Surgery for HS
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A systematic review and meta-analysis highlighted variations in recurrence of hidradenitis suppurativa (HS) associated with different surgical methods.
Kaiyang Li (McGill University, Montréal, Québec, Canada) and team included 32 studies with over 8,000 procedures performed on 6,992 people with HS.
For excisional surgeries, wide local excision was associated with significant 43% and 50% reduced risks for recurrence relative to limited local excision and to incision and drainage, respectively. The number needed to treat with wide local excision to prevent one recurrence was six.
For wound closure methods, simple primary closure was associated with a 24% reduced recurrence risk relative to split-thickness skin grafting. There were no recurrence rate differences between the assessed healing methods.
Another study, from Antonio Martorell (Hospital de Manises, Valencia, Spain) and colleagues, demonstrated the benefits of ultrasound-guided surgery, with no recurrence found among 122 patients over an average 22 months of follow-up.
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