Surgical treatment of perianal and perineal hidradenitis suppurativa

Abstract

Hidradenitis suppurativa involves the apocrine glands and is characterized by chronic recurrent suppurative lesions in the axilla, groin, external genitalia and perianal regions. Patients [104] who had perianal and perineal hidradenitis suppurativa were treated with early, extensive and complete surgical excision; long-term results were excellent, hospital stays were short and the recurrence rate was low. All wounds were allowed to heal by secondary granulation. No antibiotics were administered, there was no split-thickness skin grafting, and a diverting colostomy was used in only 1 patient.