Rectus abdominis flaps for the treatment of severe hidradenitis suppurativa requiring abdominoperineal resection, a case series

Abstract

Background

The management of severe hidradenitis suppurativa with destruction of the perianal region can be challenging; local tissue may not be available for closure.

Methods

Patients were managed by proctectomy and reconstruction with musculocutaneous flaps based on the rectus abdominis muscle (RAM).

Results

Three patients were managed using this approach achieving closure without recurrence.

Conclusion

RAM-based flaps provide a good reconstructive option in the management of patients with severe therapy-refractory hidradenitis suppurativa in the gluteal region, combined with severe perianal destruction.

Level of Evidence: Level V, therapeutic study.

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