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J Plast Reconstr Aesthet Surg. 2015 Sep;68(9):1268-75. doi: 10.1016/j.bjps.2015.05.025. Epub 2015 May 29.

Promising long-term outcomes of the reused skin-graft technique for chronic gluteal hidradenitis suppurativa.

Author information

1
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo, Kita-15 Nishi-7, Kita-ku, Sapporo City, Hokkaido 060-8638, Japan. Electronic address: takumaeda1105@yellow.plala.or.jp.
2
Department of Plastic and Reconstructive Surgery, Hakodate General Central, Hospital at Hakodate, 33-2 Honmachi, Hakodate City, Hokkaido 041-0011, Japan.
3
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo, Kita-15 Nishi-7, Kita-ku, Sapporo City, Hokkaido 060-8638, Japan.

Abstract

BACKGROUND:

The reused skin-graft technique can be used to treat chronic gluteal hidradenitis suppurativa, but long-term outcomes and the reliability of the technique have not been reported.

METHODS:

In a retrospective review of 18 men with chronic gluteal hidradenitis suppurativa (age range, 18-68 years) treated with a reused skin graft between June 2004 and March 2012, we evaluated disease severity (Hurley classification system), skin-graft thickness, the need for an additional normal skin graft, histological findings and recurrence rate at the surgical site.

RESULTS:

The mean duration of follow-up was 61.3 months (range, 17-113 months). Five cases were classified into severity group I, 12 cases into severity group II and one case into severity group III. The range of skin-graft thicknesses was 0.013-0.020 inches. An additional donor site was unnecessary in 10 cases (three cases in group I (60%) and seven cases in group II (58.3%)). Histological examination indicated that a buried epidermal cyst could cause chronic gluteal hidradenitis suppurativa recurrence, although none of the patients experienced recurrence at the surgical site during follow-up.

CONCLUSION:

The reused skin-graft technique is reliable for chronic gluteal hidradenitis suppurativa resection, and it shows promising long-term outcomes.

KEYWORDS:

Chronic gluteal hidradenitis suppurativa; Hurley classification system; Long-term outcomes; Recurrence; Reused skin-graft technique

PMID:
26084762
DOI:
10.1016/j.bjps.2015.05.025
[Indexed for MEDLINE]

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