DEROOFING – AMETHOD OF CHOICE IN THE TREATMENT OF SUPPURATIVE HIDRADENITIS OF PERINEUM

Aim: Suppurative hidradenitis is a chronic relapsing inflammatory disease that affects the apocrine sweat glands, and is most often located in the perianal area.Perineal and perianal locations cover about 37% of the total morbidity and it is more common in males.

Materials and Methods: A prospective interventional study of 13 patients with suppurative fistulizing hidradenitis of perineum, treated in the Department of Coloproctological and purulent-septic surgery, University Hospital, Pleven for the period 2008 - 2013.

Results: The period between the occurrences of diseaseand surgical treatment is very long – from 2 to 36 years (average - 9.2 years).  The average hospital stay was 13.5 days. Operative wounds healed secondarily an average of about 30 days. Patients were followed for 6 months, 1 year and 2 years. Two patients with relapses on the 6th postoperative month, have re-hospitalization and surgery with good results.

Conclusion: Treatment of suppurative hidradenitis of the perineum is complex, both in terms of local status and systematic violations resulting chronic infection. The advantages of deroofing are: minimal trauma to the patient, requires no special equipment, there is a lower rate of recurrence compared with other methods (in our study - 15.38%) and leads to the formation of aesthetically acceptable scar.