Surgical treatment of hidradenitis suppurativa

The treatment of hidradenitis suppurativa is multimodal, even though it begins with a dermatologic examination and therapy prescribed by the dermatologist. A multidisciplinary approach is necessary to achieve the best results and to optimize the treatment. Surgical treatment should be individualized according to the degree of the disease. Adequate preoperative preparation of the patient and the wound is necessary. Surgical treatment alone does not guarantee a 100% safe outcome, and remissions are possible regardless of the treatment method. We present current surgical modalities available for hidradenitis suppurativa treatment. The methods are divided into local and radical procedures. Recent advancements and findings are also discussed.