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Promising long-term outcomes of the reused skin-graft technique for chronic gluteal hidradenitis suppurativa
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| Title: | Promising long-term outcomes of the reused skin-graft technique for chronic gluteal hidradenitis suppurativa |
| Authors: | Maeda, Taku Browse this author | | Kimura, Chu Browse this author | | Murao, Naoki Browse this author →KAKEN DB | | Takahashi, Kikuko Browse this author |
| Keywords: | Reused skin-graft technique | | Chronic gluteal hidradenitis suppurativa | | Recurrence | | Long-term outcomes | | Hurley classification system |
| Issue Date: | Sep-2015 |
| Publisher: | Elsevier |
| Journal Title: | Journal of Plastic, Reconstructive & Aesthetic Surgery |
| Volume: | 68 |
| Issue: | 9 |
| Start Page: | 1268 |
| End Page: | 1275 |
| Publisher DOI: | 10.1016/j.bjps.2015.05.025 |
| Abstract: | Background: The reused skin-graft technique can be used to treat chronic gluteal hidradenitis suppurativa, but long-term outcomes and the reliability of the technique have not been reported. Methods: In a retrospective review of 18 men with chronic gluteal hidradenitis suppurativa (age range, 18-68 years) treated with a reused skin graft between June 2004 and March 2012, we evaluated disease severity (Hurley classification system), skin-graft thickness, the need for an additional normal skin graft, histological findings and recurrence rate at the surgical site. Results: The mean duration of follow-up was 61.3 months (range, 17-113 months). Five cases were classified into severity group I, 12 cases into severity group II and one case into severity group III. The range of skin-graft thicknesses was 0.013-0.020 inches. An additional donor site was unnecessary in 10 cases (three cases in group I (60%) and seven cases in group II (58.3%)). Histological examination indicated that a buried epidermal cyst could cause chronic gluteal hidradenitis suppurativa recurrence, although none of the patients experienced recurrence at the surgical site during follow-up. Conclusion: The reused skin-graft technique is reliable for chronic gluteal hidradenitis suppurativa resection, and it shows promising long-term outcomes. |
| Rights: | © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/62739 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 前田 拓
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