Medial Thigh Lift Used to Reconstruct Perineal Hidradenitis Suppurativa Defect: A Case Report

John P. Di Saia, MD


Wounds. 2006;18(6):147-149. 

In This Article

Abstract and Introduction


Hidradenitis suppurativa is characterized by chronic infection of the apocrine sweat glands. Radical excision of affected areas yields the best long-term results when conservative treatment modalities fail. Larger defects from excision are frequently reconstructed using skin grafts or are allowed to heal by secondary intention. Although radical excision yields the best results in terms of disease control, the defects remaining after wound healing can be disfiguring. In the present case, previously excised and grafted inguinoperineal defects were repaired utilizing medial thigh flaps.


Hidradenitis suppurativa (HS) is an uncommon disease involving chronic infection of the apocrine sweat glands. When conservative treatment fails, radical surgical excision yields the best rate of cure. The areas of involvement can include the axilla, buttocks, groin, perineum, and perianal area.

Wound closure after excision most commonly occurs via primary closure in small wounds and via secondary intention or skin grafting in large wounds. The defects that remain can be difficult to repair particularly in areas traditionally difficult to reconstruct. The present case involves the repair of disfigurement from serial excisions in the perineum utilizing medial thigh flaps.


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