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Deroofing - a method of choice in the treatment of suppurative perineal hidradenitis

P. Tonchev, S. Iliev, D. Nguen, I. Presolski, V. Grozev, D. Stoykov, P. Mirochnik, K. Nedyalkov, I. Ristovski, E. Filipov, E. Karastoyanov

Abstract

Purpose: Suppurative hidradenitis is a chronic relapsing inflammatory disease that affects the apocrine sweat glands. Therefore, it is most often located in the axilla, groin and perianal area. Usually, people of working age affected. Perineal and perianal locations cover about 37% of the total morbidity rate and are more common in males. The objective of this study was to share our experience with the application of deroofing for the treatment of purulent perineal hidradenitis.

Material and methods: This prospective interventional study covered 13 patients with suppurative fistulasing hidradenitis of perineum treated in Division of Coloproctology and Septic Surgery, Georgi Stranski University Hospital of Pleven for the period from 2008 till 2013.

Results: The interval between the occurrence of disease and its surgical treatment was very long - from two to 36 years (average of 9,2 years). It resulted from the progression of the disease with enlarged soft tissue involvement. Sometimes, the disease was complicated by chroniosepsis. The average hospital stay was 13,5-day long. Operative wounds healed secondarily at an average of about 30 days. The patients were followedup for six months, one year and two years. Two patients with relapses on the sixth postoperative month were hospitalized again. The surgical intervention warranted good results.

Conclusion: Treatment of suppurative hidradenitis of the perineum is complex, both in terms of local status and systematic violations resulting in chronic infection. There are numerous surgical techniques for treating this pathology. The advantages of deroofing are the following: minimal trauma to the patient, application by using local anesthesia at the early stage in order to minimize hospital stay, no need of special equipment, a lower recurrence rate than the other methods and formation of aesthetically acceptable scar.


Keywords

perineal suppurative hidradenitis; surgical methods; deroofing; bacterial flora; following-up

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DOI: http://dx.doi.org/10.14748/ssm.v45i0.877

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About The Authors

P. Tonchev
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

S. Iliev
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

D. Nguen
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

I. Presolski
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

V. Grozev
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

D. Stoykov
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

P. Mirochnik
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

K. Nedyalkov
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

I. Ristovski
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

E. Filipov
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

E. Karastoyanov
University Hospital of Pleven
Bulgaria

First Clinic of Surgery, Division of Coloproctology and Septic Surgery

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