Extensive sacral hidradenitis suppurativa

Hidradenitis suppurativa (HS) is a chronic inflammation of apocrine sweat glands, and reduces the quality of life of patients and causes many morbidities. The patients often use various antibiotics, retinoids, and immunosuppressive drugs for many years before surgical intervention. The main purpose of surgical treatment is to provide an acceptable disease control and minimize the recurrence rate after surgery. Drainage or local excision methods have very high recurrence rates. In this case, we aimed to present the treatment of extensive sacral HS, with wide excision and bilateral V-Y advancement flap.