(CR-026) Secondary intention healing after surgical exteriorization of Hidradenitis Suppurativa

Introduction: Hidradenitis suppurativa (HS) is a chronic, debilitating skin disease, characterized by recurrent inflammatory boils and abscesses, mainly located in the inverse body areas. Early wide surgical excision is important and effective in order to prevent complications, however, reconstruction is quite challenging, often requiring skin graft or skin flap. To evaluate the efficacy of secondary intention healing after wide exteriorization for treating severe HS

Methods: Over the last 10 years, 9 patients with severe HS (Hurley grade II and III) underwent surgical excision/wide exteriorization with reconstruction using secondary intention healing and artificial collagen insertion. We evaluated and compared intraoperative and post-operative data, retrospectively.

Results:  Seven patients (77. 77 %) showed no recurrence after surgery. The mean treatment time to complete wound healing was 115 ± 110 days (range, 36 – 339 days). The mean disease-free duration after treatment was 665 ± 283 (range, 123 – 924 days).

Discussion: Based on our experience, secondary intention healing after exteriorization is an effective treatment option for patients with severe HS presenting multiple interconnected tracts and abscesses.

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