A Review of Wide Surgical Excision of Hidradenitis Suppurativa

Overview

Journal BMC Dermatol

Publisher Biomed Central

Specialty Dermatology

Date 2012 Jun 28

PMID 22734714

Citations 36

Authors

Ziyad Alharbi

Jens Kauczok

Norbert Pallua

Affiliations

Soon will be listed here.

Abstract

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory cutaneous disorder that involves the infundibular terminal follicles in areas rich of apocrine glands. It can be associated with fistulating sinus, scarring and abscesses formation. Hidradenitis suppurativa is a challenging aspect and requires a proper treatment plan which may involve different specialties. We present herein the option of surgical treatment involving wide surgical excision and methods of reconstruction as well as the rate of recurrence. Furthermore, review of the literature regarding surgical treatment of hidradenitis suppurativa is provided.

Methods: A retrospective analysis reviewed 50 operative procedures for 32 patients in 5 anatomical sites. These anatomical sites have been divided to 23 sites involving the axilla, 17 sites involving the inguinal region and 8 sites involving the perianal/perineal area, 1 site involving the gluteal region and 1 site involving the trunk region.

Results: Twenty six patients (81, 25 %) showed no recurrence after surgery and the average time of hospital stay period was 5 days. Recurrence was observed only in 6 patients (18, 75 %).

Conclusion: Elimination of the acute inflammatory process should occur in advance, including the use of antibiotics and minor surgeries such as abscess drainage with proper irrigations. After stabilizing the acute phase, wide surgical excision is recommended. Herein, planning of surgical reconstruction should be initiated to achieve the best outcome and consequently decreasing the risk of recurrence and complications after surgery.

Citing Articles

Comorbidities, Clinical Presentation, Subtypes, and Treatment of HS Patients in Lithuania.

Raudonis T, Sakaityte A, Vileikis T, Cernel V, Ganceviciene R, Zouboulis C J Clin Med. 2024; 13(13).

PMID: 38999466 PMC: 11242771. DOI: 10.3390/jcm13133900.

Surgical Management of Hidradenitis Suppurativa.

Krajewski A, Alsayed A, Capek A, Casey K, Chandawarkar R Plast Reconstr Surg Glob Open. 2024; 12(6):e5860.

PMID: 38872991 PMC: 11175856. DOI: 10.1097/GOX.0000000000005860.

A review of surgical and reconstructive techniques for hidradenitis suppurativa.

Wong H, Jiang J, Huang S, Zhu P, Ji X, Wang D Arch Dermatol Res. 2024; 316(6):270.

PMID: 38796609 DOI: 10.1007/s00403-024-03000-5.

Comparison of Negative Pressure Wound Therapy with or without a Split-Thickness Skin Graft in the Surgical Management of Axillary Hidradenitis Suppurativa: A Retrospective Cohort Study.

Vinnicombe Z, Singh G, Spiers J, Pouncey A, McEvoy H, Lancaster K Plast Surg (Oakv). 2024; 32(2):314-320.

PMID: 38681254 PMC: 11046271. DOI: 10.1177/22925503221109006.

Use of multiple fasciocutaneous flaps for the management of extensive hidradenitis suppurativa.

Alshammary R, Hbib Allaha E, Fakhruddin M, Bakhiet M BMJ Case Rep. 2023; 16(12).

PMID: 38061844 PMC: 10711826. DOI: 10.1136/bcr-2023-255037.

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