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

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

8.9/10 from 40 Votes

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

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

Price 13814.00

University Hospital of Würzburg

9.2/10 from 38 Votes

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

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

Price 11690.00

University Hospital Bonn

9.2/10 from 150 Votes

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

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

Price 13777.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

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

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

Price 10505.00

University Hospital Cologne

9.8/10 from 82 Votes

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

The Department and Polyclinic of Dermatology and Venereology of the University Hospital Cologne in Germany represents the field of Dermatovenereology in research, teaching and patient care. These comprise diseases of skin, including the visible mucous membranes and the so-called skin appendages (e.g. hair or nails).


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

Price 11920.00

Clinic for Plastic and Aesthetic Surgery in Cologne

10/10 from 23 Votes

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

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

Price 11802.00

Waldbrol District Hospital of the Klinikum Oberberg

9.7/10 from 23 Votes

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

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

Price 9850.00

Schlosspark-Klinik

9.7/10 from 23 Votes

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

The Department of Aesthetic Plastic Surgery at the Schlosspark-Klinik is headed by the specialist in the field of plastic surgery.


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

Price 11653.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

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

The Department of Otolaryngology and Facial Plastic Surgery offers the latest medical care involving all diagnostic and surgical capabilities of this field. The Department of supra-regional importance annually provides about 3,000 operations on both outpatient and inpatient basis.


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

Price 9760.00

Hospital Hildesheim

9.5/10 from 23 Votes

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

Each year, specialists of our department conduct over 1,700 operations for 1,500 patients, 45% of them are treated on an outpatient basis. Over 3500 patients receive consultations and treatment in our clinic annually.


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

Price 10651.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

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

The department of plastic, reconstructive, hand surgery and burn surgery displace or transplant body issues with modern surgical techniques. Fields of application are the aesthetic surgery, the breast and hand surgery or surgery of congenital malformations.


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

Price 10520.00

Privat Hospital Leech

9.2/10 from 7 Votes

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

The medical specialists of our Clinic conduct operations of the plastic, esthetic and reconstructive surgery as follows: cosmetic surgery, reconstructive surgery, congenital anomaly correction.


Duration 7 days
Type of Treatment: Inpatient
location_onCountry: Austria
location_searchingCity: Graz

Price 16706.00

Clinique de Genolier

9.2/10 from 18 Votes

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

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

Price 16420.00

University Hospital Erlangen

9.1/10 from 51 Votes

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

The Department of Plastic and Hand Surgery offers the full range of modern plastic surgery that covers esthetic surgery, reconstructive surgery, burn surgery, craniofacial surgery and hand surgery. All the fields involve the use of microsurgical methods, laser surgery and endoscopy.


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

Price 11887.00

PAN Clinic

9/10 from 14 Votes

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

The Department of Plastic Surgery at the PAN Clinic offers the whole range of aesthetic plastic surgery as well as conservative treatment of wrinkles and laser therapy.  A special focus is on reconstructive surgery after skin tumor removal, injuries or pathologies.


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

Price 10550.00

Klinik Im Park

8.9/10 from 21 Votes

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

The Department of Plastic and Reconstructive Surgery offers the infrastructure of a modern private hospital, where the patients are treated individually and comprehensively. The department offers the entire spectrum of plastic, reconstructive and aesthetic surgery in the area of the face, chest, body and hands.


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