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Promising long-term outcomes of the reused skin-graft technique for chronic gluteal hidradenitis suppurativa

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タイトル: Promising long-term outcomes of the reused skin-graft technique for chronic gluteal hidradenitis suppurativa
著者: Maeda, Taku 著作を一覧する
Kimura, Chu 著作を一覧する
Murao, Naoki 著作を一覧する
Takahashi, Kikuko 著作を一覧する
キーワード: Reused skin-graft technique
Chronic gluteal hidradenitis suppurativa
Recurrence
Long-term outcomes
Hurley classification system
発行日: 2015年 9月
出版者: Elsevier
誌名: Journal of Plastic, Reconstructive & Aesthetic Surgery
巻: 68
号: 9
開始ページ: 1268
終了ページ: 1275
出版社 DOI: 10.1016/j.bjps.2015.05.025
抄録: 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/
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/62739
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 前田 拓

 

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