Axillary Hidradenitis Reconstruction Using a Dermal Regeneration Template

Casey Kraft, MD; Gregory Pearson, MD


Wounds. 2022;34(2):43-46. 

In This Article


Managing the resultant defect after wide surgical excision of axillary hidradenitis can be challenging, particularly in the pediatric population. Many different techniques have been described for axillary reconstruction, including NPWT, skin grafting, local flaps, extended latissimus dorsi flaps, and thoracodorsal artery perforator flaps.[9–12] The use of bilayer DRT for axillary reconstruction has been reported with good results.[13,14] These studies are limited, with Ribeiro and Guerra[13] describing a single case report and Gonzaga et al[14] reporting a cohort of 4 patients with a 25% skin substitute loss rate and 50% reoperation rate. In the pediatric cohort reported in the current study, there were no unplanned operations and there was no DRT loss or recurrence of hidradenitis. Cost concerns have been raised in the literature. However, in the authors' experience, the reduced risk of axillary contracture from using DRT and the elimination of additional donor sites is worth consideration until higher-level studies are performed.[15]