IntroductionHidradenitis suppurativa (HS) is a chronic inflammatory skin disease, characterized by painful deep‐seated nodules and abscesses mainly located in the inverse body areas. The treatment of HS is usually a combination of medical treatment and surgery. Patients are generally treated with several courses of antibiotics, or in more severe cases, with tumour necrosis factor alpha (TNF‐α) inhibitors. However, wide excision surgery provides the best chance for remission in HS. The most common surgical procedures are incision with drainage, deroofing, and limited or wide excision. Incision with drainage is usually performed in acute stages to drain pus from abscesses and to relieve pain, but recurrence rates up to a 100% have been reported. Deroofing is a surgical technique whereby the lesions are explored using a probe and the roof is excised; it is most effective for recurrent lesions in a mild phase of the disease. Lesions can also be totally excised using limited excision or wide excision surgery, in which smaller margins tend to have a higher recurrence rate than wider excisions. Even though wide excision is a common surgical procedure for HS, studies in large cohorts of HS patients on the recurrence rate and patient satisfaction are scarce. We
Journal of the European Academy of Dermatology & Venereology – Wiley
Published: Jan 1, 2018
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