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Use of lotus petal flap in the treatment of perineal hidradenitis suppurativa

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Abstract

Perineal hidradenitis suppurativa is a complex problem to treat. Various methods of treatment have been tried in the past, but recurrence was common. In this paper, we describe the use of the lotus petal flap in hidradenitis suppurativa of the perineum in three patients. Many local flaps have been used for covering the defect after excision of hidradenitis suppurativa; in our cases, we have used the lotus petal flap. Until now, this flap has been used for vaginal reconstruction after cancer surgery [Yii NW, Niranjan NS (1996) Lotus petal flaps in vulvo vaginal reconstruction. Br J Plast Surg 49(8):547–554, Hashimoto I et al (1999) Vulvo vaginal reconstruction with gluteal fold flaps. J Jpn P R S 19:92–98]. Three patients had five lotus petal flaps after the excision of perineal hidradenitis suppurativa, and there were no recurrences of the lesion in the excised area after follow-up at 2 years.

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References

  1. Yii NW, Niranjan NS (1996) Lotus petal flaps in vulvo vaginal reconstruction. Br J Plast Surg 49(8):547–554

    Article  PubMed  CAS  Google Scholar 

  2. Hashimoto I, Nakanishi H, Nagae H et al (2001) The gluteal fold flap for vulva and buttock reconstruction. Anatomic study and adjustment of flap volume. Plast Reconstr Surg 108(7):1998–2005

    Article  PubMed  CAS  Google Scholar 

  3. Core GB, Bite U, Pemberton JH et al (1994) Sliding V–Y perineal island flaps for large perianal defects. Ann Plast Surg 32(3):328–332

    Article  PubMed  CAS  Google Scholar 

  4. Hagerty RC, Vaughn TR, Lutz MH (1993) The perineal artery axial flap. Ann Plast Surg 31:28–31

    Article  PubMed  CAS  Google Scholar 

  5. Hashimoto I, Murakami G et al (2001) First cutaneous branch of the internal pudendal artery: an anatomical basis for the so-called gluteal fold flap. Okajimas Folia Anat Jpn 78(1):23–30

    PubMed  CAS  Google Scholar 

  6. Ritz J-P, Runkel N, Haier J, Buhr H (1998) Extent of surgery and recurrence rate of hidradenitis suppurativa. Int J Colorectal Dis 13:164–169

    Article  PubMed  CAS  Google Scholar 

  7. Endo Y et al (1998) Surgery for hidradenitis suppurativa. Br J Dermatol 139:906–910

    Article  PubMed  CAS  Google Scholar 

  8. Antsey AV, Wilkinson JD, Lord P (1990) Squamous cell carcinoma complicating hidradenitis suppurativa. Br J Dermatol 23:527–531

    Google Scholar 

  9. Tanaka A et al (2001) Experience with surgical treatment of hidradenitis suppurativa. Ann Plast Surg 74(6):636–642

    Article  Google Scholar 

  10. Hashimoto I et al (1999) Vulvo vaginal reconstruction with gluteal fold flaps. J Jpn P R S 19:92–98

    Google Scholar 

  11. Parks RW, Parks TG (1997) Pathogenesis, clinical features and management of hidradenitis suppurativa. Ann R Coll Surg Engl 79:83–89

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Castle Hill Hospital, Cottingham, UK

    K. S. Govindan, N. Rehman, S. Vadodaria & N. B. Hart

  2. 5 The Elms, Malmains Drive Frenchay, Bristol, BS16 1PZ, UK

    K. S. Govindan

Authors
  1. K. S. Govindan
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  2. N. Rehman
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  3. S. Vadodaria
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  4. N. B. Hart
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Correspondence to K. S. Govindan.

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Govindan, K.S., Rehman, N., Vadodaria, S. et al. Use of lotus petal flap in the treatment of perineal hidradenitis suppurativa. Eur J Plast Surg 28, 486–489 (2006). https://doi.org/10.1007/s00238-005-0008-z

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  • DOI: https://doi.org/10.1007/s00238-005-0008-z

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