idradenitis suppurativa (HS) is a chronic inflammatory skin condition consisting of painful abscesses, nodules, sinus tracts, and scarring with a predilection for intertriginous sites. 1,2 Hidradenitis suppurativa is more common in Black individuals, female individuals, and people with low socioeconomic status; onset of disease occurs most often in the third and fourth decades of life. [3][4][5][6][7] Typical medical treatment includes antibiotics, hormonal therapies, and tumor necrosis factor inhibitors, but surgery is often vital in treating recurrent nodules and tunnels. [8][9][10][11][12][13][14][15] Deroofing involves removal of overlying skin at the sites of sinuses, and the mostly dermal wound base is left to heal by secondary intention. 16 Excision removes affected skin to the subcutaneous fat with a small margin of healthy tissue. 17,18 The excised area may be left to heal by secondary intention, closed primarily, or covered by a flap or graft. Rates of reported recurrence have been similar for deroofing and excision, with rates ranging from less than 5% to 25%. [19][20][21][22][23] Few data comparing primary closure vs secondary intention healing have been reported. 24 Incision and drainage relieves acute pain from abscesses, but excision or deroofing is the definitive treatment for longstanding or recurrent sinuses. 16,19,20,25 Patient satisfaction and outcomes after HS surgery performed with general or local anesthesia have been positive in retrospective questionnaire-based studies, including studies examining excision, deroofing, and a combination of approaches. 16,[21][22][23][26][27][28] The results from these studies indicated that patients were very satisfied with the scar appear-IMPORTANCE Surgical intervention is frequently needed to treat hidradenitis suppurativa (HS). Patient satisfaction is high based on previous studies, but reports of patient impressions of clinic-based operative experiences and postoperative recovery are limited.OBJECTIVE To characterize patient impressions, outcomes, and recovery time after clinic-based surgical treatment of HS and examine patient characteristics associated with outcomes.
DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study included patients 12 years or older who underwent clinic-based surgical procedures for treatment of HS at a single subspecialty HS clinic at the
