Pre-operative ultrasound planning in the surgical management of patients with hidradenitis suppurativa.
Journal
Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
28
01
2020
accepted:
16
03
2020
pubmed:
9
4
2020
medline:
15
5
2021
entrez:
9
4
2020
Statut:
ppublish
Résumé
Ultrasonography can improve disease severity assessment in hidradenitis suppurativa (HS) patients. The use of pre-operative ultrasonography could improve surgical outcomes in HS patients. (i) To assess changes in the projected skin-excised area after the use of pre-operative ultrasonography, (ii) to explore the clinical factors potentially associated with inaccurate clinical surgical delimitation and (iii) to compare recurrence rates after pre-operative ultrasound vs clinical surgical margin delimitation at week 24. Cohort study. Patient candidates for surgical treatment by wide excision and healing by secondary intention with a clinical projected skin-excised area equal to or larger than 15 cm Pre-operative ultrasound surgical margin delimitation increased the mean excised area by 3.67 (SD 0.86) cm Pre-operative ultrasonography improves surgical margin delimitation and can lower recurrence rates at 24 weeks in HS patients. Potential risk factors for inaccurate clinical surgical delimitation are obesity, male sex, Hurley II stage and elevated IHS4 scores, so special attention should be given to these patients when ultrasonography is not available and surgical delimitation is based only on clinical examination.
Sections du résumé
BACKGROUND
BACKGROUND
Ultrasonography can improve disease severity assessment in hidradenitis suppurativa (HS) patients. The use of pre-operative ultrasonography could improve surgical outcomes in HS patients.
OBJECTIVES
OBJECTIVE
(i) To assess changes in the projected skin-excised area after the use of pre-operative ultrasonography, (ii) to explore the clinical factors potentially associated with inaccurate clinical surgical delimitation and (iii) to compare recurrence rates after pre-operative ultrasound vs clinical surgical margin delimitation at week 24.
METHODS
METHODS
Cohort study. Patient candidates for surgical treatment by wide excision and healing by secondary intention with a clinical projected skin-excised area equal to or larger than 15 cm
RESULTS
RESULTS
Pre-operative ultrasound surgical margin delimitation increased the mean excised area by 3.67 (SD 0.86) cm
CONCLUSIONS
CONCLUSIONS
Pre-operative ultrasonography improves surgical margin delimitation and can lower recurrence rates at 24 weeks in HS patients. Potential risk factors for inaccurate clinical surgical delimitation are obesity, male sex, Hurley II stage and elevated IHS4 scores, so special attention should be given to these patients when ultrasonography is not available and surgical delimitation is based only on clinical examination.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2362-2367Informations de copyright
© 2020 European Academy of Dermatology and Venereology.
Références
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