Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa

Summary:. Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder that often necessitates extensive surgery when medical treatment fails, particularly in advanced stages. Traditional surgical approaches, including flaps and skin grafts, are effective for tissue coverage but can lead to...

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Main Authors: Chen-Yu Ho, MD, Keng-Yu Lin, MD, MS, Shu-Hung Huang, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006469
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author Chen-Yu Ho, MD
Keng-Yu Lin, MD, MS
Shu-Hung Huang, MD, PhD
author_facet Chen-Yu Ho, MD
Keng-Yu Lin, MD, MS
Shu-Hung Huang, MD, PhD
author_sort Chen-Yu Ho, MD
collection DOAJ
description Summary:. Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder that often necessitates extensive surgery when medical treatment fails, particularly in advanced stages. Traditional surgical approaches, including flaps and skin grafts, are effective for tissue coverage but can lead to vascular complications and recurrence of HS. This study introduces a novel technique, the apple-peeling procedure, combined with negative pressure wound therapy at −50 mm Hg for 5 days postoperatively. This approach demonstrated improved operative efficiency and a low complication rate. Over a 3-year follow-up, there were no signs of HS recurrence, and the patient exhibited satisfactory functional and cosmetic outcomes. This technique may offer a promising alternative for treating HS, reducing the need for additional donor sites and mitigating the risks associated with conventional methods.
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-f41ead01adf849bfa7a7af9b487e103f2025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e646910.1097/GOX.0000000000006469202501000-00048Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis SuppurativaChen-Yu Ho, MD0Keng-Yu Lin, MD, MS1Shu-Hung Huang, MD, PhD2From * School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan† Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan† Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanSummary:. Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder that often necessitates extensive surgery when medical treatment fails, particularly in advanced stages. Traditional surgical approaches, including flaps and skin grafts, are effective for tissue coverage but can lead to vascular complications and recurrence of HS. This study introduces a novel technique, the apple-peeling procedure, combined with negative pressure wound therapy at −50 mm Hg for 5 days postoperatively. This approach demonstrated improved operative efficiency and a low complication rate. Over a 3-year follow-up, there were no signs of HS recurrence, and the patient exhibited satisfactory functional and cosmetic outcomes. This technique may offer a promising alternative for treating HS, reducing the need for additional donor sites and mitigating the risks associated with conventional methods.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006469
spellingShingle Chen-Yu Ho, MD
Keng-Yu Lin, MD, MS
Shu-Hung Huang, MD, PhD
Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
Plastic and Reconstructive Surgery, Global Open
title Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
title_full Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
title_fullStr Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
title_full_unstemmed Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
title_short Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa
title_sort freehand apple peeling technique for recycled skin graft harvesting in a case of buttock hidradenitis suppurativa
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006469
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