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Plastic surgery: Hidradenitis suppurative — Radical top skin layer removal with plastic reconstruction. Treatment

Hidradenitis is a purulent inflammation of the sweat glands located in the armpits, groin or around the nipples. Today, this pathology is the most common in the surgical practice. It mainly affects women of pubertal and menopausal age. In men, this disease is diagnosed 5 times less frequently. Early treatment of hidradenitis prevents the development of severe septic complications.

Causes

The main cause of the problem is infection. The pathogens enter the sweat glands through their channels, microtrauma of the skin or with lymph. 

The following factors contribute to disease development:

  • excessive sweating,
  • diabetes,
  • obesity,
  • thyroid disease,
  • various types of dermatitis,
  • weakening of immunity,
  • failure to comply with hygiene requirements.

Clinical Picture

When inflamed, the sweat glands form small nodules on the skin surface, which increase several times within 3 to 5 days. The process is accompanied by pain and a feeling of tightness. Often, the patients report a fever.

In women, hidradenitis is often localized in the armpit, and in men in the groin. While growing, the formation are filled with pus and softened. Sometimes, the abscesses are opened on their own and ulcers are formed in their place. In the worst case, the infection can get into the bloodstream, which will lead to sepsis development.

Diagnostics

Diagnosis is established based on the clinical examination findings. To select an appropriate antimicrobial therapy, the pus bacteriological inoculation is conducted. Upon disease recurrence, the patient is recommended to make an immunogram.

Treatment Methods

When the festering is formed, the hidradenitis foci are removed surgically. There are two types of interventions:

  1. Abscess opening. The skin in the affected areas is dissected, the pus is evacuated and the wound is treated with antibacterial drugs.
  2. Inflamed gland removal. The glands are dissected within healthy tissues, the wounds are also treated and sutured. This method is more traumatic, but has less relapses.

Upon frequent disease recurrences, the radical approach is practiced, upon which the surgeon makes a complete excision of the skin and subcutaneous adipose tissue in the affected area. The resulting defect is closed with skin-fat grafts taken from healthy parts of the body.

Depending on the scope of interference, the manipulation is performed under local or general anesthesia. After surgery, the patient is prescribed a course of antibiotics. Until the wound is healed, the cloth bandages are applied and physiotherapy is conducted.

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Age: 15 years or older

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ATOS Clinic Munich

9.8/10 from 23 Votes

Department of Plastic and Aesthetic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #344869

The Department of Plastic and Aesthetic Surgery offers the full range of services in the relevant medical fields. There are also offered non-surgical anti-aging procedures: facelift, eyelid surgery, wrinkle treatment by injecting the patient's own fat, Fillers and Botox.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

Department of Dermatology and Allergology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #148549

The Department of Dermatology and Allergology has a dedicated team, which currently consists of 50 physicians as well as 300 nurses and medical technical assistants. Every year, it performs more than 90. 000 outpatient surgeries, and more than a half of these patients are new patients.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Würzburg

9.2/10 from 38 Votes

Department of Dermatology, Venerology and Allergology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #223999

The Department of Dermatology, Venerology and Allergology offers the entire spectrum of conservative and surgical dermatology. A particular attention is given to the treatment of malignant skin tumors, as well as diagnosis and treatment of allergic and autoimmune skin diseases.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Dermatology and Allergology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #87567

The Department of Dermatology and Allergology at the University Hospital Bonn offers the full range of treatment options for dermatological diseases. The daytime inpatient treatment includes such diseases as psoriasis, ulcers of the lower limbs, systemic sclerosis and atopic dermatitis.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn

University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Dermatology and Allergology – Skin Clinic

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #105321

The clinical priorities of the Department of Dermatology and Allergology are allergic skin diseases such as eczema, urticaria (utricarial rash) and allergic drug reactions, occupational dermatology, wound healing, bullous skin diseases, psoriasis and as well as skin tumors, including melanomas, carc...


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Cologne

9.8/10 from 82 Votes

Department of Dermatology and Venereology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #77427

The Department of Dermatology and Venereology treats skin diseases, including diseases of the visible mucous membranes and the so-called appendages of the skin (hair, nails).


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Clinic Dr. Brenner

9/10 from 23 Votes

Department of Dermatology, Phlebology, Plastic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #320566

The Department of Dermatology at the Clinic Dr. Brenner offers a wide range of medical services in the treatment of skin diseases.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn

Clinic for Plastic and Aesthetic Surgery in Cologne

10/10 from 23 Votes

Department of Plastic, Aesthetic Surgery and Aesthetic Dermatology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #300558

The Department of Plastic, Aesthetic Surgery and Aesthetic Dermatology of the Clinic Cologne covers the full range of plastic, aesthetic and reconstructive surgery. There are used the latest and the most sparing techniques to achieve the best result. There are offered additional aesthetic and cosmetic procedures.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Skin Health Turkey

10/10 from 23 Votes

Department of Plastic Surgery and Hair Transplantation

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #333632

The Department of Plastic Surgery and Hair Transplantation at the Clinic Skin Health Turkey offers the wide range of procedures in plastic surgery and a large variety of cosmetic procedures.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Turkey
location_searchingCity: Istanbul

DRK Altenkirchen-Hachenburg Hospital

10/10 from 23 Votes

Department of Trauma and Reconstructive Surgery, Hand Surgery, Trauma Center

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #321773

The Department of Trauma and Reconstructive Surgery, Hand Surgery, Trauma Center offers a wide range of medical services and is headed by Dr. med. Frank Hostmann. .


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Altenkirchen

Rambam Health Care Campus

9.8/10 from 23 Votes

Department of Plastic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #327804

The Department of Plastic Surgery at Rambam Health Care Campus specializes in reconstructive surgery for congenital defects, as well as for major injuries resulting from automobile accidents, industrial accidents and war. The Department also offers a variety of aesthetic procedures.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

Hospital Waldbrol Oberberg

9.7/10 from 23 Votes

Department of Otolaryngology, Plastic Surgery, Facial Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #286518

The Department of Otolaryngology at the District Hospital of Waldbröl provides conservative and surgical treatment of all diseases of ear (including hearing improvement), nose, paranasal sinuses, larynx and neck. The surgery is performed on the outpatient basis.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Waldbrоl

Vivantes Auguste-Viktoria Hospital

9.7/10 from 23 Votes

Department of Hand Surgery and Plastic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #340952

The Department of Hand Surgery and Plastic Surgery employs the latest diagnostic and surgical possibilities, for example, endoscopic methods, such laser treatment or microsurgical stitching techniques.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Hospital Gummersbach Oberberg

9.6/10 from 23 Votes

Department of Otolaryngology, Facial Plastic Surgery, Head and Neck Cancer

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #285136

The Department of Otolaryngology, Facial Plastic Surgery, Head and Neck Cancer offers medical care meeting the latest medical achievements and with the use of all diagnostic and surgical capabilities available this field.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Plastic, Reconstructive, Hand Surgery and Burn Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #154211

The department of plastic, reconstructive, hand surgery and burn medicine provides the whole range of plastic surgery. Specialization also includes many surgeries whereby the patient's own tissues are transplanted to restore certain function.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Clinique de Genolier

9.2/10 from 18 Votes

Department of General Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #58943

Aesthetic and reconstructive surgery allows the patient to return to his or her original appearance, get rid of the age-related changes or correct some imperfections.


Duration: 7 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Genolier




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