ArticleCureus2025
Staged Surgical Treatment of Hidradenitis Suppurativa of the Axilla and Groin Using Lateral Thoracic and Anterolateral Thigh Flaps.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory disease of the follicular epithelium that commonly affects apocrine gland-bearing areas such as the axillae, groin, and perineum. In advanced cases (Hurley Stage III), it is characterized by sinus tract formation, fibrosis, scarring, and recurrent abscesses. We present a case of a 20-year-old male patient with long-standing, treatment-resistant HS involving the bilateral axillae and groin. After failing multiple medical therapies over six years, he underwent staged surgical management with reconstruction using lateral thoracic fasciocutaneous flaps for axilla HS and with anterolateral thigh (ALT) perforator flaps for groin HS. Both procedures were successful with no flap loss or major complications, and the patient achieved full range of motion, excellent functional and cosmetic outcomes, and no recurrence at the six-month follow-up. This case highlights the effectiveness of wide excision with immediate regional flap reconstruction in advanced HS.
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