opin Infect Dis, 24, pp. 118-123. , doi: 10.1097/ QCO.0b013e3283428d07; Hynes, P.J., Earley, M.J., Lawlor, D., Split-thickness skin grafts and negative-pressure dressings in the treatment of axillary hidradenitis suppurativa (2002) Br J Plast Surg, 55, pp. 507-509; Andreassi, A., Bilenchi, R., Biagioli, M., D'Aniello, C., Classification and pathophysiology of skin grafts (2005) Clin Dermatol, 23, pp. 332-337",
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TY - JOUR

T1 - Split-thickness skin graft for repeated extensive hidradenitis suppurativa of axilla: Case report and literature review

AU - Lin, Chin-Ta

AU - Chen, Shyi-Gen

AU - Dai, Niann-Tzyy

AU - Chang, Shun-Cheng

AU - Chen, Tim-Mo

N1 - Export Date: 21 March 2016 通訊地址: Chen, T.-M.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri- Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-gong Road, Taipei 114, Taiwan; 電子郵件: aarondakimo@yahoo.com.tw 參考文獻: Velpeau, A., Aissele, Dictionnaire de Medecine, un Repertoire General des Sciences Medicales sou la Rapport (1839) Theorique et Pratique, 2. , 2nd ed, Paris: Bechet Jeune;:91; Tanaka, A., Hatoko, M., Tada, H., Kuwahara, M., Mashiba, K., Yurugi, S., Experience with surgical treatment of hidradenitis suppurativa (2001) Ann Plast Surg, 47, pp. 636-642; Bohn, J., Svensson, H., Surgical treatment of hidradenitis suppurativa (2001) Scand J Plast Reconstr Surg Hand Surg, 35, pp. 305-309; Kagan, R.J., Yakuboff, K.P., Warner, P., Warden, G.D., Surgical treatment of hidradenitis suppurativa: A 10-year experience (2005) Surgery, 138, pp. 734-741; Mandal, A., Watson, J., Experience with different treatment modules in hidradenitis suppurativa: A study of 106 cases (2005) Surgeon, 3, pp. 23-26; Menderes, A., Sunay, O., Vayvada, H., Yilmaz, M., Surgical management of hidradenitis suppurativa (2010) Int J Med Sci, 7, pp. 240-247; Büyükaşik, O., Hasdemir, A.O., Kahramansoy, N., Çöl, C., Erkol, H., Surgical approach to extensive hidradenitis suppurativa (2011) Dermatol Surg, 37, pp. 835-842. , doi: 10.1111/j.1524-4725.2011.01961.x; Alharbi, Z., Kauczok, J., Pallua, N., A review of wide surgical excision of hidradenitis suppurativa (2012) BMC Dermatol, 12, p. 9. , doi: 10.1186/1471-5945-12-9; Ather, S., Chan, D.S.Y., Leaper, D.J., Harding, K.G., Surgical treatment of hidradenitis suppurativa: Case series and review of the literature (2006) Int Wound J, 3, pp. 159-169; Soldin, M.G., Tulley, P., Kaplan, H., Hudson, D.A., Grobbelaar, A.O., Chronic axillary hidradenitis-the effi cacy of wide excision and fl ap coverage (2000) Br J Plast Surg, 53, pp. 434-436; Schwabegger, A.H., Herczeg, E., Piza, H., The lateral thoracic fasciocutaneous island fl ap for treatment of recurrent hidradenitis axillaries suppurativa and other axillary skin defects (2000) Br J Plast Surg, 53, pp. 676-678; Sharma, R.K., Kapoor, K.M., Singh, G., Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement fl aps (2006) Indian J Plast Surg, 39, pp. 18-21; Chou, T.D., Chen, S.L., Lee, T.W., Chen, S.G., Cheng, T.Y., Lee, C.H., Chen, T.M., Wang, H.J., Reconstruction of burn scar of the upper extremities with artifi cial skin (2001) Plast Reconstr Surg., 108, pp. 378-384; Yazdanyar, S., Jemec, G.B., Hidradenitis suppurativa: A review of cause and treatment (2011) Curr Opin Infect Dis, 24, pp. 118-123. , doi: 10.1097/ QCO.0b013e3283428d07; Hynes, P.J., Earley, M.J., Lawlor, D., Split-thickness skin grafts and negative-pressure dressings in the treatment of axillary hidradenitis suppurativa (2002) Br J Plast Surg, 55, pp. 507-509; Andreassi, A., Bilenchi, R., Biagioli, M., D'Aniello, C., Classification and pathophysiology of skin grafts (2005) Clin Dermatol, 23, pp. 332-337

PY - 2013

Y1 - 2013

N2 - Hidradenitis suppurativa (HS) is a chronic relapsing disease that frequently causes disabling pain, diminished range of motion, and social isolation. In advanced cases of HS, aggressive excision of the involved apocrine tissue with subsequent reconstruction is the defi nitive treatment. Here, we present our recent experience of using split-thickness skin graft (STSG) for managing an extensive defect following wide surgical excision of axillary HS lesions. Adequate wide excision of the infected tissue ensures complete skin-graft take while allowing full shoulder mobility, thereby minimizing undesirable outcomes. No limitation of shoulder joint or disease recurrence was observed during one year of follow-up. This method has satisfactory aesthetic and functional results as well as low donor site morbidity for treatment of repeated extensive HS of axilla. © 2013 JMS.

AB - Hidradenitis suppurativa (HS) is a chronic relapsing disease that frequently causes disabling pain, diminished range of motion, and social isolation. In advanced cases of HS, aggressive excision of the involved apocrine tissue with subsequent reconstruction is the defi nitive treatment. Here, we present our recent experience of using split-thickness skin graft (STSG) for managing an extensive defect following wide surgical excision of axillary HS lesions. Adequate wide excision of the infected tissue ensures complete skin-graft take while allowing full shoulder mobility, thereby minimizing undesirable outcomes. No limitation of shoulder joint or disease recurrence was observed during one year of follow-up. This method has satisfactory aesthetic and functional results as well as low donor site morbidity for treatment of repeated extensive HS of axilla. © 2013 JMS.

KW - Axillary skin defect

KW - Hidradenitis suppurativa

KW - Split-thickness skin graft

KW - antibiotic agent

KW - adult

KW - antibiotic therapy

KW - article

KW - axillary suppurative hidradenitis

KW - bacterium culture

KW - case report

KW - dermatome

KW - disease course

KW - disease duration

KW - fasciocutaneous flap

KW - follow up

KW - graft survival

KW - human

KW - male

KW - methicillin resistant Staphylococcus aureus

KW - muscle contracture

KW - recurrent disease

KW - scar formation

KW - skin function

KW - split thickness skin graft

KW - Staphylococcus infection

KW - suppurative hidradenitis

KW - surgical drainage

KW - treatment outcome

KW - wound care

U2 - 10.6136/JMS.2013.33(3).173

DO - 10.6136/JMS.2013.33(3).173

M3 - Article

VL - 33

SP - 173

EP - 175

JO - Journal of Medical Sciences

JF - Journal of Medical Sciences

SN - 1011-4564

IS - 3

ER -