PURPOSE: @entity1751 is a chronic inflammatory disease of the skin and subcutaneous tissue. Extensive @entity66 represents a challenge presentation. The aim of this study was to present results of management of extensive @entity6691 suppurativa in gluteal, perineal, and inguinal areas. METHODS: From January 1980 to May 2000, 56 @entity1 underwent treatment of @entity6691 suppurativa in gluteal, perineal, and inguinal areas through wide excision; 52 (93 percent) were male and 36 (64 percent) were white. Mean age was 40 years. We evaluated distribution of disease, associated conditions, use of diverting colostomy, management of operative wounds, @entity532 , and recurrence. RESULTS: Twenty-one (37.6 percent) and 17 (30.6 percent) @entity1 had @entity66 , respectively. @entity957 and @entity30 were observed in one @entity1 each. Wide surgical excision was performed in all. Healing by second intention was the choice in 32 (57.1 percent) @entity1 , and 24 (42.9 percent) @entity1 underwent delayed skin-grafting. Diverting colostomy was used in 23 (41 percent) @entity1 . Mean time for complete healing in the nongrafted group was 10 (range, 7-17) weeks and in the skin graft group was 6 (range, 3-9) weeks. New resection was performed in five (8.9 percent) @entity1 . Partial graft loss rate was 37.5 percent and recurrence was observed in only one (1.8 percent) @entity1 . CONCLUSION: Significant morbidity derives from extensive gluteal and perineal @entity6691 suppurativa caused by the disease extension and large wounds that result from surgical treatment. Wide surgical excision is the treatment of choice and leads to cure. Skin-grafting and healing by second intention lead to effective wound healing.

Gluteal and perianal XXXX suppurativa: surgical treatment by wide excision.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1751 :: ('MESH:D017497', 'Disease') :: ['Hidradenitis suppurativa'] @entity66 :: ('MESH:D004194', 'Disease') :: ['gluteal and perineal disease', 'gluteal and perianal disease'] @entity957 :: ('MESH:D002294', 'Disease') :: ['Squamous-cell carcinoma'] @entity532 :: ('MESH:D003925', 'Disease') :: ['time to complete healing, complications'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"] @entity6691 :: ('MESH:D016575', 'Disease') :: ['hidradenitis']
@entity6691 :: (MESH:D016575,Disease) :: ['hidradenitis']
