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Erschienen in: Der Hautarzt 2/2018

10.01.2018 | Acne inversa | Übersichten

Operative Behandlungsoptionen bei Hidradenitis suppurativa/Acne inversa

verfasst von: Dr. L. Scholl, Dr. S. Hessam, S. Reitenbach, Prof. Dr. F. G. Bechara

Erschienen in: Die Dermatologie | Ausgabe 2/2018

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Zusammenfassung

Hidradenitis suppurativa/Acne inversa (HS/AI) ist eine chronisch inflammatorische Hauterkrankung, für deren Behandlung konservative und operative Therapieoptionen zur Verfügung stehen. Im Hurley-Stadium II und III stellt die operative Sanierung von irreversibel destruiertem Gewebe die Methode der Wahl dar. Resektionstechniken unterschiedlicher Invasivität werden in der Literatur beschrieben. Bisher herrscht kein allgemein akzeptierter Konsens über den Einsatz verschiedener Resektions- und Rekonstruktionstechniken sowie die postoperative Nachbehandlung. Die Beurteilung von Rezidiven nach chirurgischer Intervention wird durch fehlende Rezidivdefinitionen sowie eine heterogene Studienlage erschwert.
Literatur
3.
Zurück zum Zitat Altmann S, Fansa H, Schneider W (2001) Surgical treatment of axillary hidradenitis suppurativa. Chirurg 72:1413–1416PubMedCrossRef Altmann S, Fansa H, Schneider W (2001) Surgical treatment of axillary hidradenitis suppurativa. Chirurg 72:1413–1416PubMedCrossRef
5.
Zurück zum Zitat Anderson BB, Cadogan CA, Gangadharam D (1982) Hidradenitis suppurativa of the perineum, scrotum, and gluteal area: presentation, complications, and treatment. J Natl Med Assoc 74:999–1003PubMedPubMedCentral Anderson BB, Cadogan CA, Gangadharam D (1982) Hidradenitis suppurativa of the perineum, scrotum, and gluteal area: presentation, complications, and treatment. J Natl Med Assoc 74:999–1003PubMedPubMedCentral
6.
Zurück zum Zitat Anderson MJ, Dockerty MB (1958) Perianal hidradenitis suppurativa; a clinical and pathologic study. Dis Colon Rectum 1:23–31PubMedCrossRef Anderson MJ, Dockerty MB (1958) Perianal hidradenitis suppurativa; a clinical and pathologic study. Dis Colon Rectum 1:23–31PubMedCrossRef
7.
Zurück zum Zitat Ariyan S, Krizek TJ (1976) Hidradenitis suppurativa of the groin, treated by excision and spontaneous healing. Plast Reconstr Surg 58:44–47PubMedCrossRef Ariyan S, Krizek TJ (1976) Hidradenitis suppurativa of the groin, treated by excision and spontaneous healing. Plast Reconstr Surg 58:44–47PubMedCrossRef
10.
15.
Zurück zum Zitat Bilali S, Todi V, Lila A et al (2012) Surgical treatment of chronic hidradenitis suppurativa in the gluteal and perianal regions. Acta Chir Iugosl 59:91–95PubMedCrossRef Bilali S, Todi V, Lila A et al (2012) Surgical treatment of chronic hidradenitis suppurativa in the gluteal and perianal regions. Acta Chir Iugosl 59:91–95PubMedCrossRef
20.
Zurück zum Zitat Broadwater JR, Bryant RL, Petrino RA et al (1982) Advanced hidradenitis suppurativa. Review of surgical treatment in 23 patients. Am J Surg 144:668–670PubMedCrossRef Broadwater JR, Bryant RL, Petrino RA et al (1982) Advanced hidradenitis suppurativa. Review of surgical treatment in 23 patients. Am J Surg 144:668–670PubMedCrossRef
21.
Zurück zum Zitat Brown SC, Kazzazi N, Lord PH (1986) Surgical treatment of perineal hidradenitis suppurativa with special reference to recognition of the perianal form. Br J Surg 73:978–980PubMedCrossRef Brown SC, Kazzazi N, Lord PH (1986) Surgical treatment of perineal hidradenitis suppurativa with special reference to recognition of the perianal form. Br J Surg 73:978–980PubMedCrossRef
24.
26.
Zurück zum Zitat Ching CC, Stahlgren LH (1982) Clinical review of hidradenitis suppurativa: management of cases with severe perianal involvement. Dis Colon Rectum 8:349–352CrossRef Ching CC, Stahlgren LH (1982) Clinical review of hidradenitis suppurativa: management of cases with severe perianal involvement. Dis Colon Rectum 8:349–352CrossRef
27.
Zurück zum Zitat Chuang CJ, Lee CH, Chen TM et al (2004) Use of a versatile transpositional flap in the surgical treatment of axillary hidradenitis suppurativa. J Formos Med Assoc 103:644–647PubMed Chuang CJ, Lee CH, Chen TM et al (2004) Use of a versatile transpositional flap in the surgical treatment of axillary hidradenitis suppurativa. J Formos Med Assoc 103:644–647PubMed
32.
Zurück zum Zitat Elwood ET, Bolitho DG (2001) Negative-pressure dressings in the treatment of hidradenitis suppurativa. Ann Plast Surg 46:49–51PubMedCrossRef Elwood ET, Bolitho DG (2001) Negative-pressure dressings in the treatment of hidradenitis suppurativa. Ann Plast Surg 46:49–51PubMedCrossRef
33.
Zurück zum Zitat Endo Y, Tamura A, Ishikawa O, Miyachi Y (1998) Perianal hidradenitis suppurativa: early surgical treatment gives good results in chronic or recurrent cases. Br J Dermatol 139:906–910PubMedCrossRef Endo Y, Tamura A, Ishikawa O, Miyachi Y (1998) Perianal hidradenitis suppurativa: early surgical treatment gives good results in chronic or recurrent cases. Br J Dermatol 139:906–910PubMedCrossRef
36.
Zurück zum Zitat Finley EM, Ratz JL (1996) Treatment of hidradenitis suppurativa with carbon dioxide laser excision and second-intention healing. J Am Acad Dermatol 34:465–469PubMedCrossRef Finley EM, Ratz JL (1996) Treatment of hidradenitis suppurativa with carbon dioxide laser excision and second-intention healing. J Am Acad Dermatol 34:465–469PubMedCrossRef
38.
Zurück zum Zitat Greeley PW (1951) Plastic surgical treatment of chronic suppurative hidradenitis. Plast Reconstr Surg 7:143–146CrossRef Greeley PW (1951) Plastic surgical treatment of chronic suppurative hidradenitis. Plast Reconstr Surg 7:143–146CrossRef
40.
Zurück zum Zitat Harrison BJ, Mudge M, Hughes LE (1987) Recurrence after surgical treatment of hidradenitis suppurativa. Br Med J 294:487–489CrossRef Harrison BJ, Mudge M, Hughes LE (1987) Recurrence after surgical treatment of hidradenitis suppurativa. Br Med J 294:487–489CrossRef
42.
Zurück zum Zitat Hartwell SW (1975) Surgical treatment of hidradenitis suppurativa. Surg Clin North Am 55:1107–1109PubMedCrossRef Hartwell SW (1975) Surgical treatment of hidradenitis suppurativa. Surg Clin North Am 55:1107–1109PubMedCrossRef
48.
Zurück zum Zitat Hurley H (1989) Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa and familial benign pemphigus. Surgical approach. In: Roenigk RK, Jr Roenigk HH (Hrsg) Dermatologic surgery. Principles and practice. Dekker, New York, S 729–739 Hurley H (1989) Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa and familial benign pemphigus. Surgical approach. In: Roenigk RK, Jr Roenigk HH (Hrsg) Dermatologic surgery. Principles and practice. Dekker, New York, S 729–739
52.
Zurück zum Zitat Jemec GB (1988) Effect of localized surgical excisions in hidradenitis suppurativa. J Am Acad Dermatol 18:1103–1107PubMedCrossRef Jemec GB (1988) Effect of localized surgical excisions in hidradenitis suppurativa. J Am Acad Dermatol 18:1103–1107PubMedCrossRef
58.
65.
Zurück zum Zitat Mandal A, Watson J (2005) Experience with different treatment modules in hidradenitis suppuritiva: a study of 106 cases. Surgeon 3:23–26PubMedCrossRef Mandal A, Watson J (2005) Experience with different treatment modules in hidradenitis suppuritiva: a study of 106 cases. Surgeon 3:23–26PubMedCrossRef
67.
Zurück zum Zitat Masson JK (1969) Surgical treatment for hidradenitis suppurativa. Surg Clin North Am 49:1043–1052PubMedCrossRef Masson JK (1969) Surgical treatment for hidradenitis suppurativa. Surg Clin North Am 49:1043–1052PubMedCrossRef
71.
Zurück zum Zitat Morgan WP, Harding KG, Hughes LE (1983) A comparison of skin grafting and healing by granulation, following axillary excision for hidradenitis suppurativa. Ann R Coll Surg Engl 65:235–236PubMedPubMedCentral Morgan WP, Harding KG, Hughes LE (1983) A comparison of skin grafting and healing by granulation, following axillary excision for hidradenitis suppurativa. Ann R Coll Surg Engl 65:235–236PubMedPubMedCentral
73.
Zurück zum Zitat Morgan WP, Hughes LE (1979) The distribution, size and density of the apocrine glands in hidradenitis suppuritiva. Br J Surg 66:853–856PubMedCrossRef Morgan WP, Hughes LE (1979) The distribution, size and density of the apocrine glands in hidradenitis suppuritiva. Br J Surg 66:853–856PubMedCrossRef
74.
Zurück zum Zitat Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W (1997) Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 38:553–562PubMedCrossRef Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W (1997) Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 38:553–562PubMedCrossRef
75.
Zurück zum Zitat Mustafa EB, Ali SD, Kurtz LH (1980) Hidradenitis suppurativa: review of the literature and management of the axillary lesion. J Natl Med Assoc 72:237–243PubMedPubMedCentral Mustafa EB, Ali SD, Kurtz LH (1980) Hidradenitis suppurativa: review of the literature and management of the axillary lesion. J Natl Med Assoc 72:237–243PubMedPubMedCentral
76.
Zurück zum Zitat O’Brien J, Wysocki J, Anastasi G (1976) Limberg flap coverage for axillary defects resulting from excision of hidradenitis suppurativa. Plast Reconstr Surg 58:354–358PubMedCrossRef O’Brien J, Wysocki J, Anastasi G (1976) Limberg flap coverage for axillary defects resulting from excision of hidradenitis suppurativa. Plast Reconstr Surg 58:354–358PubMedCrossRef
77.
Zurück zum Zitat Paletta FX (1963) Hidradenitis suppurativa: pathologic study and use of skin flaps. Plast Reconstr Surg 31:307–315PubMedCrossRef Paletta FX (1963) Hidradenitis suppurativa: pathologic study and use of skin flaps. Plast Reconstr Surg 31:307–315PubMedCrossRef
78.
Zurück zum Zitat Parks RW, Parks TG, Hughes LE (1997) Pathogenesis, clinical features and management of hidradenitis suppurativa. Ann R Coll Surg Engl 79:309–310 Parks RW, Parks TG, Hughes LE (1997) Pathogenesis, clinical features and management of hidradenitis suppurativa. Ann R Coll Surg Engl 79:309–310
79.
Zurück zum Zitat Pollock WJ, Virnelli FR, Ryan RF (1972) Axillary hidradenitis suppurativa. A simple and effective surgical technique. Plast Reconstr Surg 49:22–27PubMedCrossRef Pollock WJ, Virnelli FR, Ryan RF (1972) Axillary hidradenitis suppurativa. A simple and effective surgical technique. Plast Reconstr Surg 49:22–27PubMedCrossRef
83.
Zurück zum Zitat Ritz JP, Runkel N, Haier J, Buhr HJ (1998) Extent of surgery and recurrence rate of hidradenitis suppurativa. Int J Colorectal Dis 13:164–168PubMedCrossRef Ritz JP, Runkel N, Haier J, Buhr HJ (1998) Extent of surgery and recurrence rate of hidradenitis suppurativa. Int J Colorectal Dis 13:164–168PubMedCrossRef
85.
Zurück zum Zitat Rompel R, Petres J (2000) Long-term results of wide surgical excision in 106 patients with hidradenitis suppurativa. Dermatol Surg 26:638–643PubMedCrossRef Rompel R, Petres J (2000) Long-term results of wide surgical excision in 106 patients with hidradenitis suppurativa. Dermatol Surg 26:638–643PubMedCrossRef
86.
Zurück zum Zitat Rosenfeld N, Babar A (1976) Hidradenitis suppurativa of the perineal and gluteal regions, treated by excision and skin grafting. Case report. Plast Reconstr Surg 58:98–99PubMedCrossRef Rosenfeld N, Babar A (1976) Hidradenitis suppurativa of the perineal and gluteal regions, treated by excision and skin grafting. Case report. Plast Reconstr Surg 58:98–99PubMedCrossRef
90.
Zurück zum Zitat Shah N (2005) Hidradenitis suppurativa: a treatment challenge. Am Fam Physician 72:1547–1552PubMed Shah N (2005) Hidradenitis suppurativa: a treatment challenge. Am Fam Physician 72:1547–1552PubMed
92.
Zurück zum Zitat Silverberg B, Smoot CE, Landa SJ, Parsons RW (1987) Hidradenitis suppurativa: patient satisfaction with wound healing by secondary intention. Plast Reconstr Surg 79:555–559PubMedCrossRef Silverberg B, Smoot CE, Landa SJ, Parsons RW (1987) Hidradenitis suppurativa: patient satisfaction with wound healing by secondary intention. Plast Reconstr Surg 79:555–559PubMedCrossRef
97.
Zurück zum Zitat Tanaka A, Hatoko M, Tada H et al (2001) Experience with surgical treatment of hidradenitis suppurativa. Ann Plast Surg 47:636–642PubMedCrossRef Tanaka A, Hatoko M, Tada H et al (2001) Experience with surgical treatment of hidradenitis suppurativa. Ann Plast Surg 47:636–642PubMedCrossRef
98.
Zurück zum Zitat Tasche C, Angelats J, Jayaram B (1975) Surgical treatment of hidradenitis suppurativa of the axilla. Plast Reconstr Surg 55:559–562PubMedCrossRef Tasche C, Angelats J, Jayaram B (1975) Surgical treatment of hidradenitis suppurativa of the axilla. Plast Reconstr Surg 55:559–562PubMedCrossRef
99.
Zurück zum Zitat Thornton JP, Abcarian H (1978) Surgical treatment of perianal and perineal hidradenitis suppurativa. Dis Colon Rectum 21:573–577PubMedCrossRef Thornton JP, Abcarian H (1978) Surgical treatment of perianal and perineal hidradenitis suppurativa. Dis Colon Rectum 21:573–577PubMedCrossRef
104.
Zurück zum Zitat Wiltz O, Schoetz DJ, Murray JJ et al (1990) Perianal hidradenitis suppurativa. The Lahey clinic experience. Dis Colon Rectum 33:731–734PubMedCrossRef Wiltz O, Schoetz DJ, Murray JJ et al (1990) Perianal hidradenitis suppurativa. The Lahey clinic experience. Dis Colon Rectum 33:731–734PubMedCrossRef
Metadaten
Titel
Operative Behandlungsoptionen bei Hidradenitis suppurativa/Acne inversa
verfasst von
Dr. L. Scholl
Dr. S. Hessam
S. Reitenbach
Prof. Dr. F. G. Bechara
Publikationsdatum
10.01.2018
Verlag
Springer Medizin
Erschienen in
Die Dermatologie / Ausgabe 2/2018
Print ISSN: 2731-7005
Elektronische ISSN: 2731-7013
DOI
https://doi.org/10.1007/s00105-017-4114-1

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