Surgical Procedures in Hidradenitis Suppurativa

Janse, Ineke C.; Bieniek, Andrzej; Hórvath, Barbara; Matusiak, Łukasz

doi:10.1016/j.det.2015.08.007

Cited by 57 publications

(75 citation statements)

References 45 publications

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“…7,84,101,102,[190][191][192] In contrast to deroofing, incision and drainage has been associated with recurrence rates approaching 100%, although it provides acute relief when other methods are not feasible. 84,89,107,192,193 In general, deroofing small lesions with a punch tool or by other Table III. Recommendations for screening for comorbidities Perform a review of systems and a physical examination to screen for metabolic syndrome, depression, anxiety, diabetes, PCOS, and tobacco abuse.…”

Section: Surgical Modalities In Hsmentioning

confidence: 99%

“…In addition to surgical technique, cure rates may depend on the location treated with perianal, vulvar, and inferior breast having higher recurrence rates. 84,87,89,107,193 Reconstruction methods such as primary closure, grafts, and flaps can speed healing but may be associated with higher recurrence rates than secondary intention healing. Variation in surgical technique within and among studies makes recommendations regarding reconstruction methods uncertain.…”

Section: Surgical Modalities In Hsmentioning

confidence: 99%

“…Regional or free flaps provide thicker coverage with a more natural, less scar-like appearance, but they can be bulky and require thinning as a secondary procedure. 81,96,98,107,110 Discussing the drawbacks and benefits of various forms of reconstruction with patients can help determine individualized approaches.…”

Section: Surgical Modalities In Hsmentioning

confidence: 99%

“…*[82][83][84][86][87][88][89][90]92,95,96,107,141,[192][193][194][195][196] J AM ACAD DERMATOL JULY 2019…”

mentioning

confidence: 99%

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North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations

Alikhan

Sayed

Alavi

et al. 2019

Journal of the American Academy of Dermatology

268

382

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Hidradenitis suppurativa is a chronic inflammatory disorder affecting hair follicles, with profoundly negative impact on patient quality of life. Evidence informing ideal evaluation and management of patients with hidradenitis suppurativa is still sparse in many areas, but it has grown substantially in the last decade. Part I of this evidence-based guideline is presented to support health care practitioners as they select optimal management strategies, including diagnostic testing, comorbidity screening, and both complementary and procedural treatment options. Recommendations and evidence grading based on the evidence available at the time of the review are provided.

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Section: Surgical Modalities In Hsmentioning

confidence: 99%

Section: Surgical Modalities In Hsmentioning

confidence: 99%

Section: Surgical Modalities In Hsmentioning

confidence: 99%

“…*[82][83][84][86][87][88][89][90]92,95,96,107,141,[192][193][194][195][196] J AM ACAD DERMATOL JULY 2019…”

mentioning

confidence: 99%

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North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations

Alikhan

Sayed

Alavi

et al. 2019

Journal of the American Academy of Dermatology

268

382

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“…Incision and drainage can be employed for immediate pain relief if an abscess is present, but solid inflamed tumors obviously should not be incised (79,80). The tissue-saving surgical technique, deroofing, utilizes a probe to explore the extent of cutaneous tunnels and subsequently removes the roof of these tunnels (81).…”

Section: There Should Be a Treatment For The Conditionmentioning

confidence: 99%

Arguments for a national questionnaire-based screening for hidradenitis suppurativa in Denmark

Riis

Andersen

Jemec

2018

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

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Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory disease. HS patients develop painful subcutaneous nodules, primarily in the intertriginous regions. Early diagnosis is crucial to initiate appropriate treatment, which may prevent disease progression. The cost of treatment increases with disease severity. Studies have found a considerable diagnostic delay in HS. Screening programs may reduce diagnostic delay and allow for better utilization of resources. Methods: Arguments for implementing an HS screening program were explored based on the 10 WHO criteria for implementing screening programs. Results: HS is an important health problem due to its prevalence and the adverse effects of the disease. Facilities for treatment and diagnosis exist, and the validated screening questionnaire is considered acceptable to the population. HS patients should be seen by a dermatologist and treated accordingly. Medical expenses increase with disease severity, and finding patients with early-stage HS is considered cost-effective. Conclusions:We consider a screening program as valuable for public healthcare. Patients can avoid extensive surgery or treatment with biologics if disease progression is prevented, and this will reduce medical expenses for the public healthcare system. Politicians should consider implementing a screening program for HS.

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