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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 1/2019

Open Access 01-02-2019 | Original Paper

Rectus abdominis flaps for the treatment of severe hidradenitis suppurativa requiring abdominoperineal resection, a case series

Authors: Zachri N. Ovadja, Annekatrien L. van der Kar, Marieke G. A. de Roo, Pieter J. Tanis, Oren Lapid

Published in: European Journal of Plastic Surgery | Issue 1/2019

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Abstract

Background

The management of severe hidradenitis suppurativa with destruction of the perianal region can be challenging; local tissue may not be available for closure.

Methods

Patients were managed by proctectomy and reconstruction with musculocutaneous flaps based on the rectus abdominis muscle (RAM).

Results

Three patients were managed using this approach achieving closure without recurrence.

Conclusion

RAM-based flaps provide a good reconstructive option in the management of patients with severe therapy-refractory hidradenitis suppurativa in the gluteal region, combined with severe perianal destruction.
Level of Evidence: Level V, therapeutic study.
Literature
1.
2.
Ralf Paus L, Kurzen H, Kurokawa I, Jemec GBE, Emtestam L, Sellheyer K et al (2008) What causes hidradenitis suppurativa? Clin Exp Dermatol 17(5):455–472
3.
Kohorst JJ, Kimball AB, Davis MD (2015) Systemic associations of hidradenitis suppurativa. J Am Acad Dermatol 73(5 Suppl 1):S27–S35PubMedCrossRef
4.
Sartorius K, Emtestam L, Jemec GB, Lapins J (2009) Objective scoring of hidradenitis suppurativa reflecting the role of tobacco smoking and obesity. Br J Dermatol 161(4):831–839PubMedCrossRef
5.
Schrader AM, Deckers IE, van der Zee HH, Boer J, Prens EP (2014) Hidradenitis suppurativa: a retrospective study of 846 Dutch patients to identify factors associated with disease severity. J Am Acad Dermatol 71(3):460–467PubMedCrossRef
6.
van der Zee HH, van der Woude CJ, Florencia EF, Prens EP (2010) Hidradenitis suppurativa and inflammatory bowel disease: are they associated? Results of a pilot study. Br J Dermatol 162(1):195–197PubMedCrossRef
7.
Janse IC, Koldijk MJ, Spekhorst LM, Vila AV, Weersma RK, Dijkstra G, Horváth B (2016) Identification of clinical and genetic parameters associated with hidradenitis suppurativa in inflammatory bowel disease. Inflamm Bowel Dis 22(1):106–113PubMedCrossRef
8.
van der Zee HH, de Winter K, van der Woude CJ, Prens EP (2014) The prevalence of hidradenitis suppurativa in 1093 patients with inflammatory bowel disease. Br J Dermatol 171(3):673–675PubMedCrossRef
9.
Haslund P, Lee RA, Jemec GB (2009) Treatment of hidradenitis suppurativa with tumour necrosis factor-alpha inhibitors. Acta Derm Venereol 89(6):595–600PubMedCrossRef
10.
Blok JL, van Hattem S, Jonkman MF, Horvath B (2013) Systemic therapy with immunosuppressive agents and retinoids in hidradenitis suppurativa: a systematic review. Br J Dermatol 168(2):243–252PubMedCrossRef
11.
Leslie KS, Tripathi SV, Nguyen TV, Pauli M, Rosenblum MD (2014) An open-label study of anakinra for the treatment of moderate to severe hidradenitis suppurativa. J Am Acad Dermatol 70(2):243–251PubMedCrossRef
12.
Saunter DM, Jemez GB (2017) Hidradenitis suppurativa: advances in diagnosis and treatment. JAMA 318(20):2019–2032CrossRef
13.
Devulapalli C, Jia Wei AT, DiBiagio JR (2016) Primary versus flap closure of perineal defects following oncologic resection: a systematic review and meta-analysis. Plast Reconstr Surg 137(5):1602–1613PubMedCrossRef
14.
Nisar PJ, Scott HJ (2009) Myocutaneous flap reconstruction of the pelvis after abdominoperineal excision. Color Dis 11(8):806–816CrossRef
15.
Agochukwu N, Bonaroti A, Beck S et al (2017) Laparoscopic harvest of the rectus abdominis for perineal reconstruction. Plast Reconstr Surg Glob Open 5:1581CrossRef
Metadata
Title
Rectus abdominis flaps for the treatment of severe hidradenitis suppurativa requiring abdominoperineal resection, a case series
Authors
Zachri N. Ovadja
Annekatrien L. van der Kar
Marieke G. A. de Roo
Pieter J. Tanis
Oren Lapid
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 1/2019
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-018-1484-2

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