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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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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich

Department of Plastic Surgery and Hand Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #127763

Due to long-standing experience and a specially trained expert team the Department of Plastic Surgery and Hand Surgery is nationally and internationally recognized as a leader in plastic and hand surgery. The Department offers the full spectrum of modern Plastic, Reconstructive and Hand surgery.

Include:
people Interpreter up to 15 hours
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book Insurance against increased costs in case of complications with a cover of 200,000 €

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Plastic, Aesthetic and Reconstructive Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #385678

The Department of Plastic, Aesthetic and Reconstructive Surgery offers the full range of services in these medical focuses.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich

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.

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

9.2/10 from 40 Votes
location_onGermany, Munich
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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.

ATOS Clinic Munich

9.8/10 from 23 Votes
location_onGermany, Munich

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.

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Pediatric and Adult Otolaryngology, Head and Neck Surgery, Plastic Facial Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #336682

The Department of Pediatric and Adult Otolaryngology, Head and Neck Surgery, Plastic Facial Surgery performs diagnosis and treatment of all diseases of the ear, nose and throat, and also offers a variety of plastic surgeries for the face. The spectrum of services also covers surgical treatment of thyroid diseases.

Academic Prosper-Hospital Recklinghausen

9/10 from 23 Votes
location_onGermany, Recklinghausen

Department of Otolaryngology, Head and Neck Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #369999

The Department of Otolaryngology, Head and Neck Surgery at the Academic Prosper-Hospital Recklinghausen offers surgery of middle ear, nose and paranasal sinuses, oral cavity and throat including the upper esophagus, larynx and neck surgery as well as reconstructive plastic and aesthetic surgery of the face and neck.

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes
location_onGermany, Wiesbaden

Department of Dermatology and Allergology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #172433

Due to the use of the most modern methods of treatment, the Department successfully works in the field of prevention, diagnostics and treatment of various complex diseases: allergic and autoimmune diseases, eczema, psoriasis, acne, diseases, and sexually transmitted diseases.

PAN Clinic Cologne

9/10 from 14 Votes
location_onGermany, Cologne
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Department of Dermatology

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The Department of Dermatology at the PAN Clinic offers the entire spectrum of modern treatments in the field of dermatology, allergology, venerology, medical dermatocosmetology, as well as dermatologic laser therapy.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Dermatology, Venereology and Allergology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #75167

The Department of Dermatology, Venereology and Allergology provides a wide range of medical services and all the options of modern highly effective medicine in the field of diagnostics and therapy of all types of dermatological diseases.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Adult and Pediatric Dermatology, Venereology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #357543

The Department of Adult and Pediatric Dermatology, Venereology offers the full range of services in the relevant medical fields. The department specializes in the diagnostics and treatment of skin diseases of any complexity, as well as sexually transmitted diseases.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Dermatology and Venereology

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #137715

The Department of General Dermatology and Venereology at the University Hospital Muenster offers the full range of medical focuses in dermatology. The Department ranks among the largest clinics in Germany dealing with the treatment of congenital and acquired skin diseases.

Clinic Dr. Brenner Bonn

9/10 from 23 Votes
location_onGermany, Bonn

Department of Dermatology, Phlebology, Plastic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #326935

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

Skin Health Turkey Istanbul

10/10 from 23 Votes
location_onTurkey, Istanbul

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.

Clinic for Plastic and Aesthetic Surgery Cologne

10/10 from 23 Votes
location_onGermany, Cologne

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.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

Department of Plastic Surgery

Hidradenitis suppurative treatment with radical top skin layer removal with plastic reconstruction #330831

The Department of Plastic Surgery at the Tel Aviv Sourasky Medical Center offers a variety of cutting-edge reconstructive and cosmetic procedures improving both person’s appearance and quality of life. The medical team of the Department puts emphasis not only on aesthetics, but also on preserving body functions.




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