{"id":8940,"date":"2023-10-06T13:43:30","date_gmt":"2023-10-06T13:43:30","guid":{"rendered":"https:\/\/doctorathens.com\/axillary-hidradenitis-suppurativa-a-comparison-between-two-perforator-flap-reconstructive-approaches-after-radical-surgical-management\/"},"modified":"2023-10-06T13:43:30","modified_gmt":"2023-10-06T13:43:30","slug":"axillary-hidradenitis-suppurativa-a-comparison-between-two-perforator-flap-reconstructive-approaches-after-radical-surgical-management","status":"publish","type":"post","link":"https:\/\/doctorathens.com\/en\/axillary-hidradenitis-suppurativa-a-comparison-between-two-perforator-flap-reconstructive-approaches-after-radical-surgical-management\/","title":{"rendered":"Axillary Hidradenitis Suppurativa: A Comparison between Two Perforator Flap Reconstructive Approaches after Radical Surgical Management"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"8940\" class=\"elementor elementor-8940 elementor-6586\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8bde92d e-con-full e-flex wcf-starter-animations-none e-con e-parent\" data-id=\"8bde92d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;wcf_enable_cursor_hover_effect_text&quot;:&quot;View&quot;,&quot;wcf-animation&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f382550 elementor-widget__width-initial wcf-starter-animations-none elementor-widget elementor-widget-wcf--blog--post--title\" data-id=\"f382550\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf-animation&quot;:&quot;fade&quot;,&quot;wcf_starter_animations&quot;:&quot;none&quot;,&quot;wcf_anim_duration&quot;:1000,&quot;wcf_anim_delay&quot;:0,&quot;wcf_anim_ease&quot;:&quot;ease&quot;,&quot;delay&quot;:0.1499999999999999944488848768742172978818416595458984375,&quot;on-scroll&quot;:1,&quot;fade-from&quot;:&quot;bottom&quot;,&quot;data-duration&quot;:1.5,&quot;ease&quot;:&quot;power2.out&quot;,&quot;fade-offset&quot;:50}\" data-widget_type=\"wcf--blog--post--title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"wcf--title\">Axillary Hidradenitis Suppurativa: A Comparison between Two Perforator Flap Reconstructive Approaches after Radical Surgical Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-097542e elementor-widget elementor-widget-wcf--blog--post--meta-info\" data-id=\"097542e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf-animation&quot;:&quot;fade&quot;,&quot;delay&quot;:0.1499999999999999944488848768742172978818416595458984375,&quot;on-scroll&quot;:1,&quot;fade-from&quot;:&quot;bottom&quot;,&quot;data-duration&quot;:1.5,&quot;ease&quot;:&quot;power2.out&quot;,&quot;fade-offset&quot;:50}\" data-widget_type=\"wcf--blog--post--meta-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <ul class=\"wcf--meta-list style-1\">\r\n\t\t\t\t\t\t                <li class=\"wcf--meta-date wcf-separator\"\r\n                    data-separator=\"\">\r\n                    \t\t\t\t\t\t\t\t\t\t06\/10\/2023                <\/li>\r\n\t\t\t\r\n\t\t\t\t\t        <\/ul>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6690893 e-con-full e-flex wcf-starter-animations-none e-con e-child\" data-id=\"6690893\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;wcf_enable_cursor_hover_effect_text&quot;:&quot;View&quot;,&quot;wcf-animation&quot;:&quot;none&quot;}\">\n\t\t\t\t<div data-speed=\"0.9\" class=\"elementor-element elementor-element-9c7d7be wcf-starter-animations-none elementor-widget elementor-widget-wcf--image\" data-id=\"9c7d7be\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf_starter_animations&quot;:&quot;none&quot;,&quot;wcf_anim_duration&quot;:1000,&quot;wcf_anim_delay&quot;:0,&quot;wcf_anim_ease&quot;:&quot;ease&quot;,&quot;wcf-image-animation&quot;:&quot;none&quot;,&quot;wcf-animation&quot;:&quot;none&quot;}\" data-widget_type=\"wcf--image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"wcf--image\">\r\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1920\" height=\"700\" src=\"https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post.webp\" class=\"attachment-full size-full wp-image-7162\" alt=\"hidradenitis-post\" srcset=\"https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post.webp 1920w, https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post-300x109.webp 300w, https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post-1024x373.webp 1024w, https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post-768x280.webp 768w, https:\/\/doctorathens.com\/wp-content\/uploads\/2025\/11\/hidradenitis-post-1536x560.webp 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-59e3197 e-flex e-con-boxed wcf-starter-animations-none e-con e-parent\" data-id=\"59e3197\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;wcf_enable_cursor_hover_effect_text&quot;:&quot;View&quot;,&quot;wcf-animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f1b9241 e-con-full e-flex wcf-starter-animations-none e-con e-child\" data-id=\"f1b9241\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;wcf_enable_cursor_hover_effect_text&quot;:&quot;View&quot;,&quot;wcf-animation&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8aa230b wcf-starter-animations-none wcf-t-animation-none elementor-widget elementor-widget-text-editor\" data-id=\"8aa230b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf-animation&quot;:&quot;fade&quot;,&quot;on-scroll&quot;:&quot;1&quot;,&quot;wcf_starter_animations&quot;:&quot;none&quot;,&quot;wcf_anim_duration&quot;:1000,&quot;wcf_anim_delay&quot;:0,&quot;wcf_anim_ease&quot;:&quot;ease&quot;,&quot;wcf_text_animation&quot;:&quot;none&quot;,&quot;delay&quot;:0.1499999999999999944488848768742172978818416595458984375,&quot;fade-from&quot;:&quot;bottom&quot;,&quot;data-duration&quot;:1.5,&quot;ease&quot;:&quot;power2.out&quot;,&quot;fade-offset&quot;:50}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"abstract\"><p><strong>Abstract<\/strong><\/p><p>\u00a0<\/p><p><strong>Background:<\/strong> Axillary hidradenitis suppurativa (HS) can result in significant functional impairment in both personal and professional lives. Stage 3 HS requires radical surgical treatment. Flap reconstruction allows for faster healing and better functional and aesthetic outcomes. We compared the results of thoracodorsal artery perforator (TDAP) and propeller inner arm artery perforator (IAAP) flap reconstructions after radical surgical treatment of axillary HS.<\/p><p>\u00a0<\/p><p><strong>Methods:<\/strong> We conducted a retrospective study that included 13 consecutive patients who underwent stage 3 axillary HS treatment between August 2015 and January 2023. Seven patients underwent reconstruction by islanded TDAP flaps, whereas six patients underwent reconstruction by propeller IAAP flaps, with one patient undergoing bilateral reconstruction. The data collected from the patient records included age, gender, smoking status, body mass index, comorbidities, operative time, defect size, flap size, hospital stay, and complications.<\/p><p>\u00a0<\/p><p><strong>Results:<\/strong> Although not statistically significant (P\u00a0= 0.1923), a higher rate of flap complications is reported here with propeller IAAP flaps (42.86 %), whereas islanded TDAP flaps had no flap complications (0%). We found a statistically significant difference in operative time (P\u00a0= 0.0006), defect size (P\u00a0= 0.0064), and flap size (P\u00a0= 0.0012) between the two groups. All patients exhibited satisfactory functional and aesthetic outcomes. Fourteen flaps were performed in total; only one case exhibited recurrence (7.14%).<\/p><p>\u00a0<\/p><p><strong>Conclusion:<\/strong> After radical surgical management, both islanded TDAP and propeller IAAP flap reconstructions offer excellent outcomes for stage 3 axillary HS. We strongly encourage our peers to consider performing perforator flaps over secondary healing for these patients with a major functional impairment.<\/p><p>\u00a0<\/p><p>Copyright \u00a9 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-485cfba elementor-align-center elementor-widget elementor-widget-button\" data-id=\"485cfba\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf-animation&quot;:&quot;none&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37811354\/\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Read Full Article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff4526a elementor-widget elementor-widget-wcf--blog--post--tags\" data-id=\"ff4526a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;wcf-animation&quot;:&quot;fade&quot;,&quot;delay&quot;:0.1499999999999999944488848768742172978818416595458984375,&quot;on-scroll&quot;:1,&quot;fade-from&quot;:&quot;bottom&quot;,&quot;data-duration&quot;:1.5,&quot;ease&quot;:&quot;power2.out&quot;,&quot;fade-offset&quot;:50}\" data-widget_type=\"wcf--blog--post--tags.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"wcf--post-tags\">\r\n\t\t\t        <\/div>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Axillary Hidradenitis Suppurativa: A Comparison between Two Perforator Flap Reconstructive Approaches after Radical Surgical Management October 6, 2023 Abstract Background: Axillary hidradenitis suppurativa (HS) can result in significant functional impairment in both personal and professional lives. Stage 3 HS requires radical surgical treatment. Flap reconstruction allows for faster healing and better functional and aesthetic outcomes. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8521,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[],"class_list":["post-8940","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publications"],"_links":{"self":[{"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/posts\/8940","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/comments?post=8940"}],"version-history":[{"count":0,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/posts\/8940\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/media\/8521"}],"wp:attachment":[{"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/media?parent=8940"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/categories?post=8940"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorathens.com\/en\/wp-json\/wp\/v2\/tags?post=8940"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}