A Novel Technique for the Treatment of a Case of Verneuil's Disease of Perineum and Axillary Regions

Etienne El-Helou; Alaa Kansoun; Elissa Abi Fadel; Ali Nassif; Houssam Bashir Mazraani; Georges Robert Neaime; Houssein Amin Kassem Moussa; Georges Bassil; Serge Ibrahim; Georges R. Assaf; Houssam Alam

doi:10.1055/s-0041-1731400

The Surgery Journal, Table of Contents

CC BY 4.0 · Surg J (N Y) 2021; 07(03): e163-e167
DOI: 10.1055/s-0041-1731400

Case Report

A Novel Technique for the Treatment of a Case of Verneuil's Disease of Perineum and Axillary Regions

Etienne El-Helou

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Alaa Kansoun

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Elissa Abi Fadel

²Department of General Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Ali Nassif

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Houssam Bashir Mazraani

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Georges Robert Neaime

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Houssein Amin Kassem Moussa

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Georges Bassil

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Serge Ibrahim

¹Department of General Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon

,

Georges R. Assaf

³Department of Anesthesiology, Centre Hospitalier Universitaire Geitaoui, Lebanon

,

Houssam Alam

⁴Department of General Surgery, Centre Hospitalier Universitaire Geitaoui, Lebanon

› Author Affiliations

Abstract

Hidradenitis suppurativa (HS) is a chronic inflammatory disease involving apocrine glands of the skin. It carries out an important burden on the daily life of the patient. Unfortunately, it presents a major concern for medical care management in the absence of clear guidelines for proper medical and surgical treatment. Hence, we report a case of concomitant axillary and perianal HS. We opted for surgical management using a novel technique, which proved efficacy for a year of follow-up recurrence free.

Keywords

Verneuil - hidradenitis suppurativa - Etanercept - Integra - synthetic - case report - novel technique

Full Text

References

References
1 Hendricks AJ, Hsiao JL, Lowes MA, Shi VY. A Comparison of International Management Guidelines for Hidradenitis Suppurativa. Dermatology 2019; 1-16
2 Sivanand A, Alhusayen R, Piguet V, Alavi A. “Hidradenitis suppurativa” is a historical term that does not reflect the current understanding of disease pathogenesis. J Cutan Med Surg 2020; 24 (06) 644-645
3 Duran C, Baumeister A. Recognition, diagnosis, and treatment of hidradenitis suppurativa. JAAPA 2019; 32 (10) 36-42
4 Rowland Payne PCME. Hidradenitis suppurativa treatment - medical or surgical?. J Eur Acad Dermatol Venereol 2019; 33 (06) 981-982
5 Gulliver W, Landells IDR, Morgan D, Pirzada S. Hidradenitis suppurativa: a novel model of care and an integrative strategy to adopt an orphan disease. J Cutan Med Surg 2018; 22 (01) 71-77
6 Melendez Gonzalez MDM, Sayed CJ. Surgery is an essential aspect of managing patients with hidradenitis suppurativa. J Am Acad Dermatol 2020; 83 (03) 979-980
7 Tchero H, Herlin C, Bekara F, Fluieraru S, Teot L. Hidradenitis suppurativa: a systematic review and meta-analysis of therapeutic interventions. Indian J Dermatol Venereol Leprol 2019; 85 (03) 248-257
8 Manfredini M, Garbarino F, Bigi L, Pellacani G, Magnoni C. Hidradenitis suppurativa: surgical and postsurgical management. Skin Appendage Disord 2020; 6 (04) 195-201