Men, main victims of hidradenitis suppurativa (A prospective cohort study)

Maghsoudi, Hemmat; Almasi, Hojjat; Bonjar, Mahmood Reza Miri

doi:10.1016/j.ijsu.2017.12.018

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…Sinus tract location, extent, and fluid collections can be demonstrated preoperatively by magnetic resonance imaging or ultrasound [32]. They can also be demonstrated intraoperatively by dye mapping techniques, such as methyl violet and iodine starch [33,34], so that the entire area of HS lesions can be identified and removed. This is of particular importance in intertriginous areas, as they require the complete removal of diseased tissue by wide excision for a successful outcome [34].…”

Section: Wide Excisionmentioning

confidence: 99%

“…They can also be demonstrated intraoperatively by dye mapping techniques, such as methyl violet and iodine starch [33,34], so that the entire area of HS lesions can be identified and removed. This is of particular importance in intertriginous areas, as they require the complete removal of diseased tissue by wide excision for a successful outcome [34]. Lelonek, et al have reported their observations in a case series of seven patients with genital elephantiasis due to HS.…”

Section: Wide Excisionmentioning

confidence: 99%

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Surgical Treatment in Hidradenitis Suppurativa

Shukla

Karagaiah

Patil

et al. 2022

JCM

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Hidradenitis suppurativa (HS) is a chronic, progressive inflammatory disorder of follicular occlusion with pubertal onset that presents as painful inflammatory nodules, sinus tracts, and tunnelling in apocrine-gland-rich areas, such as the axilla, groin, lower back, and buttocks. The disease course is complicated by contractures, keloids, and immobility and is often associated with a low quality of life. It is considered a disorder of follicular occlusion with secondary inflammation, though the exact cause is not known. Management can often be unsatisfactory and challenging due to the chronic nature of the disease and its adverse impact on the quality of life. A multidisciplinary approach is key to prompt optimal disease control. The early stages can be managed with medical treatment, but the advanced stages most likely require surgical intervention. Various surgical options are available, depending upon disease severity and patient preference. In this review an evidence-based outline of surgical options for the treatment of HS are discussed. Case reports, case series, cohort studies, case-control studies, and Randomized Clinical Trials (RCT)s available in medical databases regarding surgical options used in the treatment of HS were considered for the review presented in a narrative manner in this article.

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Section: Wide Excisionmentioning

confidence: 99%

Section: Wide Excisionmentioning

confidence: 99%

Surgical Treatment in Hidradenitis Suppurativa

Shukla

Karagaiah

Patil

et al. 2022

JCM

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“…Numerous experts in the ME advocated wide surgical excision as the only effective therapy for most HS cases at present, supporting that noninvasive options have little effect or offer only temporary improvement, while not altering the ultimate progress of the disease. [54][55][56][57][58][59][60][61][62][63] Experts in Israel 64 reported promising results of repeated perilesional injections of granulocyte-macrophage colony-stimulating factor (rhGM-CSF, Molgramostim, Novartis) in combination with surgical excisions in a case with longstanding refractory extensive perianal HS.…”

Section: Surgical Approaches In the Mementioning

confidence: 99%

“…Primary closure was used by experts in the ME for mild and moderate HS defects in the axillary, inguinal, and perineal regions if the skin was not under tension after closure. 54,56 To prevent contracture development, some studies in the ME advocate using flaps rather than grafts in the axillary area. 56,58,59,61 Posterior arm perforator, 68 perforator-based propeller, 69 thoracodorsal perforator, 56,[69][70][71] and oblique scapular 72 flaps have been suggested.…”

Section: Surgical Excision Site Reconstructionmentioning

confidence: 99%

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Trends in the management of hidradenitis suppurativa in the Middle East region: a systematic review

et al. 2020

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Background Hidradenitis suppurativa (HS) is a chronic, painful, and severely debilitating inflammatory disease that affects apocrine gland-bearing skin. There is no universal consensus on the management of hidradenitis suppurativa (HS). Current available guidelines are from western countries, which may be of limited use in other parts of the world. In this study, we aim to identify trends in the management of HS in the Middle East (ME) and its differences with the West. Methods A systematic literature review was performed to identify all studies in HS management performed by experts in the ME from database inception to June 2020 using PubMed, EMBASE, and Cochrane Library databases. Only original articles published in English language were included. Guidelines from western countries were used for comparison.Results Fifty-four eligible studies comprising 7649 HS patients from the ME region and nine guidelines from the West were included. No established guidelines were found for the management of HS in the ME. Sex ratio of HS patients in the ME is different in that men reported to be affected at a higher rate than in the West. Different antibiotic regimens were recommended in the ME, and the experts in the ME tend to be more procedure intensive than experts in the West.Conclusions Establishing a guideline for HS management in the ME is recommended to address unique considerations in the countries in this region.There is no universal consensus on the best management of HS. 4,5 Although several guidelines are available for clinicians, most of these are from experts in western countries. There is a shortage of such guidelines for non-western countries. This shortage is particularly significant given that ethnicity as well as genetic, environmental, and cultural factors can all affect the clinical course of the disease and therapeutic options. As such, we aim to review approaches to HS management in the Middle East (ME) and compare them with those of the West, providing recommendations for HS management in the ME region. MethodsWe conducted a comprehensive literature search for HS management guidelines from database inception (April 1992) to

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Current Surgical Management of Hidradenitis Suppurativa: A Systematic Review and Meta-Analysis

et al. 2021

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BACKGROUND Hidradenitis suppurativa (HS) is a chronic dermatologic condition that often necessitates surgical treatment. Surgical approaches vary substantially with little data on efficacy and safety. OBJECTIVE Summarize the literature on HS surgery with regards to patient characteristics, surgical approaches, and study quality. Compare postsurgical recurrence rates with a meta-analysis. Methods PubMed, Embase, and Scopus were searched for studies on surgical HS management published after 2004. A random effects meta-analysis of recurrence rates was performed on eligible studies. Results Of 715 identified studies, 59 were included in the review and 33 in the meta-analysis. Twenty-two studies of wide excision had the lowest pooled recurrence rate at 8% (95% confidence interval [CI] 2%–16%); local excision had the highest at 34% (95% CI 24%–44%). For studies of wide/radical excision, flap repair had the lowest pooled recurrence rate at 0% (95% CI 0%–4%); delayed primary closure had the highest at 38% (95% CI 20%–59%). Conclusions Wide excision and flap-based reconstruction are associated with a lower postsurgical HS recurrence, although this must be balanced against potentially higher morbidity of extensive procedures. Heterogeneity and methodological limitations of the evidence limit the ability to make a strong conclusion about the relative recurrence rates associated with surgical techniques. Registration PROSPERO ID: CRD42020159948.

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Men, main victims of hidradenitis suppurativa (A prospective cohort study)

Abstract: Conservative treatment methods have little or no effects especially on gluteal, perineal/perianal and axillary hidradenitis suppurativa. The morbidity associated with the established disease is significant, and the only successful treatment is wide surgical excision.

Cited by 4 publications

References 13 publications

Surgical Treatment in Hidradenitis Suppurativa

Surgical Treatment in Hidradenitis Suppurativa

Trends in the management of hidradenitis suppurativa in the Middle East region: a systematic review

Current Surgical Management of Hidradenitis Suppurativa: A Systematic Review and Meta-Analysis

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