Abstract：
Hidradenitis suppurativa (HS) is an inflammatory follicular dermatological condition that typically affects the intertriginous and anogenital regions of the apocrine gland-bearing skin. The management of this chronic and recurring disease necessitates a combination of lifestyle changes, medication, and surgical approaches to achieve the best possible outcomes. While medical treatments are recommended for this multimodal disease, surgical therapy, which is the gold standard of treatment for HS, has proven to be the most effective treatment because it provides long-lasting local disease control, reduces the recurrence of lesions, and ensures complete healing of lesions. In the last decade, there has been exponential growth in research into various surgical techniques and reconstructive care, enabling patients to have more surgical options. There is a wide range of surgical management procedures available, such as incision and drainage, deroofing, excisional surgery, carbon dioxide laser therapy, and skin tissue-sparing excision with electrosurgical peeling. Among these surgical procedures, wide surgical excision is the best option since it can eradicate all the affected lesions. Meanwhile, the preferred approach to reconstruction at various anatomical locations remains debatable. Here, we review a variety of surgical treatments and reconstructive techniques for HS, particularly various flap techniques for the axillary, gluteal, and inframammary regions.
摘要：
化脓性汗腺炎（HS）是一种炎性滤泡性皮肤病，通常会影响大汗腺承载皮肤的三间隙和肛门生殖器区域。这种慢性和复发性疾病的管理需要生活方式的改变，药物,和手术方法，以实现最好的结果。虽然建议对这种多模式疾病进行药物治疗，手术治疗,这是HS治疗的黄金标准，已被证明是最有效的治疗方法，因为它提供了持久的局部疾病控制，减少病变的复发，并确保病变完全愈合。在过去的十年里，对各种外科技术和重建护理的研究呈指数级增长，使患者有更多的手术选择。有各种各样的手术管理程序，如切口和引流，deroofing，切除手术,二氧化碳激光治疗，和保留皮肤组织的电切术。在这些外科手术中,广泛的手术切除是最好的选择，因为它可以根除所有受影响的病变。同时,在各种解剖位置重建的首选方法仍然存在争议。这里,我们回顾了各种HS的手术治疗和重建技术，特别是腋窝的各种皮瓣技术，臀肌,和乳腺下区域。
