Application of surgical removal and setons abscess drainage management in patients with moderate and severe acne inverse at gluteal and perianal area
10.3760/cma.j.issn.1671-0290.2022.06.016
- VernacularTitle:手术切除皮损并挂线引流治疗臀部反常性痤疮的效果
- Author:
Sen MU
1
;
Ziru LI
;
Xiaoxia YANG
;
Xueli CUI
Author Information
1. 山东省栖霞市中医医院皮肤科，烟台 265300
- Keywords:
Hidradenitis suppurativa;
Acne inverse;
Gluteal and perianal area;
Dermatologic surgical procedure;
Setons;
Drainage
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(6):509-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value and effect of surgical removal and setons abscess drainage in moderate and severe acne inverse.Methods:A retrospective case study of 4 patients (3 males and 1 female with an average of onset of 28 years) with acne inverse at gluteal and perianal area in the Qixia Traditioal Chinese Medical Hospital of Shandong province between June 2016 and August 2020, The operative technique was based on the complete excision of the entire diseased skin and subcutaneous fatty tissue, down to the muscular fascia. The cavity was explored using a probe, two setons were placed in each of the fistula tracts, and the wound were covered with absorptive dressing.Results:All the wounds in 4 patients healed primarily and showed no recurrence after surgery, execpt for one patient who did not take supine position in time after operation which resulted in more bleeding in a short time. The other patients recovered well. The patients were followed up for 6 months without affecting the anal skin function, skin lesions and recurrence.Conclusions:The technique of wide surgical excision and setons abscess drainage is an effective method for moderate and severe acne inverse.
