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Novel Technique for Management of Axillary Hidradenitis Suppurativa Using Setons.

Lajevardi SS, Abeysinghe J - Case Rep Surg (2015)

Bottom Line: We present a technique of management of HS using setons which is simple and allows the ongoing treatment to be done on an outpatient basis.Given the fact that HS is a chronic relapsing condition each recurrence may again be managed using this technique.This will allow the patients to manage their recurrences with minimal impact on their activities of daily living.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Canterbury Hospital, 575 Canterbury Road, Campsie, NSW 2194, Australia.

ABSTRACT
Management of hidradenitis suppurativa (HS) of the axilla which is nonresponding to conservative management presents a significant therapeutic challenge. Most surgical treatment options are associated with significant morbidities and prolonged hospital stay. We present a technique of management of HS using setons which is simple and allows the ongoing treatment to be done on an outpatient basis. Given the fact that HS is a chronic relapsing condition each recurrence may again be managed using this technique. This will allow the patients to manage their recurrences with minimal impact on their activities of daily living.

No MeSH data available.


Related in: MedlinePlus

(a) Day 0 left axilla postoperatively showing five fistula tracts with setons insertion. ((b), (c), and (d)) Showing the progress of the left axilla at 4, 6, and 8 weeks postoperatively, respectively, and showing healing of all wounds and complete resolution of the inflammation.
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fig2: (a) Day 0 left axilla postoperatively showing five fistula tracts with setons insertion. ((b), (c), and (d)) Showing the progress of the left axilla at 4, 6, and 8 weeks postoperatively, respectively, and showing healing of all wounds and complete resolution of the inflammation.

Mentions: Swabs taken during the operation revealed growth of Streptococcus milleri. Over the following 2 weeks the wounds showed significant reduction in inflammation and antibiotics were ceased. By 4 weeks a number of the wounds had improved significantly and the setons were removed from these. By 6 weeks all wound had improved and all remaining setons were removed. By 8 weeks there was complete resolution of inflammation and abscess formation in the left axilla (Figure 2). Subsequent follow-up at 6 months revealed the lack of recurrence in the treated area.


Novel Technique for Management of Axillary Hidradenitis Suppurativa Using Setons.

Lajevardi SS, Abeysinghe J - Case Rep Surg (2015)

(a) Day 0 left axilla postoperatively showing five fistula tracts with setons insertion. ((b), (c), and (d)) Showing the progress of the left axilla at 4, 6, and 8 weeks postoperatively, respectively, and showing healing of all wounds and complete resolution of the inflammation.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4537739&req=5

fig2: (a) Day 0 left axilla postoperatively showing five fistula tracts with setons insertion. ((b), (c), and (d)) Showing the progress of the left axilla at 4, 6, and 8 weeks postoperatively, respectively, and showing healing of all wounds and complete resolution of the inflammation.
Mentions: Swabs taken during the operation revealed growth of Streptococcus milleri. Over the following 2 weeks the wounds showed significant reduction in inflammation and antibiotics were ceased. By 4 weeks a number of the wounds had improved significantly and the setons were removed from these. By 6 weeks all wound had improved and all remaining setons were removed. By 8 weeks there was complete resolution of inflammation and abscess formation in the left axilla (Figure 2). Subsequent follow-up at 6 months revealed the lack of recurrence in the treated area.

Bottom Line: We present a technique of management of HS using setons which is simple and allows the ongoing treatment to be done on an outpatient basis.Given the fact that HS is a chronic relapsing condition each recurrence may again be managed using this technique.This will allow the patients to manage their recurrences with minimal impact on their activities of daily living.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Canterbury Hospital, 575 Canterbury Road, Campsie, NSW 2194, Australia.

ABSTRACT
Management of hidradenitis suppurativa (HS) of the axilla which is nonresponding to conservative management presents a significant therapeutic challenge. Most surgical treatment options are associated with significant morbidities and prolonged hospital stay. We present a technique of management of HS using setons which is simple and allows the ongoing treatment to be done on an outpatient basis. Given the fact that HS is a chronic relapsing condition each recurrence may again be managed using this technique. This will allow the patients to manage their recurrences with minimal impact on their activities of daily living.

No MeSH data available.


Related in: MedlinePlus