Grafting a spherical hidradenitis-affected scrotal raw area using a sterile glove: a case report describing the Al Lahham technique

Introduction

Hidradenitis suppurative (HS) is a chronic inflammatory skin condition that can be resistant to medical treatment, in which case the surgical option stands out as the only solution. In this paper, we present a case of severe hidradenitis treated surgically, and we introduce a simple way to secure a graft on a big circumferential area.

Presentation of case

Our case is a severe form of HS involving both the axillary, the inguinal region and the scrotum that required multistaged surgery; the challenge was in the final stage, that is the grafting of the scrotum. To secure the graft on a big circumferential area we used our own technique that is simple and can be conducted in any hospital setting.

Discussion

Surgical treatment of HS includes wide debridement and reconstruction with grafts or flaps. Using a piece of sterile glove to secure the graft is useful because of its stretchable properties that can compress the graft and the ability to maintain a moist environment that promotes healing, with making slits it can also help in draining excess fluids.

Conclusion

We recommend testing this technique when grafting the scrotum or any circumferential area to secure the grafts.

Other Information

Published in: IJS Short Reports
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

See article on publisher's website: https://dx.doi.org/10.1097/sr9.0000000000000011