Surgical Methods of Management for Hidradenitis Suppurativa: A Narrative Review

Kevin Nguyen, Sarah R. Adamson and Sally Ng*

Surgical Methods of Management for Hidradenitis Suppurativa: A Narrative Review.
Hidradenitis Suppuravita is a chronic condition that creates a significant burden on a patientā€™s life, both physical and emotional. While a broad range of medical and dressing treatments exist for HS, surgery is often considered the only curative approach. The aim of this study is to comprehensively review existing and emerging surgical options available for the treatment of HS.

Using the key phrase ā€œHidradenitis Suppuravitaā€ and the MeSH terms ā€œsurgery or surgicalā€ and ā€œtreatment or procedureā€, a search of the Ovid Medline and Pubmed databases was conducted 2012 to 2022. Forty-eight studies meeting criteria were identified and included in the literature review. Many methods exist for the treatment of HS and there have been promising small scale series and reports that highlight positive disease and quality-of-life outcomes associated with some surgical treatment modalities.

Most methods are centered around excision of all diseased tissue followed by varying methods of reconstruction. Some novel methods, such as laser ablation, are also used. Each method has its own strengths and weaknesses. Selection of method is currently made based on a case-by-case basis such as disease severity, disease location and surgeon preference. Further randomized control trials with larger patient populations are needed to quantify the efficacy and safety of the various surgical methods available.

These approaches to treatment hold tremendous potential for improving patient outcomes globally. Hidradenitis Suppurativa), also known as acne inverse, is a chronic inflammatory condition that affects millions worldwide.
HS is characterized by the development of painful nodules, abscesses and sinus tracts which can become infected and purulent.

Trichol Cosmetol Open J. 2022; 5(1): 10-19.doi: 10.17140/TCOJ-5-118