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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RWTH University Hospital Aachen

9.7/10 from 41 Votes

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

The Department of Plastic, Hand and Burn Surgery specializes in four areas: reconstructive surgery, aesthetic surgery, hand surgery and burn surgery. A particular focus is on the surgery of skin tumors and soft tissues, aesthetic and reconstructive surgery of female breast.


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

Price 13272.00

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 11706.00

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 9852.00

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 10687.00

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 16460.00

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 16744.00

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 10647.00

PAN Klinik

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 10613.00

University Hospital Erlangen

9/10 from 51 Votes

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

In view of an increasing specialization in modern medicine, and as a result of rapid development of new reconstruction methods and technologies, in 1995, plastic surgery became a separate discipline.


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

Price 13848.00

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 General, Trauma- and Reconstructive Surgery is a modern acute hospital of the maximum degree medical care with operating halls at the highest technical level.


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

Hirslanden Hospital Aarau

8.9/10 from 15 Votes

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

A person’s inner and outer self are linked by complex interactions: satisfaction with your appearance increases self-confidence and this, in the end, is the secret behind that radiance which is perceived as beauty in the eye of the beholder.


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

Clinique La Colline

8.9/10 from 43 Votes

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

Plastic and Aesthetic Surgery Centre is an important department in Clinique La Colline. It is a benchmark for reliability and medical expertise. Treatments proposed in the Centre: Cosmetic surgery of the face Cosmetic medicine Cosmetic surgery of the body Reconstructive surgery.


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

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

Alfried Krupp Hospital in Essen-Steele

8.9/10 from 40 Votes

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

The reconstruction of limb and trunk injuries primarily deals with the closure of soft tissue defects, caused as a result of traumas or tumor masses, including the period of cancer treatment. The various methods are applied upon that.


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

Price 9574.00

Luisen Hospital

8.9/10 from 3 Votes

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

“Surgery as art” – these words demonstrate the priorities of Chief Physician PD Dr. med. Dr. med. Dan m. O'Dey and his experienced staff.


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

Price 9651.00

Academic Hospital Merheim Cologne

8.9/10 from 23 Votes

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

Plastic Surgery in Cologne-Merheim has a long tradition. The Department was established in 1970 as the first Department at the University Clinic of Plastic Surgery, and was equipped as a separate Department for this relatively young specific field.


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

Price 13581.00