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

John P. Di Saia, MD

Disclosures

Wounds. 2006;18(6):147-149. 

In This Article

Case Report

A healthy, 37-year-old woman was referred for assessment of perineal-thigh crease deformities. The patient had a long history of HS in the perineum and had 2 excisions in the year prior to presentation. The first excision had been closed via a layered technique that subsequently broke down. A secondary procedure with skin grafting was later performed, which apparently cleared the disease. The patient was dissatisfied with the large contour defects left by the secondary procedure (Figure 1A and 1B).

Figure 1.

(A) Preoperative view of the perineal-thigh crease and deep contour defects. (B) Close-up view of the preoperative deformity.

Figure 1.

(A) Preoperative view of the perineal-thigh crease and deep contour defects. (B) Close-up view of the preoperative deformity.

Physical examination revealed bilateral inguinoperineal defects with no evidence of recurrent disease. The patient requested surgical treatment. Excision of the skin grafts was followed by advancement of medial thigh flaps into the defects. No residual disease was noted at surgery or in the surgical specimen pathology. Follow-up at 2 months showed a good aesthetic outcome (Figure 2).

Figure 2.

Postoperative view at 2-month follow-up.

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