[Surgical treatment options for hidradenitis suppurativa/acne inversa]

Hautarzt. 2018 Feb;69(2):149-161. doi: 10.1007/s00105-017-4114-1.
[Article in German]

Abstract

Hidradenitis suppurativa/acne inversa (HS/AI) is a chronic inflammatory skin disease. Therapy consists of conservative and surgical treatment options. In Hurley stages II and III, surgical intervention is regarded as the method of choice for areas with irreversible tissue destruction. Resection techniques with different grades of invasiveness are described in the literature. Nevertheless, there is no generally accepted concept regarding resection and reconstruction techniques or specific postoperative care. Due to lack of definitions of recurrence after surgery and poor study quality, recurrence rates are difficult to determine.

Keywords: Aftercare; Excision; Reconstruction; Recurrence rate; Resection.

Publication types

  • Review

MeSH terms

  • Axilla / surgery
  • Combined Modality Therapy
  • Curettage
  • Drainage
  • Female
  • Follow-Up Studies
  • Genital Diseases, Female / diagnosis
  • Genital Diseases, Female / surgery
  • Genital Diseases, Male / diagnosis
  • Genital Diseases, Male / surgery
  • Hidradenitis Suppurativa / diagnosis
  • Hidradenitis Suppurativa / surgery*
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures
  • Negative-Pressure Wound Therapy
  • Postoperative Care
  • Recurrence
  • Surgical Flaps / surgery
  • Surgical Wound
  • Wound Healing / physiology