Freehand Apple-peeling Technique for Recycled Skin Graft Harvesting in a Case of Buttock Hidradenitis Suppurativa.

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder that often necessitates extensive surgery when medical treatment fails, particularly in advanced stages. Traditional surgical approaches, including flaps and skin grafts, are effective for tissue coverage but can lead to vascular complications and recurrence of HS. This study introduces a novel technique, the apple-peeling procedure, combined with negative pressure wound therapy at -50 mm Hg for 5 days postoperatively. This approach demonstrated improved operative efficiency and a low complication rate. Over a 3-year follow-up, there were no signs of HS recurrence, and the patient exhibited satisfactory functional and cosmetic outcomes. This technique may offer a promising alternative for treating HS, reducing the need for additional donor sites and mitigating the risks associated with conventional methods.