Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.
- Presentation
In Office Surgical Techniques for the Treatment of Moderate to Severe Hidradenitis Suppurativa
Description
The presentation addresses Hidradenitis Suppurativa (HS), a painful and progressive skin disease that severely impacts patients' quality of life. While advancements in medical therapies have provided some relief, patients often suffer from significant tissue damage long before seeking treatment. The discussion emphasizes the importance of combining medical and surgical approaches for effective management. Several surgical techniques for treating HS are explored, including laser hair reduction, cryo insufflation, surgical de roofing, and CO2 laser treatments, all of which show promising results in alleviating symptoms. The speaker shares personal experiences and data supporting the efficacy of laser hair reduction, highlighting cases of significant improvements in patients with moderate to severe HS. Evidence from various studies demonstrates that laser treatments can lead to notable reductions in the severity of HS lesions, encouraging dermatologists to incorporate these methods in practice. Practical considerations for initiating laser treatment, including settings and patient selection, are provided. The speaker concludes by stressing the importance of awareness and data sharing to enhance care for HS patients and inviting dermatologists to collaborate in the ongoing pursuit of effective treatment strategies.
View moreConclusions
- Hidradenitis Suppurativa (HS) significantly impacts patients' quality of life due to its chronic and painful nature.
- Current management of HS often requires a multidisciplinary approach, incorporating both medical and surgical techniques.
- Laser hair reduction (LHR) has been shown to reduce the severity of HS lesions and is associated with high patient satisfaction.
- A combination of medical treatments and surgical approaches is often needed, with LHR being effective for mild to moderate cases of HS.
- Evidence suggests that LHR can lead to marked improvements in HS clinical response scores, including significant reductions in lesion severity and inflammation.
- The effectiveness of laser therapy is backed by multiple studies demonstrating reductions in HS symptoms and inflamed lesions over time, with minimal adverse effects.
- Patients with HS, especially those falling under moderate to severe categories, can benefit greatly from LHR as a non-invasive treatment option, potentially reducing reliance on biologic medications.
- Overall, incorporating laser treatments into HS management protocols can lead to improved patient outcomes and quality of life.
- A. Rekito, Saunte DL, JAMA 2017 Nov 28;318(20):2019-2032
- Tierney E, Mahmoud BH, Hexsel C, Ozog D, Hamzavi I. Dermatol Surg. 2009 Aug;35(8):1188-98.
- Molinelli, E. et al. Journal of the American Academy of Dermatology, 2021 Nov 11;S0190
- Hannah John1, Nikolaos Manoloudakis2, J Stephen Sinclai; J Plast Reconstr Aesthet Surg; 2016 Oct;69(10):1374-81.
- Sidhom S, Petry SU, Ward R, Daveluy S. Treatment of hidradenitis suppurativa with 755-nm alexandrite laser hair removal: A randomized controlled trial. JAAD Int. 2024 Apr 24;16:239-243.