Surgery is an essential aspect of managing patients with hidradenitis suppurativa

Melendez-Gonzalez, Maria del Mar; Sayed, Christopher

doi:10.1016/j.jaad.2020.03.008

Cited by 7 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Both deroofing and local or wide excision procedures have been reported to help significantly. Moreover, medications have a role to play, but as a monotherapy they often have limited ability to achieve optimal outcomes in patients with more advanced disease 36 . Furthermore, Daveluy highlighted the surgical technique of cryoinsufflation in delineating sinus tracts prior to carbon dioxide laser excision.…”

Section: Treatment Optionsmentioning

confidence: 99%

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

Hidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent, and debilitating skin disease of the hair follicle unit that typically develops after puberty. HS has a significant negative impact on both the quality of life (QOL) of patients affected by this disease as well as family members and caregivers. However, the pathogenesis of HS is multifactorial and still remains to be fully elucidated, which makes the development of treatments difficult. The last 10 years have seen a surge in HS research, and many new findings have come to light, yet much more remains to be elucidated. Physicians must employ a multidisciplinary approach to maximally address all facets of HS. Clinical characteristics of the disease that differ between females and males as well as across different races and ethnic groups must be considered. Targeted topical, oral, and injectable therapies continue to be developed for HS as a greater understanding of the pathogenesis is reached. However, randomized controlled trials regarding dietary factors that may contribute to HS are needed to meet our patients’ growing concerns and questions about the role of diet in HS pathogenesis. Finally, improved outcome measures are needed to standardize HS severity and grading between physicians and clinical trials, and a more diverse representation of HS populations is needed in clinical trials.

show abstract

Section: Treatment Optionsmentioning

confidence: 99%

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

show abstract

“…Multiple treatment options are available nowadays, including medical therapy, surgery, and lasers. Despite the various guidelines and the multiple treatment regimens available, the management of the disease is still challenging, and no single treatment has been proven to be effective for all patients ( 5 , 6 , 11 – 14 ). Thus, it is crucial to have several options to integrate and tailor to each patient.…”

Section: Discussionmentioning

confidence: 99%

Non-surgical treatment of hidradenitis suppurativa: the role of cryotherapy

et al. 2023

View full text Add to dashboard Cite

BackgroundHidradenitis suppurativa is a chronic and recurrent inflammatory disease with a great impact on a patient's quality of life, due to the painful involvement of very sensitive areas, such as the groin, mammary area, and genitals, with malodourous discharge. Multiple treatment options are available; however, no single treatment is effective for all patients, and usually, a combination of medical therapy with various surgical and physical procedures is provided. Cryotherapy is not a routine technique to treat HS, although usually available in the majority of medical clinics, and is cheaper than laser and surgical treatments. The aim of this study was to evaluate the effectiveness of cryotherapy on persistent HS nodules, to reduce the burden of local disease.Materials and methodsRetrospective observational study in all patients treated with liquid nitrogen cryotherapy for persistent nodules of hidradenitis suppurativa in the last 2 years, with at least 6 months of follow-up after the procedure. Disease severity was assessed with Hurley staging and sonographic staging according to SOS-HS (18 MHz probe, Esaote-MyLab™). The results were scored with a 0–3 points scale, as complete remission (3), partial response (2 to 1), or no response (0), after one session of treatment. Local cleansing and antiseptic treatment after the procedure was the same as previously performed in each patient, not to influence recovery.ResultsIn total, 23 patients were included, with a total of 71 persistent nodules treated with a single cryotherapy session. The treatment has been effective in 63 out of 71 nodules treated (88.7%), and the patients attested that they recommend the treatment, the discomfort during recovery was minimal, and the management was not different from daily routine. Persistence was considered as having a failure rate (11.3% overall) and occurred in 7.5% of the nodules of the axillary region, 18.2% on the groin, and 11.2% for nodules of the gluteal region.ConclusionCryotherapy is a simple and effective procedure for the treatment of persistent nodules of HS not responding to medical therapy, and it is a valid alternative to local surgery or laser ablation.

show abstract

“… 3 Due to the fact that HS is a labyrinthine and incongruous disease to date, it is so called Orphan, 5 and a variety of surgical and medical treatments were endorsed‎. 6 Nine international guidelines were elaborated recently and enclosing therapeutic manners, ranging from topical medication to interventional procedures. 1 …”

Section: Discussionmentioning

confidence: 99%

“…Forasmuch as the medical treatment takes long time to function, surgery in contrast presents instant improvement‎, 6 and it is considered the only approach with curative potential 3 mainly in the advanced cases‎, 8 even 166 years post its first description by Verneuil‎. 4 …”

Section: Discussionmentioning

confidence: 99%

A Novel Technique for the Treatment of a Case of Verneuil's Disease of Perineum and Axillary Regions

et al. 2021

View full text Add to dashboard Cite

Hidradenitis suppurativa (HS) is a chronic inflammatory disease involving apocrine glands of the skin. It carries out an important burden on the daily life of the patient. Unfortunately, it presents a major concern for medical care management in the absence of clear guidelines for proper medical and surgical treatment. Hence, we report a case of concomitant axillary and perianal HS. We opted for surgical management using a novel technique, which proved efficacy for a year of follow-up recurrence free.

show abstract

Surgery is an essential aspect of managing patients with hidradenitis suppurativa

Cited by 7 publications

References 5 publications

The most recent advances in understanding and managing hidradenitis suppurativa

The most recent advances in understanding and managing hidradenitis suppurativa

Non-surgical treatment of hidradenitis suppurativa: the role of cryotherapy

A Novel Technique for the Treatment of a Case of Verneuil's Disease of Perineum and Axillary Regions

Contact Info

Product

Resources

About