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Treatment of Hidradenitis Suppurativa with Extensive Resection of the Lesion and Coverage with Perforator Flaps of the Lateral Thoracic Wall (Lateral Thoracic Artery, Thoracodorsal Artery Perforators)

Rodriguez, Jorge M., MD*; Rodriguez, Felipe, MD*; Rivera, Daniel, MD; Naranjo, Karol, MD

Plastic and Reconstructive Surgery – Global Open: February 5, 2019 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000002096
Latest Articles: PDF Only

Summary: Stage IV hidradenitis suppurativa in the axilla is a chronic disease in which the removal of the affected area and a reconstruction with disease free skin is the definitive treatment; however there is some controversy about the technique to be used in this reconstruction. Studies show superiority in wide resections, and coverage with flaps rather than grafts. The use of pedicle flaps of lateral thoracic artery perforators and thoracodorsal artery perforators has demonstrated superior performance to other techniques in postsurgical follow-up. This article describes the cases of 2 patients with chronic HS in which lesions were resected with disease-free margins and the reconstruction of the defect is carried out with lateral thoracic wall perforator flaps and the subsequent improvement in their life quality after surgery.

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From the *Department of Plastic Surgery, San Vicente Fundacion Hospital, Rionegro, Colombia

Department of Plastic Surgery, Nueva Granada Military Hospital, Bogota, Colombia

Department of Plastic Surgery, SOMER Clinic, Rionegro, Colombia.

Published online 5 February 2019.

Received for publication February 17, 2018; accepted November 7, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Jorge M. Rodriguez, MD, San Vicente Fundación Hospital, Llanogrande-Aeropuerto José María Córdova St., km 2.3, Rionegro, Colombia, E-mail:

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.