Pathological Findings at the Skin Graft Site after Excision of Hidradenitis Suppurativa

Abstract

Hidradenitis suppurativa is a chronic recurrent folliculitis that results in the development of abscesses and the formation of sinus tracts and scarring. Studies identifying the optimal surgical technique in patients with hidradenitis suppurativa are lacking, but the reused skin-graft technique is a reliable approach for the resection of chronic hidradenitis suppurativa. Among the advantages of this technique is that it minimizes or even eliminates the need for a donor site for harvesting normal skin. We performed a pathological study of areas with graft survival, graft loss, and no graft in a patient with hidradenitis suppurativa who underwent the reused skin-graft technique. Our results demonstrate the effectiveness of this surgical technique in the treatment of hidradenitis suppurativa as it avoids donor site pain and scar formation in addition to promoting healthy granulation and early epithelialization.