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Axillary hidradenitis.

D K Anderson, A W Perry

Archives of Surgery (Chicago, Ill. : 1960)

|January 1, 1975

Summary

This summary is machine-generated.

Chronic suppurative axillary hidradenitis causes significant problems, and nonoperative treatments are ineffective. Complete surgical excision of affected tissue offers the best treatment outcome for this condition.

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Area of Science:

Dermatology
Surgical Pathology

Background:

Chronic suppurative axillary hidradenitis presents significant, underestimated social, economic, and medical challenges.
Current nonoperative management strategies for this condition yield disappointing results.

Purpose of the Study:

To evaluate the efficacy of surgical excision as the primary treatment for chronic suppurative axillary hidradenitis.
To establish surgical excision with primary closure as the treatment of choice.

Main Methods:

Surgical excision of all apocrine-bearing axillary tissue with primary closure was performed.
The procedure was safely conducted in patients with active draining sinuses.

Main Results:

The study included 26 patients with a total of 47 operated axillae.

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Surgical intervention was successfully performed even in the presence of draining sinuses, indicating its feasibility.

Conclusions:

Total excision of apocrine-bearing axillary tissue with primary closure is the recommended treatment for chronic suppurative axillary hidradenitis.
Surgical treatment is safe and effective, even in cases with active sinus drainage.