Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000300150 |
Resumo: | ABSTRACT Objective: to evaluate the primary outcome of local complications and late recurrence in patients with hidradenitis suppurativa undergoing radical resection and specific reconstruction. Methods: we conducted a retrospective analysis of the medical records of patients attended by the Plastic Surgery Service of the Clinics Hospital, Medical School, USP, between 2010 and 2016. We included patients who underwent radical resection of hidradenitis suppurativa in advanced stage and reconstruction through primary closure, grafts or flaps. Results: we analyzed 34 lesions in 19 patients, of which 64.5% had local complications, though with 73.5% efficient healing after 12 weeks postoperatively. We observed late recurrence in 47%, but in isolation, 22.2% of the reconstructions with locoregional flaps had recurrence after one year. Conclusion: extensive and radical resection of the disease associated with locoregional flap coverage (pedicled or perforating) has been shown to be the best management in terms of late results. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of resultsHidradenitis SuppurativaSurgical FlapsFolliculitisCutaneous FistulaSkin AbnormalitiesReconstruction.ABSTRACT Objective: to evaluate the primary outcome of local complications and late recurrence in patients with hidradenitis suppurativa undergoing radical resection and specific reconstruction. Methods: we conducted a retrospective analysis of the medical records of patients attended by the Plastic Surgery Service of the Clinics Hospital, Medical School, USP, between 2010 and 2016. We included patients who underwent radical resection of hidradenitis suppurativa in advanced stage and reconstruction through primary closure, grafts or flaps. Results: we analyzed 34 lesions in 19 patients, of which 64.5% had local complications, though with 73.5% efficient healing after 12 weeks postoperatively. We observed late recurrence in 47%, but in isolation, 22.2% of the reconstructions with locoregional flaps had recurrence after one year. Conclusion: extensive and radical resection of the disease associated with locoregional flap coverage (pedicled or perforating) has been shown to be the best management in terms of late results.Colégio Brasileiro de Cirurgiões2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000300150Revista do Colégio Brasileiro de Cirurgiões v.45 n.3 2018reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20181719info:eu-repo/semantics/openAccessMENDES,ROGÉRIO RAFAEL DA SILVAZATZ,RAFAEL FERREIRAMODOLIN,MIGUEL LUIZ ANTONIOBUSNARDO,FÁBIO DE FREITASGEMPERLI,ROLFeng2018-06-14T00:00:00Zoai:scielo:S0100-69912018000300150Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-06-14T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
title |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
spellingShingle |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results MENDES,ROGÉRIO RAFAEL DA SILVA Hidradenitis Suppurativa Surgical Flaps Folliculitis Cutaneous Fistula Skin Abnormalities Reconstruction. |
title_short |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
title_full |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
title_fullStr |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
title_full_unstemmed |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
title_sort |
Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results |
author |
MENDES,ROGÉRIO RAFAEL DA SILVA |
author_facet |
MENDES,ROGÉRIO RAFAEL DA SILVA ZATZ,RAFAEL FERREIRA MODOLIN,MIGUEL LUIZ ANTONIO BUSNARDO,FÁBIO DE FREITAS GEMPERLI,ROLF |
author_role |
author |
author2 |
ZATZ,RAFAEL FERREIRA MODOLIN,MIGUEL LUIZ ANTONIO BUSNARDO,FÁBIO DE FREITAS GEMPERLI,ROLF |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
MENDES,ROGÉRIO RAFAEL DA SILVA ZATZ,RAFAEL FERREIRA MODOLIN,MIGUEL LUIZ ANTONIO BUSNARDO,FÁBIO DE FREITAS GEMPERLI,ROLF |
dc.subject.por.fl_str_mv |
Hidradenitis Suppurativa Surgical Flaps Folliculitis Cutaneous Fistula Skin Abnormalities Reconstruction. |
topic |
Hidradenitis Suppurativa Surgical Flaps Folliculitis Cutaneous Fistula Skin Abnormalities Reconstruction. |
description |
ABSTRACT Objective: to evaluate the primary outcome of local complications and late recurrence in patients with hidradenitis suppurativa undergoing radical resection and specific reconstruction. Methods: we conducted a retrospective analysis of the medical records of patients attended by the Plastic Surgery Service of the Clinics Hospital, Medical School, USP, between 2010 and 2016. We included patients who underwent radical resection of hidradenitis suppurativa in advanced stage and reconstruction through primary closure, grafts or flaps. Results: we analyzed 34 lesions in 19 patients, of which 64.5% had local complications, though with 73.5% efficient healing after 12 weeks postoperatively. We observed late recurrence in 47%, but in isolation, 22.2% of the reconstructions with locoregional flaps had recurrence after one year. Conclusion: extensive and radical resection of the disease associated with locoregional flap coverage (pedicled or perforating) has been shown to be the best management in terms of late results. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000300150 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000300150 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20181719 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.45 n.3 2018 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209214128979968 |