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Surgical Approach to Hidradenitis Suppurativa.
L Mateu-Arrom1, L Puig1, E Vilarrasa1
1Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Universitat Autònoma de Barcelona, Barcelona, España.
Actas Dermo-Sifiliograficas
|April 4, 2025
Summary
Hidradenitis suppurativa (HS) management combines medical therapy and early surgical intervention to minimize scarring and recurrence. Optimal surgical planning with imaging is crucial for complete tissue removal and preserving healthy skin.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease causing painful nodules, abscesses, and sinus tracts.
- Complications include irreversible scarring, impacting patient quality of life.
Purpose of the Study:
- To review current therapeutic options for HS.
- To emphasize the importance of early surgical intervention in HS management.
- To discuss surgical techniques and reconstruction methods based on defect extent.
Main Methods:
- Review of current literature on HS management.
- Analysis of surgical techniques, including incision and drainage to wide excision.
- Evaluation of reconstruction techniques and the role of imaging in preoperative planning.
Main Results:
- Combined medical and surgical therapy is favored for HS.
- Early surgical intervention offers a window of opportunity to promote healing and minimize complications.
- Surgical recurrence rates vary with the extent of the procedure.
Conclusions:
- Effective HS management requires a multidisciplinary approach.
- Preoperative planning and imaging are essential for complete disease removal and optimal outcomes.
- Tailored reconstruction techniques are necessary based on individual patient needs.
