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Erschienen in:
01.07.2019 | Wound Care (H Lev-Tov, Section Editor)
Clinic-Based Surgical Treatment for Hidradenitis Suppurativa
Erschienen in: Current Dermatology Reports | Ausgabe 3/2019
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Purpose of Review
We provide an evidence-based review of current procedures and provide a practical guide to surgically treating hidradenitis suppurativa in the office setting.
Recent Findings
Outpatient procedural management of hidradenitis suppurativa may include incision and drainage, intralesional triamcinolone, deroofing, excision, and lasers that achieve follicular destruction. Managing recurrent lesions, scarring, and sinus tracts often requires deroofing or excision. Recurrence rates are likely similar between deroofing and excision by sharp or laser techniques, and high patient satisfaction is consistently reported. Recently published treatment guidelines support the use of a variety of procedures that can be approached in the office setting.
Summary
Optimizing treatment of hidradenitis suppurativa, a debilitating chronic condition, often requires a combination of procedural and medical interventions. The ability to offer a variety of surgical interventions based on patient preference in an office setting is an important asset for clinicians caring for hidradenitis suppurativa patients. In the future, research should focus on comparing the effectiveness and tolerability of these procedures in various settings.