Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)

Summary:. Stage IV hidradenitis suppurativa in the axilla is a chronic disease in which the removal of the affected area and a reconstruction with disease free skin is the definitive treatment; however there is some controversy about the technique to be used in this reconstruction. Studies show supe...

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Main Authors:	Jorge M. Rodriguez, MD, Felipe Rodriguez, MD, Daniel Rivera, MD, Karol Naranjo, MD
Format:	Article
Language:	English
Published:	Wolters Kluwer 2019-02-01
Series:	Plastic and Reconstructive Surgery, Global Open
Online Access:	http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002096

id	doaj-bba196f497354ed0afc0e157d6f4b580
record_format	Article
spelling	doaj-bba196f497354ed0afc0e157d6f4b5802020-11-25T01:23:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-02-0172e209610.1097/GOX.0000000000002096201902000-00031Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)Jorge M. Rodriguez, MD0Felipe Rodriguez, MD1Daniel Rivera, MD2Karol Naranjo, MD3From the Department of Plastic Surgery, San Vicente Fundacion Hospital, Rionegro, ColombiaFrom the Department of Plastic Surgery, San Vicente Fundacion Hospital, Rionegro, Colombia†Department of Plastic Surgery, Nueva Granada Military Hospital, Bogota, Colombia‡Department of Plastic Surgery, SOMER Clinic, Rionegro, Colombia.Summary:. Stage IV hidradenitis suppurativa in the axilla is a chronic disease in which the removal of the affected area and a reconstruction with disease free skin is the definitive treatment; however there is some controversy about the technique to be used in this reconstruction. Studies show superiority in wide resections, and coverage with flaps rather than grafts. The use of pedicle flaps of lateral thoracic artery perforators and thoracodorsal artery perforators has demonstrated superior performance to other techniques in postsurgical follow-up. This article describes the cases of 2 patients with chronic HS in which lesions were resected with disease-free margins and the reconstruction of the defect is carried out with lateral thoracic wall perforator flaps and the subsequent improvement in their life quality after surgery.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002096
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Jorge M. Rodriguez, MD Felipe Rodriguez, MD Daniel Rivera, MD Karol Naranjo, MD
spellingShingle	Jorge M. Rodriguez, MD Felipe Rodriguez, MD Daniel Rivera, MD Karol Naranjo, MD Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators) Plastic and Reconstructive Surgery, Global Open
author_facet	Jorge M. Rodriguez, MD Felipe Rodriguez, MD Daniel Rivera, MD Karol Naranjo, MD
author_sort	Jorge M. Rodriguez, MD
title	Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)
title_short	Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)
title_full	Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)
title_fullStr	Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)
title_full_unstemmed	Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)
title_sort	treatment of hidradenitis suppurativa with extensive resection of the lesion and coverage with perforator flaps of the lateral thoracic wall (lateral thoracic artery, thoracodorsal artery perforators)
publisher	Wolters Kluwer
series	Plastic and Reconstructive Surgery, Global Open
issn	2169-7574
publishDate	2019-02-01
description	Summary:. Stage IV hidradenitis suppurativa in the axilla is a chronic disease in which the removal of the affected area and a reconstruction with disease free skin is the definitive treatment; however there is some controversy about the technique to be used in this reconstruction. Studies show superiority in wide resections, and coverage with flaps rather than grafts. The use of pedicle flaps of lateral thoracic artery perforators and thoracodorsal artery perforators has demonstrated superior performance to other techniques in postsurgical follow-up. This article describes the cases of 2 patients with chronic HS in which lesions were resected with disease-free margins and the reconstruction of the defect is carried out with lateral thoracic wall perforator flaps and the subsequent improvement in their life quality after surgery.
url	http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002096
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Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)

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