Bilateral V-Y medial fasciocutaneous thigh flap in perineal reconstruction for hidradenitis suppurativa: Case report

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorVICENTE-RIVAS, A. F.
dc.contributor.authorPAGOTTO, V. P. F.
dc.contributor.authorBUSCARIOL, S.
dc.contributor.authorITO, M.
dc.contributor.authorGEMPERLI, R.
dc.date.accessioned2024-03-13T19:50:43Z
dc.date.available2024-03-13T19:50:43Z
dc.date.issued2023
dc.description.abstractIntroduction: Hidradenitis suppurativa (HS) is a chronic inflammatory disease that preferentially affects the intertriginous skin and is associated with numerous systemic comorbidities. The perineal area is the second most commonly affected area after the armpit. Wide excision is the treatment most likely to achieve better results with a lower risk of recurrence. With extensive surgical excision, flap closure offers a greater likelihood of definitive treatment. Some flaps have been described to reconstruct defects in the perineal region after cancer, but few have been studied in treating HS. Case Report: A 43-year-old woman with perineal HS underwent resection of the lesions and reconstruction with a bilateral V-Y medial thigh fasciocutaneous flap to treat the disease. The flap allowed complete closure of the total perineum without serious complications. Conclusion: This case shows that it is useful and practical to use the V-Y medial thigh fasciocutaneous flap for perineal reconstruction after wide resections of skin, apocrine glands, and hair follicles in the treatment of HS, offering good skin coverage and subcutaneous cellular tissue with supply reliable vascular flap, which avoids sequelae associated with muscle sacrifice and reaches larger dimensions than other flaps, and can be considered in selected cases as an alternative in the surgical treatment of perineal HS.eng
dc.description.indexScopus
dc.description.indexDimensions
dc.identifier.citationREVISTA BRASILEIRA DE CIRURGIA PLASTICA, v.38, n.3, article ID e0738, p, 2023
dc.identifier.doi10.5935/2177-1235.2023RBCP0738-EN
dc.identifier.issn1983-5175
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58597
dc.language.isoeng
dc.publisherSOCIEDADE BRASILEIRA DE CIRURGIA PLASTICA (SBCP)eng
dc.relation.ispartofRevista Brasileira de Cirurgia Plastica
dc.rightsopenAccesseng
dc.rights.holderCopyright SOCIEDADE BRASILEIRA DE CIRURGIA PLASTICA (SBCP)eng
dc.subjectHidradenitiseng
dc.subjectHidradenitis suppurativaeng
dc.subjectPerforator flapeng
dc.subjectPerineumeng
dc.subjectSurgical flapseng
dc.titleBilateral V-Y medial fasciocutaneous thigh flap in perineal reconstruction for hidradenitis suppurativa: Case reporteng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBUSCARIOL, S.:Universidade de São Paulo, SP, São Paulo, Brazil, Faculdade de Medicina da Universidade de São Paulo, SP, São Paulo, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcALEXANDER FABRICIO VICENTE RIVAS
hcfmusp.contributor.author-fmusphcVITOR PENTEADO FIGUEIREDO PAGOTTO
hcfmusp.contributor.author-fmusphcMARILIA EMI SATO ITO
hcfmusp.contributor.author-fmusphcROLF GEMPERLI
hcfmusp.description.articlenumbere0738
hcfmusp.description.issue3
hcfmusp.description.volume38
hcfmusp.origemSCOPUS
hcfmusp.origem.dimensionspub.1166603668
hcfmusp.origem.scopus2-s2.0-85179962355
hcfmusp.relation.referenceGoldburg SR, Strober BE, Payette MJ., Hidradenitis suppurativa: Epidemiology, clinical presentation, and pathogenesis, J Am Acad Dermatol, 82, 5, pp. 1045-1058, (2020)eng
hcfmusp.relation.referenceMughal M, Baker RJ, Muneer A, Mosahebi A., Reconstruction of perineal defects, Ann R Coll Surg Engl, 95, 8, pp. 539-544, (2013)eng
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hcfmusp.relation.referenceUnal C, Yirmibesoglu OA, Ozdemir J, Hasdemir M., Superior and inferior gluteal artery perforator flaps in reconstruction of gluteal and perianal/perineal hidradenitis suppurativa lesions, Microsurgery, 31, 7, pp. 539-544, (2011)eng
hcfmusp.relation.referenceKishi K, Nakajima H, Imanishi N., Reconstruction of skin defects after resection of severe gluteal hidradenitis suppurativa with fasciocutaneous flaps, J Plast Reconstr Aesthet Surg, 62, 6, pp. 800-805, (2009)eng
hcfmusp.relation.referenceArgenta PA, Lindsay R, Aldridge RB, Siddiqui N, Burton K, Telfer JR., Vulvar reconstruction using the “lotus petal” fascio-cutaneous flap, Gynecol Oncol, 131, 3, pp. 726-729, (2013)eng
hcfmusp.relation.referenceSaunte DML, Jemec GBE., Hidradenitis Suppurativa: Advances in Diagnosis and Treatment, JAMA, 318, 20, pp. 2019-2032, (2017)eng
hcfmusp.relation.referenceSugio Y, Tomita K, Hosokawa K., Reconstruction after Excision of Hidradenitis Suppurativa: Are Skin Grafts Better than Flaps?, Plast Reconstr Surg Glob Open, 4, 11, (2016)eng
hcfmusp.relation.referenceWong DS., Reconstruction of the perineum, Ann Plast Surg, 73, pp. S74-S81, (2014)eng
hcfmusp.relation.referenceSaito A, Sawaizumi M, Matsumoto S, Takizawa K., Stepladder V-Y advancement medial thigh flap for the reconstruction of vulvoperineal region, J Plast Reconstr Aesthet Surg, 62, 7, pp. e196-e199, (2009)eng
hcfmusp.scopus.lastupdate2024-05-17
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