TY - JOUR
T1 - Rectus abdominis flaps for the treatment of severe hidradenitis suppurativa requiring abdominoperineal resection, a case series
AU - Ovadja, Zachri N.
AU - van der Kar, Annekatrien L.
AU - de Roo, Marieke G.A.
AU - Tanis, Pieter J.
AU - Lapid, Oren
N1 - Publisher Copyright: © 2018, The Author(s).
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: The management of severe hidradenitis suppurativa with destruction of the perianal region can be challenging; local tissue may not be available for closure. Methods: Patients were managed by proctectomy and reconstruction with musculocutaneous flaps based on the rectus abdominis muscle (RAM). Results: Three patients were managed using this approach achieving closure without recurrence. Conclusion: RAM-based flaps provide a good reconstructive option in the management of patients with severe therapy-refractory hidradenitis suppurativa in the gluteal region, combined with severe perianal destruction. Level of Evidence: Level V, therapeutic study.
AB - Background: The management of severe hidradenitis suppurativa with destruction of the perianal region can be challenging; local tissue may not be available for closure. Methods: Patients were managed by proctectomy and reconstruction with musculocutaneous flaps based on the rectus abdominis muscle (RAM). Results: Three patients were managed using this approach achieving closure without recurrence. Conclusion: RAM-based flaps provide a good reconstructive option in the management of patients with severe therapy-refractory hidradenitis suppurativa in the gluteal region, combined with severe perianal destruction. Level of Evidence: Level V, therapeutic study.
KW - Hidradenitis suppurativa
KW - Inflammatory bowel diseases
KW - Laparoscopy
KW - Myocutaneous flap
KW - Negative-pressure wound therapy
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U2 - https://doi.org/10.1007/s00238-018-1484-2
DO - https://doi.org/10.1007/s00238-018-1484-2
M3 - Article
SN - 0930-343X
VL - 42
SP - 61
EP - 66
JO - European Journal of Plastic Surgery
JF - European Journal of Plastic Surgery
IS - 1
ER -