{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T21:09:19Z","timestamp":1694466559676},"reference-count":10,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T00:00:00Z","timestamp":1564444800000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec><jats:title>Hintergrund und Ziele<\/jats:title><jats:p>Die Abdeckelung (Deroofing) hat sich als eine effektive Methode zur Behandlung leichter bis mittelschwerer Hidradenitis suppurativa erwiesen (HS). Das Standardverfahren umfasst die Entfernung des Sinusdachs, gefolgt von sekund\u00e4rer Wundheilung, wobei in der Regel fibr\u00f6ses Gewebe <jats:italic>in situ<\/jats:italic> verbleibt. Wir haben versucht, ein modifiziertes Deroofing einzuf\u00fchren, bei dem die akribische Entfernung des fibr\u00f6sen Gewebes bei Patienten mit mittelschwerer bis schwerer HS zu einer niedrigeren Rezidivrate f\u00fchrt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patienten und Methodik<\/jats:title><jats:p>In einer offenen prospektiven Studie wurden 96 L\u00e4sionen von 52 konsekutiven Patienten mit mittelschwerer bis schwerer HS durch ein Deroofing behandelt. Die Patienten wurden mindestens 28 Monate lang nachbeobachtet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Rezidive traten nach einem medianen Zeitraum von 2,3 Monaten an 14 % der Operationssitus auf. Die Rezidive betrafen folgende K\u00f6rperregionen: 6 % die Axilla und 25 % den Inguinalbereich. Die einzigen bedeutsamen Komplikationen waren postoperative Blutungen, die an 7 % der behandelten Stellen auftraten. Sieben Patienten gingen der Auswertung verloren.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>Ein modifiziertes Deroofing, gefolgt von einer gr\u00fcndlichen Entfernung des Sinustrakts, ist ein chirurgischer Ansatz, der sich f\u00fcr Patienten mit mittelschwerer Erkrankung insbesondere der Axillarregion eignet. Das Verfahren f\u00fchrt bei einer dem konventionellen Deroofing vergleichbaren Heilungsdauer zu einer niedrigen Rezidivrate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.13875_g","type":"journal-article","created":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T06:10:05Z","timestamp":1564553405000},"page":"698-702","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Deroofing mit anschlie\u00dfender sorgf\u00e4ltiger Sinustrakt\u2010Exzision: ein modifizierter chirurgischer Ansatz bei Hidradenitis suppurativa"],"prefix":"10.1111","volume":"17","author":[{"given":"Robert Artur","family":"Dahmen","sequence":"first","affiliation":[{"name":"Department of Dermatovenereology Third Faculty of Medicine Charles University and Kralovske Vinohrady University Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spyridon","family":"Gkalpakiotis","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Third Faculty of Medicine Charles University and Kralovske Vinohrady University Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Libuse","family":"Mardesicova","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Third Faculty of Medicine Charles University and Kralovske Vinohrady University Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Arenberger","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Third Faculty of Medicine Charles University and Kralovske Vinohrady University Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Arenbergerova","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Third Faculty of Medicine Charles University and Kralovske Vinohrady University Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.16691"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-014-0105-5"},{"key":"e_1_2_8_4_1","first-page":"729","volume-title":"Dermatologic surgery","author":"Hurley HJ","year":"1989"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12966"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.07.043"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.1959.11712723"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2009.12.018"},{"key":"e_1_2_8_9_1","unstructured":"WHO.Best practice protocols clinical procedures safety. 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Available from:www.who.int\/surgery\/publications\/BestPracticeProtocolsCPSafety07.pdf[last accessed February 5 2019]."},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.07.044"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2011.02255.x"}],"container-title":["JDDG: Journal der Deutschen Dermatologischen Gesellschaft"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fddg.13875_g","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ddg.13875_g","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ddg.13875_g","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ddg.13875_g","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T19:31:15Z","timestamp":1694287875000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ddg.13875_g"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1111\/ddg.13875_g"],"URL":"https:\/\/doi.org\/10.1111\/ddg.13875_g","archive":["Portico"],"relation":{},"ISSN":["1610-0379","1610-0387"],"issn-type":[{"value":"1610-0379","type":"print"},{"value":"1610-0387","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"2018-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}