RESUMO
Hidradenitis suppurative is a chronic, refractory and recurrent dermatological disease. The disease should be managed by targeted surgical intervention on the basis of medical treatment. Currently, the surgical treatment methods include local treatments like incision and drainage, unroofing, laser therapy, intense pulsed light therapy, photodynamic therapy, as well as complete lesion resection such as skin-tissue saving excision with electrosurgical peeling and extended excision. The clearance range, therapeutic effect, postoperative complications, and recurrence risk vary among the different treatment methods. Local treatments cause less damage, but have high recurrence rates, and are mainly for mild to moderate hidradenitis suppurative patients. Complete lesion resections have relatively low recurrence rates, but may bring more surgical injuries, and postoperative reconstructions are needed, which are mainly for moderate to severe hidradenitis suppurative patients. In this article, the surgical treatment principles and various surgical treatment methods of hidradenitis suppurative are reviewed, to provide a reference for the diagnosis and treatment of this disease in clinical practice.
Assuntos
Humanos , Hidradenite Supurativa/complicações , Hidradenite/complicações , Drenagem , Complicações Pós-Operatórias , PeleRESUMO
Se presenta un caso clínico con un cuadro de hidradenitis supurativa crónica que evolucionó a carcinoma epidermoide. Se realiza una revisión de la literatura de esta enfermedad. (AU)
A clinical case with a chronic suppurative hidradenitis syndrome that progressed to squamous cell carcinoma is presented. A review of the literature of this disease is made. (AU)