A two-stage technique using a bovine dermal substitute to treat axillary hidradenitis

Iida, Naoshige; Fukushima, Kazumi; Kanzaki, Atsuko

doi:10.1007/s00238-005-0784-5

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Hynes et al [ 20 ] demonstrated the use of Topical Negative Pressure dressing in conjunction with STSG and report favourable outcomes with no limitation of arm movement when compared to the contralateral side. Another study demonstrated the use of artificial skin (Terudermis, Terumo Corporation, Tokyo, Japan) whilst awaiting skin granulation after resection in the first stage and the use of STSG for closure in the second stage [ 21 ]. The 2-staged procedure with the use of artificial skin was superior to straight STSG repairs.…”

Section: Discussionmentioning

confidence: 99%

Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty Effect

et al. 2017

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BackgroundHidradenitis suppurativa (HS) is a chronic skin condition that can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum and perianal areas. In this study we performed a literature review on the surgical methods for HS and describe an innovative technique for reconstructing axilla HS using an inner-arm transposition flap.MethodsWe reviewed all cases (5 cases from 4 patients) of transposition flap reconstruction performed by the senior author at a single London tertiary hospital from 2008–2013. Patient related outcome measures were collected using the Derriford appearance scale (DAS 24) and a study specific questionnaire.ResultsAll patients were satisfied with their final result. One out of five cases had a complication but did not result in flap failure. There is no disease recurrence to date. DAS 24 scores collected demonstrated acceptable postoperative distress that did not deviate far from the norm tables while study specific questionnaire reveal desirable outcomes.ConclusionsWe have managed to achieve our aim through the use of the innovative inner-arm transposition flap. Our study hopes to provide an additional technique for axillary reconstruction. This technique offers the effective concealment of scars with the benefit of tightening of the arm tissue producing ‘brachioplasty like’ effects. All things considered it would be reasonable to conclude the innovative flap technique is a reliable, effective, and simple method that results in multiple benefits.

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Section: Discussionmentioning

confidence: 99%

Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty Effect

et al. 2017

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“…Iida et al reported a two-stage procedure using a bovine dermal substitute (Terudermis, Terumo Corporation, Japan) following wide excision of axillary HS in three patients. 25 Gonzaga et al took a similar two-stage approach in four patients using a bi-layer dermal matrix (Integra, Integra Life Sciences Corporation, US), but included NPWT to aid regeneration of the neodermis, prior to STSG. 26 The largest case report included 18 patients (33 lesions) using a bi-layer dermal matrix (Integra) followed by STSG, though local infection was observed in 45% of patients following use of the bi-layer dermal matrix.…”

Section: Discussionmentioning

confidence: 99%

Extracellular matrix graft for the surgical management of Hurley stage III hidradenitis suppurativa: a pilot case series

Chaffin

Buckley

2020

J Wound Care

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Objective: Surgical management of Hurley stage III hidradenitis suppurativa (HS) typically involves the excision of diseased tissue and subsequent reconstruction, potentially leading to complications or recurrence of the disease. This pilot case series sought to evaluate a decellularised ovine forestomach matrix (OFM) extracellular matrix (ECM) graft for soft tissue regeneration as part of surgical reconstruction of stage III HS of the axilla. Method: The prospective pilot case series involved six participants and a total of eight defects. The ECM graft was used either as a dermal substitute for a staged reconstruction (n=3 defects) or as an implant under a fasciocutaneous flap (n=5 defects) following wide excision of the diseased tissue. Results: In all cases complete healing was achieved, with no major surgical complications. When used as a dermal substitute the OFM graft was completely granulated within 2–4 weeks, with defects closing by secondary intention or following placement of a split-thickness skin graft. When used as an implant beneath a fasciocutaneous flap, healing of the surgical sites was observed after 1–3 months. At the long-term follow-up (3–12 months), all participants had excellent range of motion and none had reported disease recurrences. Conclusion: This pilot case series explored the implementation of an ECM graft as part of the surgical management of axilla Hurley stage III HS. Although the study had a limited number of participants, long-term outcomes were promising and suggest further studies are warranted.

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Skin Replacement in Burn Wounds

Brusselaers

Pirayesh

Hoeksema

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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A two-stage technique using a bovine dermal substitute to treat axillary hidradenitis

Cited by 3 publications

References 17 publications

Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty Effect

Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty Effect

Extracellular matrix graft for the surgical management of Hurley stage III hidradenitis suppurativa: a pilot case series

Skin Replacement in Burn Wounds

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