2005 Symposium on Advanced Wound Care | |
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Case Study
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Use of negative pressure wound therapy in the treatment of hidradenitis supprativa: a case series Mona M. Baharestani, PhD, ANP, CWOCN, CWS, Long Island Jewish Medical Center, New Hyde Park, NY Hidradenitis suppurativa (HS) is an often debilitating, inflammatory disease affecting the apocrine sweat gland-bearing skin. Sites most commonly affected are the axillae, inguinal, perineal, buttock, mammary and inframammary areas. Other sites which may be involved include the scalp, chest, abdominal wall and lower extremities. Clinically chronic, painful abscesses, fibrosis and sinus tracts are exhibited. In the early stages of HS, medical management is employed, however radical excision is the treatment of choice if fibrosis and sinus tracts have developed, with healing by secondary intention, split thickness skin grafting (STSG) or flap closure. This series of case reports describes the efficacious use of NPWT* in the management of extensive perineal and axillary hidradenitis supprativa post-radical excision and post-STSG. Mean time to closure was 2 weeks and the mean graft take rate was 98%. After radical excision, NPWT* serves as an excellent adjunctive tool in wound bed preparation and in securing split thickness skin grafts, even in the most anatomically challenging locations. * V.A.C.® is a registered trademark of KCI, Inc., San Antonio, Texas |
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