Surgical treatment of hidradenitis suppurativa: an analysis of postoperative outcome, cosmetic results and quality of life in 255 patients

Journal of the European Academy of Dermatology and Venereology : JEADV
L KoflerH-M Häfner

Abstract

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with increasing incidence. Severe disease stages are seen as a therapeutic challenge and pose the threat of significant restrictions on patients' life quality. We evaluated postoperative outcome after wide local excision for HS as well as postoperative course, cosmetic results, disease recurrence and quality of life. All patients receiving radical surgical treatment for HS (Hurley III) between 2006 and 2015 were identified and received a letter-based survey. They were asked about postoperative course, cosmetic results, recurrence and life quality. Two hundred and fifty-five patients (103 men, 152 women) answered the questionnaire. Ninety-five percentage of patients reported disease-specific restrictions on everyday life. Seventy-five percentage of patients did not experience any postoperative adverse events; however, postoperative pain with need for analgesics was reported in 38%. The majority of patients (80%) were very satisfied or satisfied after surgery, and 85% of patients would recommend surgery to other affected persons. The retrospective design of the study was a limitation. The well-known negative psychological and social effects are a relevant part o...Continue Reading

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Citations

Jun 6, 2019·Anais Brasileiros De Dermatologia·Renata Ferreira MagalhãesAndrea Machado Coelho Ramos
Jul 22, 2020·Experimental Dermatology·Christos C ZouboulisGregor B E Jemec
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Jun 21, 2019·Journal of the European Academy of Dermatology and Venereology : JEADV·S VolcL Kofler
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Mar 12, 2021·Obstetrics and Gynecology·Christopher J SayedUNKNOWN Hidradenitis Suppurativa Foundation Women's Health Subcommittee
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Sep 20, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Julika DickPatrick Gholam

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