A one-stage radical surgical treatment of hidradenitis suppurativa of stage III by the Hurley classification of axillary location with wound plastic surgery using a posterior shoulder flap (a clinical case)
https://doi.org/10.25199/2408-9613-2024-11-2-36-43
Abstract
Hidradenitis suppurativa (acne inversa) is a chronic inflammatory skin disease that affects terminal hair follicles in the area of apocrine sweat glands. The disease is manifested by the formation of recurrent inflammatory nodes with purulent discharge, prone to the formation of fistulas and scars. The axillary region is one of the common affected areas.
The article presented a clinical case of radical surgical management of hidradenitis suppurativa of stage III by the Hurley classification. The described surgical treatment included extensive resection of pathologically changed soft tissues of the axillary region with simultaneous wound repair using a displaced fascio-cutaneous flap taken from the posterior surface of the shoulder.
Keywords
About the Authors
A. V. KuznetsovRussian Federation
Anton V. Kuznetsov – MD, surgeon, orthopedist-traumatologist at the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
A. A. Plotnikov
Russian Federation
Alexey A. Plotnikov – MD, surgeon at the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
V. N. Obolenskiy
Russian Federation
Vladimir N. Obolenskiy – MD, Cand. Sc. (Med.), surgeon, orthopedisttraumatologist, head of the Center for Purulent Surgery; Associate Professor at the department of general surgery, Faculty of Medicine
1/1 Velozavodskaya Str., Moscow, 115280;
1 Ostrovityanova Str., Moscow, 117513
A. S. Pirogova
Russian Federation
Anna S. Pirogova – MD, postgraduate student at the department of skin and venereal diseases; assistant at the department of dermatology and cosmetology
2/1 Barrikadnaya Str., Moscow, 125993;
8/2 Trubetskaya Str., Moscow 119048
N. P. Teplyuk
Russian Federation
Natalia P. Teplyuk – MD, Dr. Sci. (Med.), Professor at the department of skin and venereal diseases
8/2 Trubetskaya Str., Moscow 119048
P. Sh. Leval
Russian Federation
Pulad Sh. Leval – MD, surgeon, orthopedist-traumatologist, head of the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
O. V. Grabovskaya
Russian Federation
Olga V. Grabovskaya – MD, Cand. Sc. (Med.), Professor at the department of skin and venereal diseases
8/2 Trubetskaya Str., Moscow 119048
A. A. Konnov
Russian Federation
Andrey A. Konnov – MD, orthopedist-traumatologist at the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
A. T. Urmancheeva
Russian Federation
Alina T. Urmancheeva – MD, orthopedist-traumatologist at the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
M. A. Kuligina
Russian Federation
Margarita A. Kuligina – MD, surgeon at the department of purulent surgery
1/1 Velozavodskaya Str., Moscow, 115280
G. A. Grigoryan
Russian Federation
Grair A. Grigoryan – MD, orthopedist-traumatologist at the department of traumatology; postgraduate student at the department of traumatology and orthopedics
1/1 Velozavodskaya Str., Moscow, 115280;
8 Miklukho-Maklaya Str., Moscow, 117198
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Review
For citations:
Kuznetsov A.V., Plotnikov A.A., Obolenskiy V.N., Pirogova A.S., Teplyuk N.P., Leval P.Sh., Grabovskaya O.V., Konnov A.A., Urmancheeva A.T., Kuligina M.A., Grigoryan G.A. A one-stage radical surgical treatment of hidradenitis suppurativa of stage III by the Hurley classification of axillary location with wound plastic surgery using a posterior shoulder flap (a clinical case). Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2024;11(2):36-43. (In Russ.) https://doi.org/10.25199/2408-9613-2024-11-2-36-43