Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory process involving
the apocrine glands of the axilla, groin, perineal, and perianal regions [
1
,
2
]. The disease can become quite painful and debilitating, resulting in chronically
draining wounds and sinus tracts. Although the precise etiology remains unclear, evidence
suggests that the primary process involves occlusion of either the apocrine or follicular
ducts, followed by secondary infection of the apocrine system, with extension into
the surrounding subcutaneous tissues as sinus tracts. Medical management may temporize
the symptoms of this disease, but most patients with chronic wounds will require some
form of surgical therapy, ranging from simple incision and drainage, unroofing of
sinus tracts and local excision, to wide excision with grafting or advancement flap
coverage [
[1]
].To read this article in full you will need to make a payment
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