{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T03:51:38Z","timestamp":1769572298171,"version":"3.49.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T00:00:00Z","timestamp":1644969600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Hidradenitis suppurativa (HS) is a chronic inflammatory disease, with the axilla being the most commonly affected site. Radical excision of the involved tissue is a definitive treatment. There are numerous techniques described for the reconstruction of the axilla.<\/jats:p><jats:p>\n          Patients and methods\u2003Patients with axillary HS who underwent wide excision and posterior arm flap cover between August 2017 and December 2020 were reviewed.<\/jats:p><jats:p>\n          Results\u2003A total of 15 flaps were done in eight patients in the study period. Bilateral radical excision of the disease was done simultaneously in all eight patients with the help of a two-team approach. Reconstruction of the axilla was done with a posterior arm flap bilaterally, except one side in a single patient, wherein the split-thickness skin graft was performed. All flaps settled well without significant complications. On follow-up ranging from 12 to 42 months, one patient complained of disease recurrence on one side. The flap and the donor site had settled well in all patients, causing no significant morbidity.<\/jats:p><jats:p>\n          Conclusion\u2003Radical excision of axillary hidradenitis must be considered early on presentation. After wide excision, simultaneous bilateral reconstruction with posterior arm flap is a simple and reliable technique with an excellent patient-reported outcome.<\/jats:p>","DOI":"10.1055\/s-0041-1740087","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T23:51:51Z","timestamp":1645055511000},"page":"066-069","source":"Crossref","is-referenced-by-count":3,"title":["Simultaneous Bilateral Reconstruction of the Axilla with Posterior Arm Flap in Recurrent Hidradenitis Suppurativa"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9819-9876","authenticated-orcid":false,"given":"Kingsly Paul","family":"M.","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geley","family":"Ete","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix Cordelia M.","family":"J.","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudha K.","family":"Akamanchi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shwetha","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,2,16]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.jaad.2008.11.911","article-title":"Hidradenitis suppurativa: a comprehensive review","volume":"60","author":"A Alikhan","year":"2009","journal-title":"J Am Acad Dermatol"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1046\/j.1524-4725.2000.00043.x","article-title":"Long-term results of wide surgical excision in 106 patients with hidradenitis suppurativa","volume":"26","author":"R Rompel","year":"2000","journal-title":"Dermatol Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/00006534-197609000-00017","article-title":"Limberg flap coverage for axillary defects resulting from excision of hidradenitis suppurativa","volume":"58","author":"J O'Brien","year":"1976","journal-title":"Plast Reconstr Surg"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/j.bjps.2014.04.032","article-title":"Surgical treatment of severe hidradenitis suppurativa of the axilla: thoracodorsal artery perforator (TDAP) flap versus 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Sirvan","year":"2019","journal-title":"Plast Surg (Oakv)"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002819","article-title":"Modified posterior arm flap for axillary hidradenitis suppurativa","author":"D R Thomson","year":"2021","journal-title":"Ann Plast Surg"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/BF01654636","article-title":"Anatomical basis of the posterior brachial skin flap","volume":"7","author":"A C Masquelet","year":"1985","journal-title":"Anat Clin"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1016\/j.burns.2012.11.010","article-title":"Posterior arm flap in management of axillary contracture","volume":"39","author":"G Guha","year":"2013","journal-title":"Burns"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s00238-010-0464-y","article-title":"The posterior arm flap\u2014our department's experience","volume":"34","author":"M LR Costa","year":"2011","journal-title":"Eur J Plast Surg"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1016\/j.bjps.2015.07.011","article-title":"The posterior arm flap in reconstruction of axillary defects: A lifeboat when soft tissue cover is limited","volume":"68","author":"N Hodgins","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.bjps.2015.03.002","article-title":"The versatility of the islanded posterior arm flap for regional reconstruction around the axilla","volume":"68","author":"M Schmidt","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"2516","DOI":"10.1097\/PRS.0b013e3182131d94","article-title":"Some thoughts on the posterior brachioplasty","volume":"127","author":"G M Huemer","year":"2011","journal-title":"Plast Reconstr Surg"}],"container-title":["Indian Journal of Plastic 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