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

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

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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.
Original languageEnglish
Pages (from-to)61-66
JournalEuropean Journal of Plastic Surgery
Issue number1
Publication statusPublished - 1 Feb 2019
Externally publishedYes

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