Surgical Deroofing of Hidradenitis Suppurativa in Clinic

The presentation focuses on the surgical deroofing of Hidradenitis Suppurativa (HS) as an effective treatment option for resistant lesions that do not fully respond to medication. The speaker shares personal experiences about performing surgical procedures for HS, highlighting the importance of building trust with patients and gradually increasing the scope of surgical interventions. The talk introduces the Hurley staging system as a framework for determining the necessity and extent of surgery, emphasizing that surgery should not be seen as a failure of medical treatment but rather as a crucial part of the healing process. The speaker describes various surgical techniques, including the use of local anesthesia and specific instruments such as double-ended probes, and outlines steps for performing the procedures safely and effectively. The goal is to remove inflamed tissue, alleviate symptoms, and promote healing while minimizing recovery time. The speaker provides several patient cases that illustrate the procedures and their outcomes, emphasizing the significant improvement in quality of life after surgical intervention. Overall, the talk encourages practitioners to adopt these techniques in their practice to provide better care for patients affected by HS.