Surgical approach to extensive hidradenitis suppurativa

dc.authorid0000-0001-8540-1935
dc.authorid0000-0002-1426-0247
dc.contributor.authorBüyükaşık, Oktay
dc.contributor.authorHasdemir, Ahmet Oğuz
dc.contributor.authorKahramansoy, Nurettin
dc.contributor.authorÇöl, Cavit
dc.contributor.authorErkol, Mehmet Hayri
dc.date.accessioned2021-06-23T19:28:04Z
dc.date.available2021-06-23T19:28:04Z
dc.date.issued2011
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKGROUND Hidradenitis suppurativa (HS) is a chronic suppurative disease of skin with high recurrence. OBJECTIVE To determine factors affecting complications and recurrence of HS in patients who underwent surgery. MATERIALS AND METHODS We operated on 15 patients with HS at 36 sites between 1999 and 2009. The affected areas were classified as groin, axilla, buttocks, nuchae, perianal, and perineal. All patients were treated using wide surgical excision under general anesthesia. The methods of reconstruction varied depending on the size and location of the defect. RESULTS The female:male ratio of patients was 4:11. Mean age was 41.8 +/- 10.6. Twenty-eight (77%) of the lesions were Stage III according to Hurley's staging system. Mean follow-up was 42 months. Radical excision was performed on all lesions; 20 were reconstructed with primary closure, nine with fasciocutaneous flaps, and five with split-thickness skin grafts. The overall complication rate was 25% (9/36) and complications occurred mostly in perineal, perianal, and buttocks sites. Two (5.5%) recurrences were seen only in buttocks site. CONCLUSION To prevent complication, avoid recurrence of HS, and improve patients' quality of life, early and wide surgical excision is important and effective. The recurrence and complications are mostly related to the location of the disease. The authors have indicated no significant interest with commercial supporters.en_US
dc.identifier.doi10.1111/j.1524-4725.2011.01961.x
dc.identifier.endpage842en_US
dc.identifier.issn1076-0512
dc.identifier.issue6en_US
dc.identifier.pmid21605246en_US
dc.identifier.scopus2-s2.0-79959855558en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage835en_US
dc.identifier.urihttps://doi.org/10.1111/j.1524-4725.2011.01961.x
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6945
dc.identifier.volume37en_US
dc.identifier.wosWOS:000290871300017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBüyükaşık, Oktay
dc.institutionauthorKahramansoy, Nurettin
dc.institutionauthorÇöl, Cavit
dc.institutionauthorErkol, Hayri
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofDermatologic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHidradenitis Suppurativaen_US
dc.titleSurgical approach to extensive hidradenitis suppurativaen_US
dc.typeArticleen_US

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