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

A two-stage technique using a bovine dermal substitute to treat axillary hidradenitis Axillary hidradenitis suppurativa cannot be cured by conservative therapy or by incision and drainage. Total resection of the lesion, including the hair-bearing area of axilla, is required for its radical treatment. The extensive skin defect, created by resection of the lesion, needs to be dealt with by functional reconstruction, taking into account that this area is involved in shoulder movement. Three cases of axillary hidradenitis suppurativa were recently treated using a two-stage operation, i.e., total resection of the hair-bearing area of axilla and covering of the skin defect with artificial skin at the first stage followed by 10/1,000 in. split-thickness skin grafting at the second stage. The artificial skin, which was used is Terudermis (Terumo Corporation, Tokyo, Japan), is a bovine dermal substitute with a silicon sheath. After surgery, there was no scar contraction of the skin-grafted area. The reconstructed axilla retained an appropriate contour and was aesthetically satisfactory. Closure of the defect could be done safely in an infection free state. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

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

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Publisher
Springer Journals
Copyright
Copyright © 2005 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-005-0784-5
Publisher site
See Article on Publisher Site

Abstract

Axillary hidradenitis suppurativa cannot be cured by conservative therapy or by incision and drainage. Total resection of the lesion, including the hair-bearing area of axilla, is required for its radical treatment. The extensive skin defect, created by resection of the lesion, needs to be dealt with by functional reconstruction, taking into account that this area is involved in shoulder movement. Three cases of axillary hidradenitis suppurativa were recently treated using a two-stage operation, i.e., total resection of the hair-bearing area of axilla and covering of the skin defect with artificial skin at the first stage followed by 10/1,000 in. split-thickness skin grafting at the second stage. The artificial skin, which was used is Terudermis (Terumo Corporation, Tokyo, Japan), is a bovine dermal substitute with a silicon sheath. After surgery, there was no scar contraction of the skin-grafted area. The reconstructed axilla retained an appropriate contour and was aesthetically satisfactory. Closure of the defect could be done safely in an infection free state.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2005

References

  • Endocrine basis for the clinical presentation of hidradenitis suppurativa
    Harrison, BJ; Read, GF; Hughes, LE
  • Maxillary growth following atelocollagen implantation on mucoperiosteal denudation of the palatal process in young rabbits: implications for clinical cleft palate repair
    Fujioka, M; Fujii, T

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