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. 2020 Jul;46(7):914-921.
doi: 10.1097/DSS.0000000000002323.

Systematic Review of Complications and Recurrences After Surgical Interventions in Hidradenitis Suppurativa

Dorra Bouazzi  1   2 , Lana Chafranska  1   2 , Ditte Marie Lindhardt Saunte  1   2 , Gregor Borut Ernst Jemec  1   2
Affiliations

Systematic Review of Complications and Recurrences After Surgical Interventions in Hidradenitis Suppurativa

Dorra Bouazzi et al. Dermatol Surg. 2020 Jul.

Abstract

Background: The possible connection between hidradenitis suppurativa (HS) patients undergoing surgery and higher complications/recurrences has been implied, but inconsistent results reported.

Objective: To assess the complication and recurrence rates for HS patients undergoing surgery and to evaluate whether known HS comorbidities and habits (smoking, obesity and diabetes) have an effect on the complication and recurrence rates.

Materials and methods: A systematic review was conducted by 2 reviewers. PubMed and Embase were searched using a predefined search string created in collaboration between the authors and a librarian on January 23, 2019.

Results: Of the 271 references in the original search, 54 relevant articles were identified. This systematic review indicates an overall mean complication rate of 24% and a mean recurrence rate of 20.1% for HS patients undergoing surgery.

Conclusion: No significant association between the known surgical risk factors and surgical complications-or recurrence rates in this patient group was found. This review revealed a lack of quality and quantity data in studying the complications/recurrences. The heterogeneity of the studies created limitations, and the presented mean complication/recurrence rates should be interpreted with the consequences thereof. It elucidates the need for better studies and a necessity for a standardized definition of postsurgical HS recurrence.

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References

    1. Zouboulis CC, Del Marmol V, Mrowietz U, Prens EP, et al. Hidradenitis suppurativa/acne inversa: criteria for diagnosis, severity assessment, classification and disease evaluation. Dermatology 2015;231:184–90.
    1. Gulliver W, Zouboulis CC, Prens E, Jemec GB, et al. Evidence-based approach to the treatment of hidradenitis suppurativa/acne inversa, based on the European guidelines for hidradenitis suppurativa. Rev Endocr Metab Disord 2016;17:343–51.
    1. Saunte DM, Lapins J. Lasers and intense pulsed light hidradenitis suppurativa. Dermatol Clin 2016;34:111–9.
    1. Jemec GB, Guerin A, Kaminsky M, Okun M, et al. What happens after a single surgical intervention for hidradenitis suppurativa? A retrospective claims-based analysis. J Med Econ 2016;19:710–7.
    1. Deckers IE, Kimball AB. The handicap of hidradenitis suppurativa. Dermatol Clin 2016;34:17–22.

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