Fast Five Quiz: Hidradenitis Suppurativa Management

William D. James, MD


January 27, 2023

The size and location of the defect determines the method of reconstruction following surgical intervention for hidradenitis suppurativa. When lesions cannot be completely resected, a reliable musculocutaneous perforator flap based on the musculocutaneous branches of the thoracodorsal vessels is recommended. This option is appropriate for covering the axillary vessels and aesthetics of the axilla.

Secondary intention healing may be an option following excision and may result in a superior scar appearance than that obtained by skin grafting.

Negative pressure dressings are useful for treating wounds that necessitate closure with skin grafts.

Learn more about surgical techniques for hidradenitis suppurativa.


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