Reconstruction after Excision of Hidradenitis Suppurativa: Are Skin Grafts Better than Flaps?

Sugio et al.1 have recently published in Plastic and Reconstructive Surgery Global Open a very interesting case report entitled “Reconstruction after Excision of Hidradenitis Suppurativa: Are Skin Grafts Better than Flaps?” They present a case of bilateral inguinal hidradenitis suppurativa (HS) that was first treated with excision and bilateral inguinal flaps. Due to flap loss in the right side, a mesh skin grafting was performed. Based on the observation that the patient presented (there was recurrence in the left side but no recurrence at the right side), they concluded that “…skin grafting, which does not contain cutaneous appendages, may be superior to flap repair or primary closure in terms of recurrence.