Hidradenitis suppurativa is a chronic type of skin disease that needs a proper, life long treatment plan in order to keep it under control. Surgery for hidradenitis suppurativa combines traditional techniques with laser therapy, skin grafts and other plastic surgery procedures, dependent on the grade or the extent of the disease.
This chronic skin condition involves the inflammation of the apocrine glands and the terminal follicles in boil-like lumps and cysts. These lumps can be really painful and can cause severe discomfort to the patient.
Various treatment plans can be applied. With the availability of oral antibiotics and one’s awareness on his lifestyle, there are already possible ways of preventing and providing an early cure for persons with Stage 1 cases of Hidradenitis suppurativa.
However, for people with moderate to severe cases, surgery for Hidradenitis suppurativa is highly recommended. This is to address the possible recurrence of the lumps on different parts of the body. Surgery for Hidradenitis suppurativa involves a wide surgical excision and other possible methods of skin reconstruction.
All of these solutions are aimed to lower the rate of recurrence among patients with severe cases of Hidradenitis suppurativa.
When is the best time for surgery for Hidradenitis suppurativa?
The use of antibiotics and other minor surgeries is also needed in making sure that the patient’s acute phase is already stabilized. This can also be used to drain abscesses properly. This is where a wide surgical excision can be initiated.
A complete and timely surgical reconstruction plan should also be in place to ensure that the surgery will lower the rate of recurrence and there will be no complications or other infection after the surgery.
Kinds of surgery for Hidradenitis suppurativa
There are also different types of surgical treatment and each one can be used depending on the extent or severity of the case. Here are the kinds of surgical treatments for Hidradenitis suppurativa:
• Wide-scale excision. This is the removal of the affected area and tissue. Patients with stage 2-3 of Hidradenitis suppurativa are recommended to undergo this surgery. Sinus tracts will be removed for those with stage 2 Hidradenitis suppurativa, while for those with stage 3 Hidradenitis suppurativa, there is a need for a more extensive operation since bigger areas of the skin are affected, and scarring will be deeper.
• Incision and drainage. This is the process of draining the pus from hard abscesses. Patients with stage 1 Hidradenitis suppurativa can undergo this treatment. Oral antibiotics will then be used to fully heal the lumps.
• Carbon dioxide laser treatment. This is a modern form of treatment that is being used by some hospitals as an alternative for the normal surgery. The process involves leaving the wound open after the affected tissue is vapourised.
• Radiotherapy. This is one of the more innovative forms of Hidradenitis suppurativa and is considered to be effective as well, although it is not yet widely available in all hospitals.
These surgical treatments are all helpful in curing severe cases of Hidradenitis suppurativa. The most important part of the treatment plan is to determine which type of surgery does the patient need the most.