Surgical Management of Hidradenitis Suppurativa: A Two-Center Retrospective Study

Hamaguchi, Ryoko; Wearda, Taylor L.; Volk, Angela S.; Kramer, Kimberly M.; Kimball, Alexa B.; Chaffin, Abigail E.; Orgill, Dennis P.

doi:10.1097/prs.0000000000009658

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…For complete treatment, all the affected skin must be removed and replaced with healthy skin [ 2 , 10 ]. Therefore, the treatment of choice for HS involves wide excision followed by reconstruction using skin grafting or skin flap surgery using healthy tissue.…”

Section: Literature Reviewmentioning

confidence: 99%

Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review

Kang

Jung

Yong

et al. 2023

Arch Craniofac Surg

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Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0± 9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions and drainage, the symptoms only temporarily improved and continued to recur. On physical examination, chronic scars and sinus tracts were observed around the lesion. Postauricular HS was diagnosed, and surgical treatment was performed. We performed a wide excision and reconstructed the defect using a posterior auricular artery perforator-based keystone flap. Histological examination confirmed the diagnosis of HS. The reconstruction was successful, and there was no recurrence for 2 years after surgery. HS is difficult to diagnose without specific attention. Although the postauricular region is not a typical site of HS, it can occur in this area. Therefore, if a patient presents with recurrent abscesses in the postauricular region, HS should be considered. Additionally, if HS is diagnosed in the postauricular region, wide excision with reconstruction using a posterior auricular artery perforator-based keystone flap can lead to a favorable outcome.

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Section: Literature Reviewmentioning

confidence: 99%

Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review

Kang

Jung

Yong

et al. 2023

Arch Craniofac Surg

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Evaluating the Internet as a Source of Information for Patients With Hidradenitis Suppurativa: A Review of Websites' Content, Insights Into Engagement, and Access

Karamitros,

Antonios-Vlachos,

Kok

et al. 2024

Dermatol Surg

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BACKGROUND The Internet has become the primary information source for patients, with most turning to online resources before seeking medical advice. OBJECTIVE The aim of this study is to evaluate the quality of online information on hidradenitis suppurativa available to patients. METHODS The authors performed an Internet search using the search terms “hidradenitis suppurativa,” “hidradenitis suppurativa treatment,” “hidradenitis suppurativa surgery,” and “acne inversa.” They identified the initial 100 websites from Google, Yahoo, and Bing. Websites were evaluated based on the modified Ensuring Quality Information for Patients instrument. RESULTS Of the 300 websites, 95 (31.7%) were incorporated after accounting for the exclusion criteria: duplicate entries, websites not pertinent to the subject matter, websites inaccessible due to location restrictions or necessitating user accounts for access, websites in languages other than English, and websites originating from scientific publications directed at a scientific audience rather than the general population. Ensuring Quality Information for Patients scores ranged from 5 to 30/36, with a median of 17. CONCLUSION This analysis unveils a diverse array of websites that could confound patients navigating toward high-caliber resources. These barriers may hinder the access to top-tier online patient information and magnify disparities in referral rates, patient engagement, treatment satisfaction, and quality of life.

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Limb Salvage via Surgical Soft-tissue Reconstruction With Ovine Forestomach Matrix Grafts: A Prospective Study

Lawlor,

Bosque,

Frampton

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Complex and chronic lower extremity defects present a surgical challenge and can progress to eventual amputation if closure is not achieved. In addition to morbidity and mortality, these defects have a significant impact on patient quality of life and represent a substantial cost burden to the healthcare system. Ovine forestomach matrix (OFM) grafts are an advanced tissue scaffold option to supplement the surgical reconstruction ladder and may augment limb preservation in cases of complex lower extremity defects. Methods: A prospective observational study enrolled 130 complex lower extremity reconstructions that received OFM as part of surgical management. Granulation tissue formation, defect closure, and postoperative complications were assessed up to 1 year postoperatively to evaluate the outcome of OFM grafts for limb salvage via surgical reconstruction. Results: Participant demographics and defect characteristics were reflective of a real-world inpatient population with complex and chronic defects. Despite complexity of the defects, no postoperative infections or major amputations were reported. The median time to complete granulation tissue coverage and fill was 30.0 days (95% confidence interval, 26.9–33.1) and the median time to complete defect closure was 127.0 days (95% confidence interval, 110.5–143.5). At 180 days, a 62% incidence of healing was achieved with a median product application of 1.0 (interquartile range, 1.0–1.0). Conclusions: OFM-based grafts supported successful coverage of lower extremity defects in a real-world cohort with known risk-factors for amputation. Achieving successful closure with minimal complications, and often in a single application, suggests utility of OFM as a cost-effective adjunct in lower extremity reconstruction.

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Surgical Management of Hidradenitis Suppurativa: A Two-Center Retrospective Study

Cited by 4 publications

References 21 publications

Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review

Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review

Evaluating the Internet as a Source of Information for Patients With Hidradenitis Suppurativa: A Review of Websites' Content, Insights Into Engagement, and Access

Limb Salvage via Surgical Soft-tissue Reconstruction With Ovine Forestomach Matrix Grafts: A Prospective Study

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