A one-stage radical surgical treatment of hidradenitis suppurativa of stage III by the Hurley classification of axillary location with wound plastic surgery using a posterior shoulder flap (a clinical case)

Hidradenitis suppurativa (acne inversa) is a chronic inflammatory skin disease that affects terminal hair follicles in the area of apocrine sweat glands. The disease is manifested by the formation of recurrent inflammatory nodes with purulent discharge, prone to the formation of fistulas and scars. The axillary region is one of the common affected areas. The article presented a clinical case of radical surgical management of hidradenitis suppurativa of stage III by the Hurley classification. The described surgical treatment included extensive resection of pathologically changed soft tissues of the axillary region with simultaneous wound repair using a displaced fascio-cutaneous flap taken from the posterior surface of the shoulder.