BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder. Several medical treatments, with varying degrees of efficacy, have been developed. However, in most cases of advanced HS, the definitive treatment option is often represented by surgical excisions. OBJECTIVE: Surgical techniques, reconstructive approach, and local wound care should be accurately designed in order to obtain the best result. In this review we analyze the possible surgical treatments and local wound care. METHODS: A MEDLINE search was performed on the various surgical treatments, reconstructive techniques, and local wound care. RESULTS: Surgical treatment is a common therapeutic modality for HS. Different surgical reconstructive techniques and post-surgical wound care approaches are described for the management of HS patients. CONCLUSIONS: There were few high-quality evidence-based studies evaluating the surgical management of HS. Many disparate HS severity scores were used in these studies, making comparisons between them difficult. Nonetheless, research on different surgical approaches and wound care management has increased substantially in the past decade and it has given patients more surgical therapeutic strategies. The description of the best combinations and timing of surgery, wound care, and medical therapies will be a matter of future research for the definition of the optimal management of the HS patient.
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder. Several medical treatments, with varying degrees of efficacy, have been developed. However, in most cases of advanced HS, the definitive treatment option is often represented by surgical excisions. OBJECTIVE: Surgical techniques, reconstructive approach, and local wound care should be accurately designed in order to obtain the best result. In this review we analyze the possible surgical treatments and local wound care. METHODS: A MEDLINE search was performed on the various surgical treatments, reconstructive techniques, and local wound care. RESULTS: Surgical treatment is a common therapeutic modality for HS. Different surgical reconstructive techniques and post-surgical wound care approaches are described for the management of HS patients. CONCLUSIONS: There were few high-quality evidence-based studies evaluating the surgical management of HS. Many disparate HS severity scores were used in these studies, making comparisons between them difficult. Nonetheless, research on different surgical approaches and wound care management has increased substantially in the past decade and it has given patients more surgical therapeutic strategies. The description of the best combinations and timing of surgery, wound care, and medical therapies will be a matter of future research for the definition of the optimal management of the HS patient.
Authors: V Bettoli; M Manfredini; G Calamo; R Forconi; D Bencivelli; L Mantovani; G Pellacani; M Corazza Journal: Dermatol Ther Date: 2018-10-08 Impact factor: 2.851
Authors: C C Zouboulis; N Desai; L Emtestam; R E Hunger; D Ioannides; I Juhász; J Lapins; L Matusiak; E P Prens; J Revuz; S Schneider-Burrus; J C Szepietowski; H H van der Zee; G B E Jemec Journal: J Eur Acad Dermatol Venereol Date: 2015-01-30 Impact factor: 6.166
Authors: Etienne El-Helou; Alaa Kansoun; Elissa Abi Fadel; Ali Nassif; Houssam Bashir Mazraani; Georges Robert Neaime; Houssein Amin Kassem Moussa; Georges Bassil; Serge Ibrahim; Georges R Assaf; Houssam Alam Journal: Surg J (N Y) Date: 2021-07-19