247 Axillary Hidradenitis Suppurativa: A One-Stage Reconstruction Approach Using Acellular Dermal Substitute

Abstract Hidradenitis suppurativa (HS) is a chronic recurrent debilitating condition. It characterized by abscesses, and can be complicated rupture, scarring sinuses. The management of HS multidisciplinary, involving general lifestyle modification, medical treatment, surgery. A wide range surgical interventions have been described for disease control management. However, strategies are highly variable. We present case 33-year-old female with extensive in both axillae resulting extreme pain, restriction shoulders movement severe impact on quality life. After failure non-operative management, she underwent excision all pathological axillary disease. One week later, had single-stage reconstruction Matriderm®. meshed split thickness skin graft. Acellular dermal substitutes may an alternative to conventional means hidradenitis reconstruction, producing subtle, pliable, durable skin.