Surgical and postsurgical wound care in hidradenitis suppurativa.
hidradenitis suppurativa
surgery
wound care
Journal
Dermatologic therapy
ISSN: 1529-8019
Titre abrégé: Dermatol Ther
Pays: United States
ID NLM: 9700070
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
30
11
2019
revised:
25
01
2020
accepted:
17
02
2020
pubmed:
23
2
2020
medline:
15
5
2021
entrez:
22
2
2020
Statut:
ppublish
Résumé
Hidradenitis suppurativa (HS) is a chronic inflammatory disorder. Several medical treatments, with varying degree of efficacy, have been developed. However, in most cases of advanced (HS), the definitive treatment option is often represented by surgical excisions. Surgical techniques, reconstructive approach, and local wound care should be accurately designed in order to obtain the best result. In this letter, we analyzed the possible surgical treatments and local wound care. A literature review was performed on the various surgical treatments, reconstructive techniques, and local wound care. Surgical treatment is a common therapeutic modality for HS. Different surgical reconstructive techniques and postsurgical wound care approaches are described for the management of HS patients. There were few high-quality evidence-based studies evaluating the surgical management of HS. Many disparate HS severity scores were used in these studies making comparison between them difficult. Nonetheless, research into different surgical approaches and wound care management has increased substantially in the past decade and has given patients more surgical therapeutic strategies. The description of the best combinations and timing of surgery, wound care and medical therapies, will be a matter of future research for the definition of the optimal management of HS patient.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13282Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Alikhan, A., Sayed, C., Alavi, A., Alhusayen, R., Brassard, A., Burkhart, C., … Poulin, Y. (2019a). North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management. Journal of the American Academy of Dermatology, 81(1), 76-90. https://doi.org/10.1016/j.jaad.2019.02.067
Alikhan, A., Sayed, C., Alavi, A., Alhusayen, R., Brassard, A., Burkhart, C., … Poulin, Y. (2019b). North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part II: Topical, intralesional, and systemic medical management. Journal of the American Academy of Dermatology, 81(1), 91-101. https://doi.org/10.1016/j.jaad.2019.02.068
Bettoli, V., Manfredini, M., Calamo, G., Forconi, R., Bencivelli, D., Mantovani, L., … Corazza, M. (2018). Long-term adalimumab treatment of hidradenitis suppurativa: Results and practical insights from a real-life experience. Dermatologic Therapy, 31(6), e12737. https://doi.org/10.1111/dth.12737
Bettoli, V., Manfredini, M., Massoli, L., Carillo, C., Barozzi, A., Amendolagine, G., … Corazza, M. (2018). Rates of antibiotic resistance/sensitivity in bacterial cultures of hidradenitis suppurativa patients. Journal of the European Academy of Dermatology and Venereology, 33(5), 930-936.
Garbarino, F., Manfredini, M., Rossi, E., & Magnoni, C. (2019). Two-step surgery in extensive anogenital hidradenitis: What kind of faecal management? International Wound Journal, 16(3), 866-867. https://doi.org/10.1111/iwj.13102