HS Surgery from Start to Finish: Planning, Procedures, and Post-op Care

In this comprehensive talk, the speaker, a trauma and critical care surgeon, discusses the complexities of surgery for hidradenitis suppurativa (HS), particularly focusing on female patients. Emphasizing the importance of effective communication between dermatologists and surgeons, the speaker highlights misconceptions surrounding HS as merely a sweat gland disease and thereby advocates for a more nuanced approach. The presentation outlines a patient-centered surgical framework that considers the unique anatomical and psychological aspects of HS. The speaker critiques traditional surgical methods that often lead to significant patient disfigurement and loss of sexual function, promoting a less aggressive, staged approach to surgery—referred to as a 'cherry picking' technique to selectively excise lesions. Acknowledging the role of biologics in enhancing surgical outcomes, the speaker encourages early intervention and tailored operations to minimize scarring and optimize patient satisfaction. The presentation also touches on considerations for male patients, particularly regarding scrotal HS. In summary, the speaker stresses the potential for improved surgical management through early, informed, and compassionate care while promoting ongoing collaboration within the medical community to enhance treatment outcomes.