Hidradenitis suppurativa treated with wide excision and second intention healing: a meaningful local cure rate after 253 procedures

Hidradenitis suppurativa treated with wide excision and second intention healing: a meaningful... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the European Academy of Dermatology & Venereology Wiley

Hidradenitis suppurativa treated with wide excision and second intention healing: a meaningful local cure rate after 253 procedures

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 European Academy of Dermatology and Venereology
ISSN
0926-9959
eISSN
1468-3083
D.O.I.
10.1111/jdv.14770
Publisher site
See Article on Publisher Site

Abstract

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

Journal of the European Academy of Dermatology & VenereologyWiley

Published: Jan 1, 2018

References

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