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Here, we describe our rotation advancement flap technique, which allows for one\u2010stage closure of large axillary defects, with minimal functional morbidity to the axilla. We performed a retrospective review of all patients who underwent one\u2010stage surgical management for axillary hidradenitis suppurativa at a single\u2010centre tertiary care hospital from 2009 to 2018. We identified 34 patients, with a total of 53 operative sites. The majority were female (85%) with a mean age of 31\u2009years and body mass index 35\u2009kg\/m<jats:sup>2<\/jats:sup>. The median defect size was 84 cm<jats:sup>2<\/jats:sup> and the majority were treated using the rotation advancement flap technique (86%). A quarter of operative sites experienced minor complications with only one requiring re\u2010operation. At a median follow\u2010up of 32 months, two (4%) sites showed decreased range of motion. However, all patients had achieved remission without any further recurrence of disease. We describe a one\u2010stage rotation advancement flap technique for management of moderate to severe hidradenitis suppurativa that achieves a high local cure rate, minimal functional morbidity, and acceptable wound complication rates.<\/jats:p>","DOI":"10.1111\/iwj.13319","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T08:55:20Z","timestamp":1582016120000},"page":"701-707","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Reconstruction for axillary hidradenitis suppurativa using one\u2010stage local tissue rearrangement: A retrospective analysis of 53 cases"],"prefix":"10.1111","volume":"17","author":[{"given":"Yinglun","family":"Wu","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine  Baltimore 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