Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty...

Area of Science:

• Plastic Surgery
• Dermatology
• Surgical Innovation

Background:

• Hidradenitis suppurativa (HS) is a chronic skin condition affecting apocrine gland areas like the axilla and groin.
• Surgical intervention is often necessary for managing severe HS.
• Existing surgical methods for HS reconstruction have limitations.

Purpose of the Study:

• To review existing surgical methods for HS.
• To describe and evaluate an innovative inner-arm transposition flap for axillary HS reconstruction.

Main Methods:

• Literature review of surgical methods for HS.
• Retrospective case review of 5 transposition flap reconstructions for axillary HS (2008-2013).
• Patient outcomes assessed using Derriford Appearance Scale (DAS 24) and a custom questionnaire.

Main Results:

• All patients reported satisfaction with the final surgical outcome.
• One case experienced a complication, but flap survival was maintained.
• No recurrence of hidradenitis suppurativa was observed post-surgery.
• DAS 24 scores indicated acceptable postoperative psychological distress.
• Patient-reported outcomes were favorable.

Conclusions:

• The inner-arm transposition flap is a reliable and effective technique for axillary HS reconstruction.
• This method offers excellent scar concealment and a brachioplasty-like tightening effect.
• The technique provides a simple, beneficial addition to the surgical options for HS.