Deroofing: A tissue-saving surgical technique for the treatment of mild to moderate hidradenitis suppurativa lesions - 24/04/13
, Errol P. Prens, MD, PhD a, Jurr Boer, MD, PhD b
Reprint requests: Hessel H. van der Zee, MD, Departments of Dermatology and Immunology, Erasmus MC, University Medical Center, Room Ee867e, Dr Molewaterplein 50, 3015 GE Rotterdam, The Netherlands.Abstract |
Background |
Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease, often refractory to treatment. Patients with HS and dermatologists are in need of an effective, fast surgical intervention technique. Deroofing is a tissue-saving technique, whereby the “roof” of an abscess, cyst, or sinus tract is electrosurgically removed. The use of a probe is mandatory to explore the full extent of a lesion.
Objective |
We sought to evaluate the efficacy and patient satisfaction of the deroofing technique for recurrent Hurley I (mild) or II (moderate) graded HS lesions at fixed locations.
Methods |
An open study consisted of 88 deroofed lesions in 44 consecutive patients with HS, treated by a single clinician with a follow-up time of up to 5 years.
Results |
Fifteen of 88 (17%) treated lesions showed a recurrence after a median of 4.6 months. In all, 73 treated lesions (83%) did not show a recurrence after a median follow-up of 34 months. The median patient satisfaction with the procedure rated 8 on a scale from 0 to 10. Of the treated patients, 90% would recommend the deroofing technique to other patients with HS. One side effect occurred in the form of postoperative bleeding.
Limitations |
Some patients were lost to follow-up.
Conclusions |
The deroofing technique is an effective, simple, minimally invasive, tissue-saving surgical intervention for the treatment of mild to moderate HS lesions at fixed locations and it is suitable as an office procedure.
Il testo completo di questo articolo è disponibile in PDF.Key words : acne inversa, exteriorization, hidradenitis suppurativa, surgery, treatment
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| Funding sources: None. |
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| Conflicts of interest: None declared. |
Vol 63 - N° 3
P. 475-480 - settembre 2010 Ritorno al numero
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