Abstract
Severe Hidradenitis Suppurativa (HS), characterised by chronic abscess and sinus tract formation, causes significant reduction in patient physical and psychological quality of life. Completion of surgical excision and reconstruction is the only definitive treatment for HS refractory to medical management such as topical or oral antibiotics or disease-modifying biological agents. Staged skin grafting with BTM and vacuum assisted closure dressings is a novel technique that has shown efficacy in closing wounds left by extensive surgical excision of severe HS. We present two case studies demonstrating the effectiveness of this technique for management of groin and perineal HS while minimising wound contracture and preserving range of movement for improved quality of life.
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