[Thoracodorsal artery perforator fasciocutaneous flap in the treatment of chronic hidradenitis suppurativa of axilla]. / Az arteria thoracodorsalis perforátor fasciocutan lebeny a krónikus axillaris hidradenitis suppurativa kezelésében.
Magy Seb
; 70(4): 303-306, 2017 12.
Article
en Hu
| MEDLINE
| ID: mdl-29183137
ABSTRACT
BACKGROUND:
The only definitive treatment of chronic axillar hidradenitis suppurativa (HS) that prevents relapses is 'in toto' excision of the infected glandular tissue. This way a deficiency emerges, which needs to be restored. Reconstruction with split skin graft (SSG) is a most common way of recovery, but thoracodorsal artery perforator (TDAP) fasciocutneous flap delivers better functional and aesthetic results.METHOD:
Between May 2014 and July 2016, 14 patients underwent reconstructive surgery after excision of axillary HS, 2 of them had bilateral lesion. In 15 cases TDAP was used, in 1 case we used thoracodorsal artery capillar perforator flap (TAPcp).RESULTS:
In all but 2 cases 1 dominant perforator was found. 1 flap had 2 dominant perforators and 1 flap was supplied by capillary perforators. Size of the flaps spread between 6 × 8 and 10 × 15 cm. 15 reconstructions were successful, 1 flap necrotised because of the lack of compliance of the patient.CONCLUSION:
As a result of the glandular tissue excision carried out because of a chronic HS, a deficiency emerges. TDAP flap is an ideal solution for surgical reconstruction of axillar deficiencies, and a great alternative to SSG.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Arterias
/
Axila
/
Procedimientos Quirúrgicos Vasculares
/
Hidradenitis Supurativa
/
Procedimientos de Cirugía Plástica
/
Colgajo Perforante
Límite:
Humans
Idioma:
Hu
Revista:
Magy Seb
Año:
2017
Tipo del documento:
Article