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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)

Submitter: 前田 拓

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